Title: Living with Anorexia Nervosa in older adulthood: A framework analysis Authors: Eliza Matas1, Inge Gnatt1, Jessica L. Mackelprang1, Sunil Bhar1 1Department of Psychological Sciences, School of Health Sciences, Swinburne University of Technology, Hawthorn, Victoria 3122, Australia Despite preconceptions that Anorexia Nervosa (AN) is a disorder exclusive to younger people, older adults are reported to have this diagnosis. However, research suggests recognition of AN in healthcare settings may be complicated by age-specific features of the disorder and misattribution of symptoms to physical ailments typically associated with older adulthood. Given these factors, a qualitative investigation into the assessment and lived experience of AN symptomatology among Australian adults in late life is crucial. Family members and carers can offer valuable insights into observed behavioural symptoms, while health practitioners’ perspectives may clarify the practical challenges of assessment, thereby further contextualising AN symptoms and assessment issues faced by older adults living with the disorder. This study investigated the experiences of older adults diagnosed with AN living in Australia, as well as the perspectives of their family members, carers, and health professionals. Semi-structured interviews were conducted and analysed using framework analysis to explore participants’ experiences and perspectives of AN symptoms and assessment. The study generates lived-experience insights into AN symptomatology and assessment to inform clinical understandings of how the disorder is experienced and identified in this population. This is the first qualitative investigation of the perspectives and lived experiences of AN symptoms and assessment among Australian older adults, their family members, carers, and health professionals. Implications for practice, policy, and further research are discussed.