About Us

Our Focus

Elephant in the Room Foundation (EitRF.org) is working at the early intervention stage of AN where there has been a noticeable change in eating patterns but before AN reaches the medically diagnosed stage.  This is an area where there is currently almost no support available so EitRF.org aims to provide information and support BEFORE the condition becomes a medical emergency.

The spiral is an accurate way of showing what happens to a person with AN. What starts in a subtle way with a few odd behaviours that are hard to spot soon starts to rapidly get worse as the loved one’s weight begins to rapidly decrease.  By the time AN is medically recognised there is a 20% death rate.  We urge you to start to work on recovery before this grim statistic becomes a possibility for you or your loved one.


Beyond Zero Death: It's Time to Thrive Again!

The mission of EitRF.org is to achieve zero death from Anorexia Nervosa (AN), a condition that claims 20% of its sufferers.  The aim of EitRF.org is not only to reach zero death, but to help the sufferers thrive again.

EitRF.org is doing this by focusing its educational effort on the early stage of AN before the condition becomes medically defined by DSM IV criteria (the stage well publicized by the media).  From the founder’s experience, it is at the early stage that intervention can truly be effective.

DSM IV Criteria (DSM V released on May 2013) for Anorexia Nervosa

Medically Recognized

DSM IV Diagnostic Criteria for Eating Disorders*

DSM V (released May 2013) shown here in blue to show the changes to the common criteria used until May 2013.   

Anorexia Nervosa

A Refusal to maintain body weight at or above a minimally normal weight for age and height (e.g. weight loss leading to a maintenance of body weight less than 85% of that expected, or failure to make expected weight gain during period of growth, leading to body weight less than 85% of that expected).  Persistent restriction of energy intake leading to significantly low body weight (in context of what is minimally expected for age, sex, development trajectory and physical health)

B. Intense fear of gaining weight or becoming fat, even though underweight.  Either an intense fear of gaining weight or of becoming fat, or persistent behavior that interferes with weight gain (even though significantly low weight)

C. Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight.  Disturbance in the way one’s body weight or shape is experienced, undue influence of body shape and weight in self-evaluation or persistent lack of recognition of the seriousness of the current low body weight.

D. In postmenarcheal females, amenorrhea, i.e. the absence of at least three or more consecutive menstrual cycles.  (A woman is considered to have amenorrhea if her periods occur only following hormone, e.g. oestrogen, administration).  This criteria has been eliminated from DSM V.


American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th Ed.) United States of America: American Psychiatric Association. (2013 DSM V)