• Physical signs and symptoms

– Frequent changes in weight

– Lethargy, tiredness and insomnia

– Dehydration

– General digestive problems (cramps, wind, constipation, diarrhoea)

– Poor skin condition

– Headaches, tension

– Sore throat and mouth ulcers, husky voice

– Calluses on fingers

– Irregular periods

– Enlarged salivary glands

– Erosion of tooth enamel, tooth decay

• Psychological signs and symptoms

– Feeling emotional, irritability, mood swings

– Dissatisfaction with body image

– Feeling out of control

– Feelings of inadequacy and worthlessness

– Feelings of guilt and shame

– Depression and related symptoms

– Anxiety

• Other behavioural signs

– Preoccupation with dieting

– Regular binges (uncontrollable overeating)

– Being sick after meals

– Disappearing to the lavatory after meals in order to get rid of food

– Secret hoarding of food

– Secret disposal of vomit (e.g. bags of vomit hidden in bedroom)

– Abuse of laxatives

– Excessive exercising

– Risk-taking behaviours such as alcohol or drug misuse, shoplifting, promiscuity, self-harm

– Problems dealing with social situations and interaction with others