2. Emotional Changes

Many people with orthorexia nervosa also exhibit symptoms of anxiety and mood disorders that frequently occur alongside other eating disorders such as anorexia. The strict rules and behaviors those with orthorexia enforce on themselves often isolate them, resulting in more severe anxiety or panic attacks. Some emotional symptoms that may indicate orthorexia has become a serious eating disorder include:

  • Immense feelings of guilt when breaking a dietary rule
  • Thinking about and planning meals days in advance
  • Intensely critical thoughts of people who don’t restrict their diet
  • Avoiding food that other people buy or prepare
  • A feeling of satisfaction or spiritual fulfillment when following their dietary rules
  • Worsening symptoms of depression or anxiety
depression anxiety guilt valentinrussanov / Getty Images
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