#when anorexia is like. almost always a reaction to outside forces

[lezbianz]

truly truly despise the medical distinction between “anorexia” and “orthorexia”, as if anorexics haven’t used diet fads as a means to starve themselves for forever. like, who does this distinction serve? how will treatment meaningfully differ for anorexics and “orthorexics”? many thoughts on the topic, all of them negative.

[jamiebluewind]

Fantasy High Theory: Fabian has an eating disorder

TW: eating disorder symptoms, anorexia symptoms, abuse mention, death mention, violence mention, gun mention, alcohol mention, drug mention, trauma mention, smoking mention,...

Word Count: about 2100

I know this is a big assumption to make with what we have, but I couldn't ignore all the data and the warning signs. In fact, I think that even if Fabian does not have an eating disorder at this time, he's certainly at risk for one and needs the issues addressed before it gets worse.

Before I get into it, let me remind everyone that I am about to talk about a very heavy subject. Remember, stay safe and consider the warnings before you continue. You can always message me for a summary of the red flags or for an edited version if you need it. I would rather you be safe than to have you're like on my theory.

Okay? Okay. Let's start by defining a few things.

Eating Disorder: Any of a range of psychological disorders in which people experience severe disturbances in their eating behaviors and related thoughts/emotions. People with eating disorders typically become pre-occupied with food and/or their body weight/shape.

ARFID: Avoidant/restrictive food intake disorder is an eating disorder characterized by eating very little food and/or avoiding eating certain foods. It does not include having a distorted body image (as occurs in anorexia nervosa) or being preoccupied with body image (as occurs in bulimia nervosa). People with avoidant/restrictive food intake may not eat because they lose interest in eating or because they think eating has harmful consequences. They may avoid certain foods because of their color, consistency, or odor. When it becomes more severe, it can cause substantial weight loss, slower-than-expected growth in children, difficulty participating in normal social activities, and sometimes life-threatening nutritional deficiencies.

Anorexia nervosa: Diagnosed when patient BMI (body mass index which is a rule of thumb measuring body size vs mass) is low for their age and height. Severity is classified as mild (BMI of greater than 17), moderate (BMI of 16–16.99), severe (BMI of 15–15.99), or extreme (BMI of less than 15). Hallmarks of anorexia include limited food intake, excessive monitoring of the calorie and fat content of food, fear of being “fat”, problems with body image, denial of low body weight, excessive exercise, food rituals, cold intolerance, mood swings, sleeping issues, chronic fatigue, distorted body image, and many more. Eventually, the body goes into starvation which cause a lot of bad symptoms.

Atypical anorexia nervosa: All of the criteria for anorexia nervosa are met, except the individual's weight is within or above the normal range.

Again, ANY BMI can still mean a person has an eating disorder. It is NOT confined to those that are underweight. The BMI is only there as a red flag and to help classify severity of anorexia. I want to make this very clear, not just for my theory, but for the people reading this who recognize parts of it in themselves or others. I'm about to give an example that gets... personal in order to show that people who don't fit the stereotype of being underweight can still have an eating disorder. How personal? My own.

I am overweight to obese (depending on the doctor and the range). I don't exercise much. I eat pretty well around friends. But I have an eating disorder. I just... don't get hungry most of the time, so I forget to eat a lot more often than is healthy. A LOT more. I've been to the hospital a few times due to dehydration. I've collapsed because I literally forgot to eat for two or three days. I could have died at one point because despite being overweight, I was eating so little that things just... stopped working. Again, I was overweight. People and doctors thought I was just lazy. I was told to eat less and exercise more. Even my blood tests came back fine until one day, they didn't. And even then, nobody listened. Somebody doesn't have to look how you expect them to in order to have a problem. Also, don't be afraid to reach out for help if you feel like some of this hits close to home or someone you know is showing symptoms. It's okay to need help.

So remember, eating disorders can affect anybody with any body. The important thing is to be kind, supportive, and encourage professional help such as cognitive therapy.

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Now to list Fabian's risk factors (I only listed the ones I believe he has)

Dysfunction family: This is a big risk factor for Fabian. His father is chaotic evil and (despite loving his son) puts massive pressure on him and tries to make him conform to his ideal for most of Fabian's life. Fabian has seen his father abuse his crew and snap at the drop of a hat. His mother has been a heavy alcoholic and mostly absent his entire first 16 years and when she gets off alcohol, she puts an extreme amount of pressure on him herself.

Abuse: This is another big one. His parents have been verbally abusive, emotionally abusive, neglectful in a variety of ways, controlling, manipulative, isolating, and his mother rested his food intake. He could have also been physically abused in the guise of sparing.

Genetics: Fabian's mother is very slim. Using images of weights and comparing it to her shape, she in fact fits the underweight shape which may or may not imply a genetic component depending on if the normal body shapes are different for high elves or not.

Exposure to warped body ideals and weight stigma: Exposure to "body ideals" in places like the media (especially if at a young age) can increase body dysfunction and eating disorder risk. Weight stigma can make this worse due to discrimination and stereotyping based on a person’s weight. Fabian has actually been exposed to this a lot due to his father and the crew. He's a kid around very strong muscular people and he feels pushed to get stronger to live up to his dad. It's also very easy to imagine that crew members who were not strong or active enough got a very bad reaction from his father, which would reinforce the ideal. Some of this is conjecture, but it's not so far outside the realm of possibility to be impossible.

Participation in sports: He's on the Bloodrush team and is a fencer.

Pressure to have a certain body shape from family: I think this risk factor is there too, especially when his mother takes over training.

Bullying/Teasing: Fabian was actually bullied by peers when he first starts school, but I believe his parents were bullying him long before that.

Trauma and PTSD: Oh boy, is this solid. He was most likely traumitized by his parents before high school. He saw two new friends die the first day of school and nearly died himself, only saved by Riz. He watched two teachers die by gunshot right in front of him (and a staff member killed by bludgeoning). Fabian mentions having nightmares about Riz killing Daybreak which might have been due to it being via gunshot. He was forced to kill people due to the situation he found himself in. The person who was supposed to have been helping them the entire time (Biz) turned out to be an evil dude who trapped one friend in a palimpsest and wanted to capture another. He was stuck in jail for weeks! His family was attacked, his home was damaged, and his dad died (and by his hand no less). He and his friends almost died to a dragon. That's a LOT of trauma for a kid to try to process and Jawbone mentioned that he never came to visit him, so he probably dealt with a lot of it on his own.

Low self-esteem: This is unfortunately something else he has. Despite all the bravado, he doesn't know how to be a friend or have people like him for who he is (instead of who his parents are or how much money he has). He tries to put up a cool front, but he judges himself very harshly.

Perfectionism. One of the strongest risk factors for an eating disorder is perfectionism, especially self-oriented perfectionism, which involves setting unrealistically high expectations for oneself. If they fail to meet their high expectations, the person becomes very self-critical. Fabian has this type of perfectionism.

History of an anxiety disorder: This one is reaching, but possible. People often show signs of an anxiety disorder (generalized anxiety, social phobia, OCD,...) before the onset of an eating disorder and Fabian stays on edge a lot, worries excessively, puts up a front, and deals with nightmares.

Substance abuse: Fabian has had alcohol and drugs before the age of 16, his parents almost encouraging it. He smokes regularly. Addiction runs in his family as well with his mother being an alcoholic and his father doing multiple drugs. Neither parent even hides the fact that they take drugs and drink alcohol to excess, the crew probably took drugs and got drunk in front of a young Fabian, and Bill offered drugs to his friends upon meeting them.

History of using weight-controling methods and dieting: Fabian exercises a great deal. He skips meals. He has a limited number of things he will eat. There is a lot of evidence to back this up.

Limited social networks: This was a HUGE issue before high school. Fabian was very isolated. He had no friends, limited social activities, and lacked proper social support. Recently, he's been skipping class exclusively which on top of smoking a lot, puts distance between him and other people.

Long story short? Our boy is at risk. Big time.

****

List of common signs of eating disorders (including anorexia)

Limited food intake: Seen when he has mostly protein smoothies, his mother tries to give him limited rations, and when he refuses to eat with his friends more and more as the series goes on. The first incident of it was in Cool Kids, Cold Case where Fabian refused the food he was offered on two separate occasions, passing it to Riz both times. Once was after the battle with Daybreak and being stuck at the police station a good while. The other was when the teens were hanging out at Riz's appartment when Sklonda got takeout. Fabian's mom also makes him earn food as seen in the live show. This mentality could have very well been internalized, even with Cathilda there to try and give him more.

Excessive monitoring of the calorie and fat content of food: He worries about empty calories, how fattening something is, and removed the cheese from a slice of pizza and dabbed the oil

Fear of being “fat” or in a shape that is not the ideal: In episode 1 of season 2, he is very preoccupied with staying trim and tight.

Excessive exercise: He exercises who knows how long every morning plus for Bloodrush plus the times outside of that

Food rituals: This is interacting with food a certain way (like small bites or how it's prepared) which causes anxiety when not followed. The pizza event might be one, but it's hard to say without a pattern.

Sleeping issues: Fabian has issues with sleeping, dreaming, and nightmares. His father confirmed this and he himself mentioned his nightmares.

Weight loss: By comparing his previous official artwork with his new official artwork, it's easy to see that Fabian looks visibly thinner. He's also VERY cut. (very defined muscles requiring very little fat) for his age. He was muscular last year sure, but his chest and abs are much more defined this year. Being that cut means that despite how muscular Fabian is, he has been eating less and probably doing fat burning exercises, getting a lot of his nutrition from multivitamins and whey, and would have less energy than normal.

Negative energy balance/chronic fatigue: This is only a possibility, but it deserves being mentioned. If this is going on, it puts a spin on some of Fabian's other actions in season 2, episode 1. He showed up late on move in day and didn't really move anything (just carried a book), which might have been a character thing, but could have also been because Fabian is running on empty and capable of things like adrenaline fueled busts of energy, but otherwise dealing with low energy and fatigue.

Also, Fabian is smoking now which works as an appetite suppressant as is common among those with eating disorders.

(Signs with no evidence as of this post: problems with body image, denial of low body weight, cold intolerance, mood swings)

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TLDR: Fabian is showing a lot of symptoms of an eating disorder and also over a dozen risk factors. The number of both is substantial enough to see a pattern. Enough that I sincerely hope that it's acknowledged during the season because if Fabian does not have an eating disorder, he is at substantial risk of developing one.

PS: I know it's data heavy, I might have missed a few things, and it could be totally wrong, but I seen enough there that I thought it might make for a solid theory. D20 is no stranger to heavy subjects and I think if they do cover it, they will do a good job (as always). If they don't, I still learned a lot making this theory and maybe a few of you will as well. ^_^