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.
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