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Eating Disorders Question

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hi, I live in england i am at college.I think I may have clinical depression and anorexia. though i don't want medication. I just really want to die sometimes. my symptoms: Most of the time, i feel like everyone hates me, everyone is talking about what a selfish b*tch i am. I do not want to eat for fear of weight gain.I started my menstrul cycle in september, much later than most girls, as i was 16. but i hate them, part of not eating is to stop them from occuring.I eat on average, 500-700 calories a day, and i punish myself for every calorie i intake. i self harm a lot, mainly cutting or scratching and i make sure it's on my hips or stomach so no-one sees. i also try to do exercise to burn off the calories. feel worthless, hopeless and like a failure most of the time. physical symptoms i experience: fatigue, headaches/backache, irregular menstruation.brittle hair/nails. yellow tint to eyes. palpitations, weakness. please give your opinion thanks

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replied April 19th, 2010
Eating Disorders Answer A11343
Hi, welcome to the ehealth forum and I am glad to help you.
The description that you have given suggests the diagnosis of anorexia nervosa with comorbid depression.
As the detrimental effects of eating disorders are immense usually caused by severe electrolyte disturbances, cardiac arrhythmias, amenorrhea, fertility issues, depression ,hypothermia, low bone density with associated risk of stress fractures, congestive heart failure, poor peer relations, low self esteem, suicidal tendencies and even death; you must not delay medical assistance and see your psychiatric specialist who may like to evaluate you with questionnaires for disordered eating behaviors and cognitions and if required institute a treatment regimen by a multidisciplinary team to help your cause. Psychotherapy, medications and hospitalization for a monitored weight gain may be required in your case.
I hope that I have been of help. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.

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