Eating disorders are complex psychiatric conditions that require a multifaceted approach to diagnosis and treatment. Understanding the nuances of each disorder is essential for effective nursing care and mental health support. Anorexia Nervosa is characterized by severe food restriction and an intense fear of gaining weight, with clinical signs such as lanugo, dry skin, and electrolyte imbalances. Nurses must be vigilant about complications like bradycardia and hypothermia and carefully monitor for Refeeding Syndrome during nutritional rehabilitation, which is a life-threatening shift in fluids and electrolytes that can occur when nutrition is reintroduced too quickly. Treatment often includes cognitive behavioral therapy (CBT) and family-based approaches, complemented by SSRIs such as fluoxetine to address underlying depression or anxiety. Bulimia Nervosa involves recurrent binge eating episodes followed by compensatory behaviors such as self-induced vomiting, laxative use, or excessive exercise. Key physical signs include Russell’s sign—calluses on the knuckles from induced vomiting—and dental enamel erosion due to acid exposure. Electrolyte imbalances, particularly hypokalemia, are common and require close monitoring. Nursing care focuses on supervising meals and post-meal behaviors, teaching stress management techniques, and encouraging nonjudgmental support to break the binge-purge cycle. CBT and nutritional counseling are fundamental in reducing disordered eating patterns. Binge Eating Disorder is marked by uncontrollable episodes of eating large amounts of food without subsequent purging behaviors. Patients often experience shame and emotional distress, which can contribute to comorbid conditions like hypertension, diabetes, and depression. Treatment strategies emphasize mindful eating, behavioral interventions, and sometimes pharmacotherapy with SSRIs or lisdexamfetamine (Vyvanse). Support groups and therapy are critical components to address emotional triggers and improve self-esteem. Overall, nursing priorities across all eating disorders involve comprehensive medical stabilization, nutritional support, psychological counseling, and fostering a positive body image. Encouraging journaling and non-food coping skills helps patients develop healthier relationships with food and themselves. Awareness of physical signs like lanugo in anorexia and Russell’s sign in bulimia is crucial for early identification and intervention. By integrating these approaches, healthcare providers can offer holistic care that addresses both the physical and mental health challenges associated with eating disorders.