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Have you ever come across the term atypical anorexia nervosa? When many people think of anorexia, they often picture extreme thinness—an unhealthy level of leanness that can severely impact a person’s physical well-being. Most commonly, anorexia is associated with critical weight loss and a frail appearance. However, the reality is that anorexia isn’t solely limited to those who are very thin.
A diagnosis of anorexia nervosa requires an intense fear of gaining weight and a distorted self-image regarding body size. Typically, individuals with classic anorexia nervosa are losing weight rapidly, posing serious health risks. This is where atypical anorexia diverges; individuals diagnosed with this form may be of average weight or even above it.
Recently, plus-size model Tessa Monroe shared her long battle with disordered eating, revealing her recovery from atypical anorexia. In her candid remarks, she addressed the comments surrounding her body changes, stating, “Yes, I’ve lost weight — I’m healing from an eating disorder & feeding my body regularly for the first time in my entire life. When you equate weight loss with ‘health’ & place value & worth on someone’s size, you are basically saying that we are more valuable now because we are smaller & perpetuating diet culture… and that’s just sad.”
Unfortunately, due to her larger body size, Tessa faced significant backlash online regarding her atypical anorexia revelation. The negativity was so intense that she felt the need to respond, sharing her experience on social media, “The last few days have been some of my toughest since becoming a public figure. The hate has been overwhelming, but the messages from those of you that felt seen, validated, & loved far outweigh the critics. I will be taking a little break to focus on my own mental health. Just remember that having an eating disorder isn’t shameful & you deserve respect & love regardless of where you’re at in your journey.”
Imagine witnessing someone expose their struggles and responding with accusations of dishonesty. It’s disappointing how people can react, especially in online spaces. Those who doubt Tessa Monroe’s atypical anorexia diagnosis based solely on her size show a lack of understanding.
While she may not conform to the stereotypical image of anorexia, the struggles—fear of weight gain, difficulty with food, and distorted body perception—are very real, regardless of body size. Eating disorders do not have a specific appearance, and dismissing the experiences of individuals in larger bodies can be not only ignorant but also harmful.
For instance, I’ve been larger my whole life. Even if I were to drastically limit my food intake, it would take an extended period for anyone to express concern for my health. Like Tessa, I might receive compliments for weight loss, regardless of the detrimental effects my eating habits could inflict on my health. Society often praises women who appear to be losing weight, even if their struggles are dire.
It’s crucial to challenge our preconceived notions about what eating disorders look like. The National Eating Disorders Association emphasizes that “eating disorders can affect all kinds of bodies, and you cannot tell by looking at someone if they have an eating disorder.” People with atypical anorexia may not fit the mold you expect, but their mental health struggles are just as severe.
Contrary to common misconceptions, eating disorders can affect anyone—men, women, people of color, and members of the LGBTQIA+ community among others. There is no demographic that is immune to developing unhealthy relationships with food.
We must recognize that it’s impossible to gauge a person’s health merely by their appearance. Anorexia nervosa has the highest mortality rate of any mental health disorder, and low body weight is not the only risk factor. The consequences of starvation can be devastating even before someone reaches a critically low weight. Every individual requires adequate nutrition to thrive, and anyone engaging in disordered eating patterns puts themselves in grave danger.
Atypical anorexia IS a form of anorexia, and individuals of all sizes deserve support when they bravely share their journeys.
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In summary, Tessa Monroe’s experience highlights the reality that atypical anorexia is indeed a form of anorexia, and it exists across various body types. It’s essential to challenge stereotypes and understand that eating disorders can manifest in diverse ways. Everyone deserves compassion and support in their journey, regardless of their size.