• Avoidance of meals or social situations that involve eating
• Eating rituals such as cutting into small pieces ritualistically arranging food on plate
• Noticeable fluctuations in eating periods of excessive eating cycled with excessive food restriction
• Obsessive exercise regardless of illness, injury, or other important events
• Signs of vomiting or laxative use
• Preoccupation with food and dissatisfaction with body shape
• Layering clothes due to low body temperature
• Dental problems or marks on knuckles
• Banning of certain foods or food groups Intense fear of weight gain or preoccupation with weight loss
• Difficulty talking about feelings; social withdrawal or isolation
• Selfharming behaviors such as cutting, substance use, or other risktaking behaviors
• Secretive binge eating; hiding or hoarding food
• Any significant changes in eating behaviors or body image satisfaction

(Adapted from Eating Disorder Today, p. 11, Summer 2006)