What Are the Causes of Eating Disorders in Adolescence?

Today’s culture seems to encourage an obsession with appearance and having a lower body weight, thanks to the influence of peers and social media as well as other media sources. This conveys an unavoidable and potentially detrimental message to adolescents. Unrealistic expectations about weight can contribute to eating disorders.  Some surveys indicate that 33% of teenage girls believe they are overweight while 56% of teens actively attempt to lose weight. One 2020 study indicated that higher numbers of Gen Z adolescents are engaging in weight loss and dieting practices and often overestimated their weight when asked.  It is imperative that parents and caregivers learn about eating disorders and their signs. Read on to learn more about the causes of eating disorders in adolescents and more.

What Is an Eating Disorder?

An eating disorder is a serious mental health disorder that is centered on body image, body weight and an obsession with food and associated distressing emotions and thoughts. Eating disorders can affect physical, psychological and social aspects of life. They often go overlooked but can be deadly if left untreated.  The most common types of eating disorders include bulimia nervosa, anorexia nervosa, binge eating disorder, avoidant restrictive food intake disorder and other specified eating and feeding disorders, including pica and rumination disorder. Eating disorders impact nearly 5% of the population while most develop during adolescence or young adulthood. Anorexia and bulimia are more common in women but can occur at any age or affect any gender.  Eating disorders typically occur during adolescence or pre-adolescence. Over 90% of teens with eating disorders are female.  Those with eating disorders often experience what is called body dysmorphia, which involves thinking about real or perceived flaws for hours each day coupled with an inability to control negative thoughts. People with eating disorders often find that they are inadequate due to their appearance and continue to struggle, often facing severe emotional distress, even if others reassure them that they are fine.

What Are the Signs of an Eating Disorder to Look Out For?

The signs of eating disorders can vary depending on the type of eating disorder. Each person may experience symptoms differently, but some of the most common signs of eating disorders include the following.

Emotional and Behavioral Signs of Eating Disorders

  • Preoccupation with weight, calories, food, carbohydrates, fat grams, dieting
  • Refusal to eat certain foods
  • Skipping meals or eating small portions at regular meals
  • Attitudes that indicate dieting, weight loss, control of food
  • Any new preoccupation or practices with fad diets or food, including removing entire food groups 
  • Withdrawal from friends and activities
  • Extreme concern with body shape and size
  • Extreme mood swings
  • Frequent dieting

Physical Signs of Eating Disorders

  • Noticeable weight fluctuations
  • Menstrual irregularities
  • Difficulty concentrating
  • Fainting/syncope
  • Stomach cramps or other gastrointestinal complaints
  • Frequently feeling cold
  • Sleep disturbances
  • Russell’s Sign (excoriations or scars on the back of hands/knuckles from induced vomiting)
  • Bizarre eating behaviors
  • Excessive physical activity
  • Dehydration
  • Dry skin and hair
  • Brittle nails
  • Muscle weakness
  • Discoloration of teeth or cavities, from vomiting
  • Swelling around salivary glands
  • Poor wound healing
  • Impaired immune function
  • Cold hands and feet or swelling of feet

What Are the Causes of Eating Disorders in Adolescence?

Several factors can contribute to the causes of eating disorders in adolescents, including genetics, unhealthy dieting techniques or hormonal changes – especially in girls.  Adolescents who have experienced abuse are also more likely to suffer from eating disorders. Abuse may include physical, emotional or sexual abuse. Psychological influences can also play a significant part in the development of an eating disorder. Advertising and media convey mixed messages about what a person’s body “should” look like. Eating disorders are also linked with depression and anxiety as well as other mental illnesses. In fact, nearly 50% of people with eating disorders also suffer from mood disorders.   Addiction and eating disorders often go hand in hand as well. According to an article published in Social Work Today, nearly 50 percent of people who struggle with an eating disorder also abuse alcohol or drugs – sometimes both. Furthermore, nearly 35 percent of people who use alcohol or illicit drugs have eating disorders in comparison with 3 percent of the general population.

Teen Mental Health Treatment in South Florida – AWA

At Adolescent Wellness Academy, a teen mental health treatment center located in South Florida, we understand the complexities and challenges of guiding our loved ones, especially adolescents, towards recovery from mental health challenges. Recognizing the delicate nature of this journey, we are committed to offering compassionate, specialized care even in situations where individuals may be hesitant to seek help. We are dedicated to providing a supportive environment that fosters healing and growth through our tailored programs:
  • Day Therapeutic Program: A structured daytime treatment offering therapeutic support and education that integrates seamlessly with the adolescent’s daily life.
  • After-School Program: An innovative approach that provides therapeutic activities and supports post-school hours, allowing teens to continue their education while receiving the care they need.
When you join our therapy or afterschool programs, you enter a caring and non-judgmental community. This support network involves teens, their families, peers, and our team. Our team of clinicians, alumni, and other parents are here to offer invaluable assistance. Parent Support Groups (PSG) and assessments ensure that the support is tailored to each family’s needs. Contact us today for more information about teen mental health at 1-866-548-8677 or visit our locations in Miami-Dade and Broward.

About the Author

Founder

Discover how our judgment-free, evidence-based care can support your teen mental health and your family

Request a call back and our admissions team will get in touch with you to answer all your questions.

We will support you in finding the right treatment for your teen – even if it is not ours.

We are here to help 24/7.

This field is for validation purposes and should be left unchanged.

Note we are not a crisis hotline, in case of emergency, please call 911 

Dr. Maria Angelica Mejia – Clinical Director (Davie)

Dr. Maria Angelica Mejia’s therapeutic approach is rooted in empathy, resilience-building, and collaboration. As the Clinical Director for Adolescent Wellness Academy, she is dedicated to supporting high-risk teens in navigating trauma, emotional distress, and life’s challenges with a holistic and trauma-informed lens. Dr. Mejia specializes in working with adolescents facing issues such as suicide risk, self-harm, anxiety, depression, and family conflict, utilizing techniques like CBT, DBT, mindfulness, and strength-based therapy. With extensive experience in community mental health, private practice, and clinical supervision, Dr. Mejia has a proven track record of empowering teens to overcome obstacles and thrive. She holds a PhD in Marriage and Family Therapy bringing a depth of knowledge and compassion to her leadership role.

Kimberly Geller

Kimberly Geller - Primary Therapist (Davie)

Kimberly is a compassionate and dedicated therapist with a Master’s degree in Social Work from Florida International University. Kimberly creates a nurturing and secure environment where clients can freely explore their emotions and embark on their journey toward healing and growth. Kimberly specializes in client-centered approaches that helps tailor her therapeutic methods to meet unique needs and goals. By fostering a collaborative therapeutic relationship, she empowers clients to develop effective coping skills and achieve meaningful progress in their mental health journey. Kimberly ensures that each person she works with feels understood and valued throughout their therapeutic process.

Zainub Fatta - Therapist (Davie)

Zainub holds a Master’s degree in Marriage and Family Therapy from Nova Southeastern University and has extensive experience treating a wide range of mental health issues in adults, teens, and children. She specializes in treating diverse mental health struggles such as anxiety, depression, trauma, bipolar disorder, social anxiety, anger management, etc. She also has a lot of experience treating addiction and substance abuse problems within various treatment centers. Zainub views mental health from a systemic perspective, emphasizing the significance of how one’s environment and childhood impacts them, which is why she also specializes in family therapy and couples therapy, when it comes to achieving holistic well-being. Passionate about empowering individuals to find their voice, she considers it a privilege to listen to their vulnerable stories and provide the support they need. Her therapeutic approach focuses on uplifting clients by building their confidence and challenging them to break old, negative patterns of thinking and behavior.

Krystine Garay

Krystine Garay – Licensed Mental Health Counselor

Krystine Garay is a licensed mental health counselor, marriage family therapist, and certified telehealth practitioner. Raised in Miami, Florida, and a member of the Hispanic community, she provides services in both English and Spanish. With five years of experience, she has worked with children, adolescents, and adults, focusing on domestic violence, substance abuse, family conflicts, co-occurring disorders, and mental health issues.
Krystine holds a bachelor’s degree in Psychology from Florida International University and a master’s degree with dual specializations in mental health and marriage and family counseling from Barry University. She is pursuing a doctorate in clinical psychology with a concentration in health psychology from Carlos Albizu University.
Her clinical experience includes rotations at Nicklaus Children’s Hospital, where she assisted children with co-occurring disorders using mindfulness exercises, cognitive-behavioral strategies, and dialectical-behavioral techniques.
Krystine believes in the power of personal growth and progress, and she is dedicated to fostering positive change in her clients’ lives.

Dr. Jacqueline Pablos – Clinical Director

Vulnerability and connection are at the heart of Dr. Pablos’ therapeutic approach. As the
Clinical Director for Adolescent Wellness Academy, she aims to create a safe space for
clients to embrace their emotions and express their needs in healthier ways. Dr. Pablos
specializes in treating depression, anxiety, body image issues, bullying, eating
disorders, and self-harm behaviors using techniques like CBT, DBT, mindfulness, and
ACT.
With extensive training in hospitals and counseling centers, Dr. Pablos has a strong
background in helping teens and adults with co-occurring mental and physical health
disorders. She holds a Doctoral Degree in Clinical Psychology, with specialized training
at institutions like Florida International University, Jackson Memorial Hospital,
Clementine Monte Nido, and Nicklaus Children’s Hospital.

Kimberly

Kimberly Carlesi – Therapist (Miami)

Kimberly, a dedicated therapist with a Master’s Degree in Clinical Mental Health
Counseling from Florida International University, specializes in supporting individuals
with eating disorders, trauma, and substance abuse. She creates a safe, nurturing
environment for her clients’ healing journeys, drawing from diverse therapeutic
modalities like cognitive-behavioral therapy and dialectical behavior therapy. With a
focus on trust and collaboration, Kimberly empowers clients through personalized
interventions, fostering self-awareness and resilience.

Alyssa Mencucci – Therapist (Miami)

Alyssa is a dedicated master’s level clinician specializing in providing compassionate
therapy for adolescents and children facing severe mental health challenges. With a
deep understanding of the developmental stages and psychological needs of
adolescents and children, Alyssa offers expertise in addressing trauma-related issues,
guiding individuals through the complexities of grief, managing anxiety and depression,
navigating personality disorders, and supporting those dealing with PTSD. Alyssa uses
evidence-based techniques such as cognitive-behavioral therapy, DBT, play therapy,
and trauma-focused interventions to create a safe and nurturing environment for
healing. Alyssa believes in a client-centered approach, tailoring therapy to meet the
unique needs and circumstances of each individual. She creates a safe and nurturing
environment where adolescents and children can explore their emotions, develop
coping skills, and embark on a journey of healing and growth.