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Can anxiety driven compulsive overexercising be a form of weight loss control in teens?

By Anonymous April 14, 2017 - 7:14am
 
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My granddaughter, a gymnast, has recently been losing weight by self imposed anxiety driven overexercising. She has OCD but of late has taken this to extremes and can't stop once she starts exercising and straining her muscles.

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Hello Anonymous,

Welcome to EmpowHER. I am glad you reached out to our community with your question.

This is a serious issue that demands professional intervention.

According to KidsHealth, "Compulsive exercise (also called obligatory exercise and anorexia athletica) is best defined by an exercise addict's frame of mind: He or she no longer chooses to exercise but feels compelled to do so and struggles with guilt and anxiety if he or she doesn't work out. Injury, illness, an outing with friends, bad weather — none of these will deter those who compulsively exercise. In a sense, exercising takes over a compulsive exerciser's life because he or she plans life around it.

Compulsive exercise (also called obligatory exercise and anorexia athletica) is best defined by an exercise addict's frame of mind: He or she no longer chooses to exercise but feels compelled to do so and struggles with guilt and anxiety if he or she doesn't work out. Injury, illness, an outing with friends, bad weather — none of these will deter those who compulsively exercise. In a sense, exercising takes over a compulsive exerciser's life because he or she plans life around it.

Girls who exercise compulsively may disrupt the balance of hormones in their bodies. This can change their menstrual cycles (some girls lose their periods altogether, a condition known as amenorrhea) and increase the risk of premature bone loss (osteoporosis). And of course, working their bodies so hard leads to exhaustion and constant fatigue.

An even more serious risk is the stress that excessive exercise can place on the heart, particularly when someone is also engaging in unhealthy weight loss behaviors such as restricting intake, vomiting, and using diet pills or supplements. In extreme cases, the combination of anorexia and compulsive exercise can be fatal.

Psychologically, exercise addicts are often plagued by anxiety and depression. They may have a negative image of themselves and feel worthless. Their social and academic lives may suffer as they withdraw from friends and family to fixate on exercise. Even if they want to succeed in school or in relationships, working out always comes first, so they end up skipping homework or missing out on time spent with friends."

Family members should be there with constant support. Point out all of your child's great qualities that have nothing to do with working out — small daily doses of encouragement and praise can help improve self-esteem.

Regards,
Maryann

April 14, 2017 - 8:04am
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