Anorexia nervosa is an eating disorder where patients engage in extreme self-starving to avoid weight gain, often becoming dangerously thin and risking their lives. It involves both unrealistic body image and usually begins in adolescence. Signs include obsessive concern with weight, over-exercising when ill, strict food limits, and purging. Without treatment, anorexia can become lifelong and damage major organs, but early intervention is often successful. The Center for Counseling and Health Resources in Seattle treats eating disorders, depression, and anxiety with whole-person therapy.