Orthorexia is a problem when it causes you anxiety and makes your life miserable.
When I lived in the San Francisco Bay Area and was a member of the raw vegan community I would occasionally attend community potlucks. I noticed that those people were among the most neurotic people I had ever met and many looked quite unhealthy for all the bragging they did about their way of eating. It's one thing to care about your diet, to read everything you can about it, to eat as healthy as you can but when diet becomes the center of your life to the point where you isolate from others, or live in fear of going out to dinner because that piece of fish might have been farmed, or spend your energy judging others to the point of being miserable, or get sick from your diet and think that means you have to blindly follow it even more strictly, then I think it's a problem.
I've been there, done that. I've relaxed A LOT since my days of crazy food obsession. Now, I'm only moderately obsessive about food and I make it a point when I'm with family or friends at their homes or at a restaurant to enjoy what's available even if it's, gasp, glutenous.
Of course I realize that some folks here have real problems with gluten, casein, and other things, and get sick when they eat those things. I'm not saying those people are orthorexic or that they have a problem.
It's not so much what you eat or how much you analyze your food that makes you or me orthorexic. It's when diet consumes you and other important elements of your life (mental, emotional, spiritual, family. relationships) are ignored. I work hard to keep non-food areas in balance because I believe that in my case they're more important to my life than what I eat.
I do think that PaleoHacks attracts those of us who are at risk for being orthorexic because the culture of this community is that it largely treats food as if it's the one thing to pay attention to. Unfortunately, it also encourages those of us who are out of balance already in relationship to food to continue to stay out of balance.