In addition to extreme leanness and fear of gaining weight, common signs and symptoms of anorexia include skipping meals, refusing to eat in public, frequent referrals or complaints about weight gain, strenuous exercise regimens, and covering up with layers of clothing to disguise thinness. Unlike anorexia, people with bulimia are usually at a normal weight. But they have the same intense fear of gaining weight and a distorted body image. They see themselves as “fat” and desperately want to lose weight.
Because they are often ashamed and disgusted with themselves, people with bulimia become very good at hiding bulimic behaviors.