Men Struggle Too. Recognising and Treating Anorexia in Males: What You Need to Know

When we think of eating disorders, particularly anorexia, the image that comes to mind is often female. But anorexia nervosa affects people of all genders—including men. 

In fact, research suggests that around one in four individuals with anorexia are male. Despite this, anorexia in males is frequently underdiagnosed, underreported, and misunderstood.

Here’s what you need to know about identifying and treating anorexia in males—whether for yourself, someone you love, or within your professional sphere.

What Is Anorexia?

Anorexia nervosa is a serious mental health condition characterised by:

Restrictive eating and extreme calorie control

An intense fear of gaining weight

A distorted body image

In men, these signs can be accompanied by other symptoms that may look different to the typical female presentation—making it more difficult to spot.

Signs and Symptoms of Anorexia in Males

While core symptoms are similar across genders, the way they manifest in men can vary. Here are some key indicators to watch out for:

Physical signs:

Noticeable weight loss or failure to maintain a healthy weight

Fatigue, dizziness, and frequent illness due to a weakened immune system

Digestive issues, constipation, or stomach pain

Muscle loss and low testosterone levels

Cold intolerance (always feeling cold)

Behavioural signs:

Obsessive focus on food, calories, or “clean eating”

Excessive exercise, often prioritised over other commitments

Avoidance of meals, social situations involving food, or making excuses not to eat

Extreme self-control or rigidity around eating routines

Mood swings, irritability, anxiety, or depression

Psychological signs:

Distorted perception of body image—may see themselves as overweight even when underweight

Low self-esteem and intense fear of weight gain

Denial of the seriousness of low body weight

Men may also experience muscle dysmorphia, a form of body dysmorphia where individuals perceive themselves as insufficiently muscular rather than thin—leading to over-exercise, restrictive dieting, or misuse of supplements.

Why Anorexia in Males Often Goes Undiagnosed

Stigma: Eating disorders are still viewed as "female problems," which can make it harder for men to seek help or even recognise their symptoms.

Different presentation: Symptoms like excessive gym use or “clean eating” may be culturally normalised or even praised in men.

Misdiagnosis: Males may be misdiagnosed with depression or anxiety without the underlying eating disorder being addressed.

How to Get Help

If you or someone you know may be struggling with anorexia, early intervention is crucial. Recovery is possible, and the sooner treatment begins, the better the outcomes.

Steps to take:

Speak to a GP: They can provide an initial assessment and referrals to eating disorder specialists.

Seek a specialist: Treatment often involves a multidisciplinary team including a therapist, dietitian, and medical doctor.

Therapy options:

CBT-E (Enhanced Cognitive Behavioural Therapy) is a leading approach for adults with anorexia.

Family-Based Therapy (FBT) can be effective for adolescents and young adults.

Support networks: Encouragement and understanding from family, friends, or peer support groups can make a big difference.

Supporting a Male with Anorexia

Listen without judgement: Be present and non-critical.

Avoid body or food-related comments, even if well-meaning.

Educate yourself: Understanding anorexia helps reduce stigma and improve your ability to help.

Encourage professional help, but avoid forcing it—recovery must be a personal choice.

Anorexia in males is real, serious, and often hidden behind stereotypes. But with awareness, support, and professional treatment, recovery is not only possible—it’s entirely achievable. The key lies in recognising the signs early and challenging the stigma that prevents so many men from reaching out.

If you're worried about someone (or yourself), don’t wait. Speak up. Help is out there—and it starts with a conversation.

Recognising and Treating Anorexia in Males: What You Need to Know

Anorexia nervosa is often misunderstood as a condition that only affects women. But in the UK, around 25% of people with anorexia are male, and that number may be higher due to underdiagnosis and stigma. Eating disorders don’t discriminate—they affect people of all genders, backgrounds, and body types.

Here’s how to spot the signs of anorexia in men and what treatment options are available, with UK-based resources to help.

Updated UK Stats and Facts

According to Beat, the UK’s leading eating disorder charity, approximately 1.25 million people in the UK have an eating disorder.

Of these, around 25% are male, although many experts believe this is an underestimate.

Men are less likely to seek help due to stigma, lack of awareness, and misdiagnosis.

Where to Get Help in the UK

If you suspect you or someone else may be struggling with anorexia, these UK-based services and organisations can help:

1. Beat Eating Disorders

Website: www.beateatingdisorders.org.uk

Offers helplines, online support groups, and guidance for those struggling and their families.

2. NHS Eating Disorder Services

Start with your GP, who can refer you to an eating disorder specialist team.

In England, services are available via CAMHS (for children) or adult mental health services.

3. Men Get Eating Disorders Too

Website: www.mengetedstoo.co.uk

A charity specifically supporting men affected by eating disorders, offering peer support and resources.

4. Mind

Website: www.mind.org.uk

While not eating disorder-specific, Mind offers mental health support and guidance on accessing services.

Managing Adult ADHD: Therapies, Treatments, and Supplements That Can Help

Attention Deficit Hyperactivity Disorder (ADHD) isn’t just a childhood condition — many adults experience its challenges daily, often without even knowing why focus, organisation, and motivation can be so difficult. 

Whether you've been formally diagnosed or recognise symptoms that align with ADHD or similar neurodivergent traits, there are a range of strategies that may help. 

This post explores both conventional and complementary approaches, from medical treatments to natural supplements and therapeutic techniques.

1. Medical Treatments

For many adults, medical treatment can be an essential part of managing ADHD.

Stimulant medications such as methylphenidate (e.g., Ritalin, Concerta) or amphetamine-based options (e.g., Elvanse, previously known as Vyvanse) are commonly prescribed. These improve dopamine and norepinephrine activity in the brain, which are often underactive in people with ADHD.

Non-stimulant medications, like atomoxetine (Strattera), guanfacine or bupropion, may be preferred for those with side effects from stimulants or co-existing conditions like anxiety or high blood pressure.

Medication should always be overseen by a healthcare professional, with regular reviews to ensure the best results and minimal side effects.

2. Therapies and Coaching

Therapeutic support can be especially helpful when combined with medication — or on its own.

Cognitive Behavioural Therapy (CBT): Tailored CBT for ADHD focuses on restructuring unhelpful thought patterns and developing practical strategies for time management, organisation, and emotional regulation.

ADHD Coaching: Professional ADHD coaches work one-on-one with clients to help them build routines, improve focus, and set achievable goals.

Mindfulness-Based Stress Reduction (MBSR): Practising mindfulness can improve attention, reduce impulsivity, and help regulate emotional responses.

Occupational Therapy: Useful for those who need support structuring their environment or adapting work/life tasks to suit their cognitive style.

3. Lifestyle Changes That Support Focus and Mental Clarity

Sometimes, the most impactful changes are the simplest.

Routine and Structure: Keeping a consistent sleep schedule, using planners or visual schedules, and setting reminders can significantly reduce mental clutter.

Exercise: Regular movement, especially aerobic activity, has been shown to boost executive functioning and reduce symptoms of inattention.

Diet: Balanced blood sugar and consistent protein intake throughout the day can help manage focus and energy levels. Consider reducing sugar and highly processed foods that may exacerbate symptoms.

4. Vitamins and Supplements

While supplements aren’t a cure, they may offer support — particularly when dietary intake is insufficient. Always check with a healthcare provider before starting any new supplements, especially if you’re on medication.

Omega-3 Fatty Acids (EPA & DHA): Found in fish oil, omega-3s support brain health and have been associated with reduced ADHD symptoms in some studies.

Magnesium: May help with restlessness, irritability, and sleep, especially in those who are deficient.

Zinc: Plays a role in neurotransmitter function and may support dopamine regulation.

Iron (especially Ferritin levels): Low iron stores have been linked to increased ADHD symptoms — supplementation should only be considered with a blood test and medical advice.

Vitamin D: Essential for mood regulation and immune function; deficiency is common in the UK, especially during winter.

L-Tyrosine: An amino acid that supports dopamine production — some people find it helps with mental clarity and motivation.

5. Alternative and Emerging Therapies

Neurofeedback: A non-invasive therapy where individuals learn to regulate brainwave activity. Though research is ongoing, some report improved attention and emotional regulation.

Light therapy: Especially useful for those who also struggle with seasonal affective disorder (SAD) or disrupted sleep cycles.

Herbal supplements: Options like Rhodiola rosea, Ginkgo biloba, and Panax ginseng have anecdotal support for improving mental energy and focus, but should be used with caution and professional input.

Final Thoughts

Managing ADHD and similar neurodivergent conditions is not about trying to "fix" who you are — it's about discovering what works best for your brain and building a life around your strengths. With the right combination of therapies, routines, and support (including the occasional supplement), it's absolutely possible to thrive.

Have you tried any of these approaches or found other strategies helpful? Share your experience in the comments — your insights might just help someone else on a similar journey.