The risk of developing anorexia nervosa increases if you:^{1, 2}

• Have a family history of an eating disorder, obesity, or a mood disorder (such as anxiety or depression).
• Have certain personality traits and emotional conditions, such as perfectionism, perseverance, anxiety, or low self-esteem.
• Feel family, cultural, or social pressures related to goals such as thinness, high achievement, or perfection.

If you struggle with anxiety, have a persistent nature, and strive for perfection, you may be at risk for crossing the line from dieting to anorexia.^{5, 2} For some people, anorexic eating habits can meet a need for personal control and self-esteem. Some teens may fall into this pattern as a way to cope with big changes and challenges.

A parent may have cause for concern if:

• A child expresses concerns about weight at a very young age.
• A teen becomes more strict with a diet.
• A teen intensifies his or her exercise routine.