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anorexia nervosa is a serious mental illness its associated with one of the highest mortality risks of any psychiatric disorder im dr cameron eddy and im a clinical psychologist im the co-director of the eating disorders clinical and research program at massachusetts general hospital and an associate professor of psychology in the department of psychiatry at harvard medical school and this is understanding anorexia nervosa anorexia nervosa is a psychiatric disorder thats defined by both physical and mental characteristics the diagnostic and statistical manual of mental disorders defines anorexia nervosa by three criteria the first is a restriction of energy intake that leads to low body weight the definition of low weight in anorexia nervosa is intentionally vaguely defined so it allows for clinical judgment in adults its generally a body mass index of less than 18.5 and in kids and adolescents its generally less than the fifth percentile for their own growth trajectory the sec