Pica Disorder: Causes, Symptoms, & Treatment

What is Pica?

Pica is an eating disorder that causes people to compulsively eat items that are not considered food or items that have no nutritional value. An eating disorder is considered a mental health condition that causes individuals to have an unhealthy relationship with food.

Thus, pica is both a medical condition and pica is a psychological disorder.

Pica conditions can affect anyone of any age, race or gender. It often occurs along with other mental health disorders including intellectual disabilities, autism spectrum disorder, schizophrenia, trichotillomania, excoriation disorder, obsessive compulsive disorder and sickle cell disease.

A study published in 2022 found that pica disorder may also be associated with depression, anxiety, poor body image and other eating disorders.

Additionally, pica eating disorder is sometimes seen in people with iron deficiency anemia, malnutrition, or a family history of pica during pregnancy.

People living in developing countries appear to have higher incidences of pica when compared with more industrialized nations.

This likely occurs as a result of the food insecurity and malnutrition seen in those nations. It’s unclear how many people are impacted by pica sickness because research on the condition is scarce.

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Signs and Symptoms of Pica

A diagnosis of pica is made when an individual exhibits a pattern of eating nonfood substances for at least one month. Symptoms of pica are generally a result of eating nonfood items.

Persons with pica may develop roundworm infection, constipation, electrolyte imbalances, heart arrhythmias, lead poisoning and intestinal obstruction.

Common non-food items eaten by persons with pica:

Ash
Baby powder or talcum powder
Chalk
Charcoal
Clay, dirt or soil
Eggshells
Feces of any type
Hair, string or thread
Ice
Laundry detergent
Paint chips
Paper
Pebbles
Pet food
Soap
Wool or cloth

FAQs

What Causes Pica?

Researchers are unclear on the exact cause of pica sickness but have recognized relevant components that increase the risk of developing the disorder. These include:

Cultural or learned behaviors

Pica may originate from learned behaviors, including cultural or religious practices that involve the consumption of nonfood items during certain rituals. However, pica is diagnosed only when these behaviors transcend cultural or religious practice and become a compulsive behavior that puts the individual’s physical, emotional, or mental health at risk.

Stress or anxiety

For certain individuals eating nonfood items is a coping mechanism.

Adverse childhood experiences/childhood food insecurity

Poverty may induce some people to consume nonfood items, although the exact reasoning for this is unknown. Researchers hypothesize that this may be a coping mechanism or attention seeking behavior in children and adults who have experienced food insecurity.

Nutritional deficiencies

People with pica may have mineral or other deficiencies in their diet. Anemia (low iron levels) and zinc deficiencies are commonly found in persons with pica.

Mental health conditions

Pica can be associated with mental health conditions that develop in utero. It may also result from genetic conditions passed down from parents or it may develop spontaneously at some point in an individual’s life.

Medical conditions

Some medical conditions not associated with primary nutritional deficiencies may give rise to pica. Pregnancy is strongly associated with pica. Persons with sickle cell disease may also be at risk of developing the condition.

Medications

Certain medications can increase the risk of developing pica syndrome. However, it’s often unclear if the medication or the underlying condition is the true cause of pica disorder.

Family history

If members of your family have experienced pica, you may be at an increased risk. This is especially true if you have first degree relatives, such as parents, siblings, or children, with the condition.

How Do You Treat Pica?

Treatment for pica starts with a thorough medical examination to rule out any underlying medical conditions or mineral or nutrient deficiencies. When such conditions are found, medical treatment or nutritional supplementation will often correct the problem.

For individuals with pica disease and no known health condition or nutrient deficiency, behavioral therapy should be considered.

This often includes reducing access to the substance or providing an appropriate substitute with a similar texture. Furthermore, treating other co-occurring disorders, such as schizophrenia or autism spectrum disorder may decrease the symptoms of pica. This may include cognitive and behavioral interventions including redirection and rewarding individuals for not consuming any nonfood items.

Is Pica Dangerous During Pregnancy?

Pica can be dangerous during pregnancy. Consuming certain nonfood items can lead to poisoning which is not only harmful to the mother but has catastrophic implications for the fetus.

For instance, women who consume paint chips are at risk of lead poisoning. Exposure to lead while in utero increases the risk of neurological damage to the fetus, which may result in impaired memory, developmental delays and behavioral problems such as ADHD.

Despite the dangers, pica is not uncommon during pregnancy with studies indicating an estimated 27.8% of the pregnant or postpartum women that were studied worldwide have pica. Because pica can be linked to mineral or vitamin deficiencies, pregnant women should be screened for these conditions early in the pregnancy.

Anemia is prevalent in women of child-bearing age and is frequently associated with pica. It can also be very serious, especially for pregnant women.

It can lead to an increased risk of blood loss or infections, fatigue, dizziness and shortness of breath for the mother and low birth weight, preterm birth, intrauterine growth restriction, developmental delays and increased risk of death for the baby.

How do you treat pica during pregnancy?

The first step in addressing pica during pregnancy is to rule out any obvious causes such as a vitamin or mineral deficiency.

If testing reveals a deficiency, correcting it will likely correct the pica. If pica is a result of a mental health condition, a referral to a qualified mental health professional would be indicated to help the mother manage her condition in addition to comprehensive obstetric care.

Is pica dangerous?

Yes, pica can be dangerous. Consuming nonfood substances can cause a variety of physical conditions including poisoning, constipation or intestinal obstruction, dental issues, electrolyte imbalances leading to heart arrhythmias, and parasitic infections. These conditions can be fatal and must be addressed expeditiously to prevent serious outcomes.

Poisoning most commonly occurs from ingesting lead from paint chips. Lead poisoning has been shown to cause irritability, lethargy, headaches, abdominal pain, weight loss, numbness in feet and legs, loss of control of bodily movements (ataxia), seizures, cranial nerve paralysis, pressure in the brain causing the optic nerve to swell (papilledema), brain damage, coma and in some cases, death.

Constipation or intestinal obstruction can be caused by ingesting nonfood items such as clay, dirt, paper, rocks or pebbles. Intestinal obstruction will likely require surgical intervention. If not diagnosed and corrected early an obstruction can be fatal.

Dental issues result from consuming nonfood items that cause severe damage to the teeth and abrasion to the gums. This could impact eating and may result in a serious infection.

Electrolyte imbalance can cause heart arrhythmias. Severe heart arrhythmias can be life-threatening because they increase the risk of cardiac arrest, heart failure and stroke.

Parasitic infection can result from eating contaminated nonfood items such as dirt, clay, rocks or feces. These types of infections can lead to flu-like symptoms, vision problems, inflammation of the heart (myocarditis) and inflammation of the brain (encephalitis).

Finding Eating Disorder and Pica Treatment.

Treatment for pica and other eating disorders is available. The first step includes a thorough physical assessment and blood work to look for any underlying causes such as nutritional deficiency.

If testing reveals an obvious cause for the symptoms, correcting the underlying cause may be all the treatment needed.

For example, a pregnant mother who is eating large amounts of ice may be low on iron. Adding a daily iron supplement will likely treat the anemia and in turn, treat the pica.

For individuals with mental health disorders who show symptoms of pica, the treatment may include the use of mild aversion therapy, behavioral therapy or differential reinforcement.

In some cases, antipsychotic medications may help to manage pica. Finding qualified medical and mental health professionals who are experienced in treating pica is critical for creating the most effective treatment plans and supporting long term recovery.

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Icarus Wellness and Recovery Ad This is an ad and Icarus Wellness and Recovery is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More Claimed	Icarus Wellness and Recovery in Boise, Idaho is dedicated to supporting individuals and families on their journey to holistic healing and long‑term well‑being. Our mission is to empower each person who walks through our doors with compassion, evidence‑based therapies, and personalized care plans designed to foster meaningful growth and emotio	Treatments Programs AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual DiagnosisMental Health Adult Program	View Website (208) 907-8881	Icarus Wellness and Recovery has no reviews yet. Leave a review.
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Skywood Recovery 10499 North 48th Street Augusta MI, 49012 4.2 (102 reviews) 6 Top 10 Rehab In Michigan	Skywood Recovery is an Augusta, Michigan, residential facility, nestled in the breathtaking woodlands. Adults seeking treatment for addiction and dual diagnosis can find solace in their welcoming therapeutic environment. They emphasize holistic healing with proven approaches and experiential therapies. Skywood Recovery is an Augusta, Michigan, resi	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction Adult ProgramYoung Adult ProgramLGBTQ Program Private insuranceSelf-Pay OptionsMilitary Insurance	I had the opportunity to work at skywood several years ago. It was a great experience that taught me many working lessons that stick with me today. Also a very beautiful location. Josh Wynkoop 1 month ago I was so impressed with Skywood in so many ways. My husband went through Skywood and not only has it given him his life back, but they were so supportive all along the way and even after discharge. Although we had some challenges with our insurance, Skywood was so helpful in walking us through the ups and downs with our insurance company and making sure my husband got the care he needed. Thanks Skywood! Megan Beattie 1 month ago Skywood saved my life. The treatment is fantastic if you give it a chance. The staff is kind and caring and they really set you up for success after you leave. I just celebrated 6 years of sobriety and truly don’t think I would have gotten to this point without the tools and knowledge gained from Skywood. Rachel Hoffman 1 month ago	5 5
Monte Nido – Laurel Hill 121 Mystic Street Medford MA, 02155 4.9 (13 reviews)	Monte Nido – Laurel Hill is a serene and homey residential care center that focuses on treating women with eating disorders. You can find them in Medford, Massachusetts, just north of Boston. Although their main focus is on healing disordered eating patterns, they also provide support for co-occurring conditions, including substance use disorder,	Treatments Programs Payment Options Mental HealthMental Health And Substance Abuse Adult ProgramYoung Adult ProgramProgram For Women Private insuranceSelf-Pay OptionsPrivate Insurance	A truly amazing place staffed with kind, caring, wonderful, professional, fun, generous, thoughtful, and highly-skilled staff (I could go on) who are experts in ED recovery. My therapist at Laurel Hill is by far the best therapist I have ever had — I learned so much from her and am still in awe of how she challenged me and ED narratives. The clinical director treats clients like family and invests her time and energy into each and every one of us — she spent her Christmas holiday with clients baking cookies, enjoying holiday kareoke, and other festivities that she planned for us… it was a special holiday, filled with so much love and support. The nursing staff are SO cool and kind. The RCs are absolutely the best.. I don’t know how they do such a specialized and demanding job and do it SO well, all while getting to become so close with the clients. I would 100% recommend this place to anyone struggling with an eating disorder. I had lost hope when I entered treatment, and now I look forward to the day when I can say I am fully recovered, because thanks to the LH team, I know that day will come. Liz B 2 years ago Aside from one of the RC’s always deez nutting the clients, great experience 🙂 Brianna Racamato 3 years ago I can’t even begin to express my gratitude towards Monte Nido and especially the staff. Coming to residential at Monte Nido truly saved my life and I don’t believe that I would be here today if I didn’t go here. Toni Puma 3 years ago	3
Purposes Recovery Ad This is an ad and Purposes Recovery is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More 7239 Kentwood Ave Los Angeles, CA 90045	Nestled in the heart of Los Angeles with sweeping views and easy access to LAX, our luxury substance abuse treatment center offers an exceptional healing experience in a serene, upscale setting. We specialize in comprehensive, evidence-based care with a full continuum of services, including medical detox, residential treatment, and aftercare planni	Treatments Programs Payment Options AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental Health Adult programSeniors programLGBTQ programProgram for menProgram for womenYoung adult program Financial aidPrivate insuranceSelf-pay optionsSliding scale payment assistanceFinancingMonthlyDaily	View Website (352) 706-8237	Purposes Recovery has no reviews yet. Leave a review.	15 15
CHI Saint Alexius Health Archway Mental Health 310 N 10th St Bismarck, ND 58501 4.0 (8 reviews) 2 Top 10 Rehab In North Dakota	CHI Saint Alexius Health’s Archway Mental Health provides mental and behavioral health care services for youths and adults in Bismarck, North Dakota. Their programs include age-specific inpatient treatment, outpatient treatment, and aftercare support. Specialized services are available for seniors and clients with co-occurring addictions and men	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse Adult ProgramLGBTQ ProgramMilitary ProgramYoung Adult ProgramTeen ProgramChild ProgramSeniors ProgramPostpartum Program+1 Private InsuranceSelf-Pay OptionsMedicareMilitary InsuranceMedicaid	Good most of the time TJ M (Michael) 7 months ago So far it has been such a great experience. Dr stout is amazing and listens to your every need without any judgement or ridicule. I highly recommend him. alexa “Lex” Raye 1 year ago They helped our son, so much. He’s doing so much better. Please don’t hesitate to come here. It’s a good place to find some assistance. Kitty Kattington 1 year ago	2
Cornerstone Healing Center – Phoenix 4344 W Indian School Rd #22 Phoenix, AZ 85031 4.6 (30 reviews)	At Cornerstone Healing Center we believe in helping people broken by addiction and/or Mental Health Issues heal their minds, body, and spirit. We create an environment where rapid and miraculous recovery can and does happen. Our vision is to provide a safe space for long-term recovery, combining passion, structure, soul-searching, and fun to change	Treatments Programs Payment Options AlcoholismOpioid AddictionDrug AddictionDual DiagnosisSubstance AbuseMental Health Adult ProgramYoung Adult ProgramLGBTQ ProgramMilitary Program Self-Pay OptionsPrivate InsuranceMedicaidFinancial AidMedicareSliding Scale Payment AssistanceMilitary InsuranceMonthlyEmployee Assistance Program+2	Great place for recovery. The staff is educated and supportive! Taylor Smith 3 months ago The facilities are updated and maintained very well. The staff from management to navigators were top notch. The therapists are authentically kind and extremely helpful as well as knowledgeable. I would recommend Cornerstone to anyone looking to improve their mental health and combat substance abuse issues. Thank you to all of the staff!!! Jake Torkelson 4 months ago Cornerstone provides a life-changing experience. The place is very clean, and the staff are very kind and educated. Trap Taylor 4 months ago
Geisinger Marworth 12 Lily Lake Road Waverly, PA 18471 4.1 (60 reviews)	Geisinger Marworth, an entity of Geisinger Health System, is an alcohol and substance use treatment facility located in the rolling hills of Waverly in Northeastern, Pennsylvania. They provide inpatient and outpatient (OP) programs for adult men and women. Geisinger Marworth, an entity of Geisinger Health System, is an alcohol and substance use tr	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse Adult ProgramYoung Adult ProgramLGBTQ ProgramMilitary Program Private InsuranceSelf-Pay OptionsSliding Scale Payment AssistanceMedicareMedicaid	Best time of my life..I would go back if I could for a meeting..Best staff and community bar none. I will never forget this place ever. Jeannine Borrell 2 months ago I went to Marworth for the first time after relapsing after about 5 years sober. When I went there I was a wildly unpleasant person to be around. I hated the world and myself. I was truly terrible to most of the staff. My behavior was argumentative, smug and mean at best. They still welcomed me back 3 more times. I was eventually given Amy as my primary counselor and, she not only took the time to try and understand why I was like that but, she also challenged me to be better. Over my time there I had the chance to get to know the staff very well. They’re good people. Who genuinely want to help people get to the life they’re meant to have. The specialists, rec team, cafeteria workers,house keeping,security(the list goes on and on)are wonderful. That’s what makes Marworth great. It’s not the amenities. It’s not the rock climbing wall, gym, cafeteria, or anything else you can think of. It’s the people that make this place what it is. Is it perfect? Absolutely not, but nothing is. When I went in there looking for all the things that bothered me, I got nothing out of it. When I allowed them to help me, I got everything out of it. Adam Kamienski 3 months ago Loved it great experience helped a lot thanks to great staff great attitudes thank you 6 months clean of opiate addiction and Cocaine Geoffrey Kaplan 10 months ago	4
Icarus Recovery Center Ad This is an ad and Icarus Recovery Center is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More Claimed	Icarus Recovery Center, nestled in the heart of Albuquerque, New Mexico, offers a compassionate, inclusive environment where healing and transformation can truly take flight. Founded on the belief that every individual possesses the strength to rise above challenges, our center is dedicated to providing personalized support on the journey to lastin	Treatments Programs AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual DiagnosisMental Health Adult Program	View Website (505) 305-0902	Icarus Recovery Center has no reviews yet. Leave a review.
Structure House 3017 Pickett Road Durham, NC 27705 4.8 (99 reviews) 10 Top 10 Rehab In North Carolina	Structure House is a residential treatment for individuals with binge eating disorder. The program includes recreational activities, fitness therapy, nutritional counseling and more. Structure House is located in Durham, North Carolina. Structure House is compromised to provide support and compassionate care for individuals with a mental health dia	Treatments Programs Payment Options Mental Health Adult ProgramYoung Adult Program Self-Pay OptionsPrivate insuranceMonthlyMedicaidPrivate Insurance	One of the best investments I’ve made in a long time was to spend 4 weeks in a total health and wellness immersion at Structure House. I tapped into my greatest and most authentic self while there with my wife. Total body, mind and spirit work. Life changing and transformative. I highly recommend that anyone and everyone give this gift to themselves. You will reset, recharge, rejuvenate, reawaken, rediscover, and retransform. They offer a lecture series entitled, “Digging Deeper” by Life Coach Dr. Lacy Frazier. Wow is all I can say! A must visit experience. Julius Graham 2 months ago This place gave me a kind of peace I didn’t think I’d find. The staff really got what trauma does to you, and I felt safe for once. Being around other women made it easier to open up. I’m stronger now. I just wish there’d been more family stuff. Sheila T. 3 months ago Thank you to all at Structure House from Reservations with Joelle, to welcome with Lisa and Pam, and Mercado and Tiffany. Thank you to Chef Tom, Sondra, Martha, Jeff ….and the whole crew who spoiled me with all delicious meals. I bought the cookbook and have made several of the recipes. Thank you to Ben and Brandy for all the nutrition tips! I keep telling myself protein, starch, vegetables, and fruit not starvation, that keeps my body running properly! My metabolism is back and I have lost more weight! Thank you to Craig, Cameron, and Joe, Randy Allyson Nancy Melissa and Tasha(?). All your workouts were awesome! I joined a gym and have made a circuit with ropes,TRX , weights, rowing machine, medicine ball, crunches and other core exercises! I am going 3 times a week and riding my bike, thank you for your help to get me back to feeling fit! Thank you to Dr P. and Irina I brought my LDL way down and hope to stay on this healthy and fit journey! Thank you to Lacy and Sue for helping me to focus my Why. I want to be and feel healthy and fit! Now when things try to distract me I focus in on my Why and it keeps me on the journey to experience life’s ups and downs with the strongest and most present me possible. My apartment was amazing the grounds are kept beautifully! I can’t express in words how grateful I am! I felt so spoiled! I met some really amazing people there, who shared their experiences, difficulties and shared their strategies. I am so thankful to my husband for finding Structure House and being willing to invest in my health, fitness, and wellbeing! Blessings to all that make Stucture House an amazing Home of wellness, fitness, and health! kathy 3 months ago	6 6
Elan Recovery + Wellness 741 US-1 North Palm Beach, FL 33408 4.9 (21 reviews)	Elan Recovery + Wellness in North Palm Beach, Florida, is an addiction treatment center and mental health care facility. They offer comprehensive outpatient counseling and mentorship to adults seeking recovery in a convenient and comfortable setting. Elan Recovery + Wellness in North Palm Beach, Florida, is an addiction treatment center and menta	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction Adult ProgramYoung Adult Program Self-Pay OptionsPrivate insuranceMonthly	I was the first free 2 weeks of recovery after relapse, it was needed. Thank you for being there when I struggled with my addiction. Curtis J-DOG DREW-BOY 6 years ago Goodmorning I would like too say thank you too my family who took the time too find elan for me i was not in a good place my time there brought my life back my kids my family and my smile 😇 I learned alot THANK YOU Too ALL and EVERYONE at elan my life is so much better now i have ME back .I also met wonderful people there that will always have a place in my heart💝💝💝 If ur struggling this os ur place Thank you again lots of love always 😘😘😘 And today is 6 months Great day love u all Maria Domingo 6 years ago When I came into Elan I was broken, I had no trust in rehab centers and they changed my way of thinking. They earned my trust and helped me save my life. The staff is truly the best hand picked employees a rehab center could have. All the therapists are phenomenal in what they do, they have all helped me and have gave me the criteria to live a honest clean sober life. The Techs are wonderful they’re so welcoming and do anything to make you comfortable, the lead techs Keri & Scott are so insightful. The family program that the therapist Lystra conducted was the most HEALING EXPERIENCE and has helped with a lifetime worth of damage. We keep in contact weekly and it’s the most beautiful relationship I’ve bonded with a therapist, thank you Lystra for all you do. The Director Barbara I will be forever grateful for she always made time to be there for me. The Clinical Medical staff knows what they are talking about and very understanding. Pastor Craig is the best motivational staff member he’s made a world of a difference in my life. Diane’s groups are AMAZING! I’ve learned so much about why I did what I’ve done and she has always been there for me. If you wanna get deep in the Big Book Larry can direct you with any question and answers you have. Thanks to all these staff members my higher power and my sponsor my sobriety date is 08-21-18 I have recently celebrated Six months, am sponsoring young woman myself, & I couldn’t have done it with out the help of Elan Recovery & Wellness. Ninaa 6 years ago
Ingrained Recovery Ad This is an ad and Ingrained Recovery is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More Claimed	At Ingrained Recovery, we believe in healing the whole person—mind, body, and spirit. Located in the heart of Eastman, Georgia, our treatment center offers a safe and supportive environment where individuals can begin their journey toward lasting recovery. Our team is dedicated to helping each client uncover the root causes of their struggles wit	Treatments Programs AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual DiagnosisMental Health Adult Program	View Website (844) 450-1700	Ingrained Recovery has no reviews yet. Leave a review.	3
Purpose Healing Center Drug and Alcohol Detox – Phoenix Ad This is an ad and Purpose Healing Center Drug and Alcohol Detox – Phoenix is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More Claimed	Purpose Healing Center, nestled in the vibrant heart of Phoenix, AZ, is a compassionate haven dedicated to guiding individuals on their journey to holistic healing and sustainable recovery. Our mission is to ignite hope, empower transformation, and cultivate resilience through a comprehensive continuum of care tailored to each person’s unique pat	Treatments Programs AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual DiagnosisMental Health Adult Program	View Website (480) 405-5633	Purpose Healing Center Drug and Alcohol Detox – Phoenix has no reviews yet. Leave a review.