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Where it was once thought that socio-cultural factors (e.g., media, parents, peers) and problems with self-esteem were the main causes, it is now understood that Anorexia is more of a brain disorder. Those other factors may contribute to an eating disorder-they are not the cause- There’s genetic susceptibility, and there are environmental stressors. But it’s definitely not a matter of free will—no one chooses to become Anorexic. Like any other illness, Anorexia is biologically based.