What is a common fear experienced by individuals with anorexia nervosa?

Individuals with anorexia nervosa often experience an intense fear of gaining weight or becoming obese. This fear is central to the disorder and drives many of the behaviors associated with anorexia, such as restrictive eating and excessive exercise. This fear is not merely about vanity; rather, it can be deeply rooted in perceptions of self-worth, body image distortions, and anxiety about societal standards regarding weight and appearance. This fear can lead to a distorted self-image where individuals see themselves as overweight even when they are significantly underweight.

In the framework of anorexia nervosa, this obsession with weight and body image can contribute to severe psychological distress and has significant implications for treatment. Understanding this primary fear is essential for addressing the core issues in therapy and developing strategies to help individuals cultivate a healthier self-image and relationship with food.