Background: Anorexia nervosa is a disease that often strikes teenager girls. The causes of the disease are not entirely known, but there are redeemed and maintenanced factors. The factors describes as biological, psychological and sociocultural. Aim: The aim of the study was to illuminate the nurses problem in caring of girls that developed anorexia nervosa. Method: The method of this essay is a literature study. The essay is based up on scientific articles. Results: The care of the anorexics is affected by several different factors. The factors are the anorexics, the parents and the nurses. The anorexics describe the illness as a struggle to find out the meaning of the illness. Many of the girls do not feel confirmed, but they has a big need of this. The SAUK- model describes the need of confirmation. The anorexics parents often wanted to help but they felt excluded from the care of their daughters. This made them feel a sense of guilt. The biggest problem in giving a god care is the negative relation between the nurse and the anorexics. The findings in the essay shows that it was difficult to built therapeutic relationships because lack of empathy and engagement from the nurses.