Perfectionistic teens are at high risk for anorexia nervosa and bulimia. These girls are usually excellent students, well behaved, and intent on doing everything just right (even when it comes to the elusive idea of self perfection).
Girls raised by authoritarian parents or who feel compelled to please their parents are at risk. They may unconsciously seek control of their weight and body shape as their only means of independent choice.
Teens under stress with an alcohol or drug abusing parent are at risk.
Finally, teens who have low self-esteem and who are depressed may develop eating disorders. They may be especially sensitive to criticism or suggestions that they might be overweight whether or not these perceptions are accurate.