Eating Disorders

Eating Disorders
*females 90% or higher
*adolescents
*white, higher social status
*high body count - medical complications due to disorder (electrolyte imbalances, heart problems)
(irreconcilable damage - when disorder is managed, the body doesn't recover)

Anorexia - RID
--refusal to maintain a normal body weight
--intense fear of gaining weight
(more so than attempting to lose weight)
--disturbance in how they see their body
(see themselves as too big)
--women only (amenorrhea) - 3 mos. no menstruation
(need certain body fat ratio to menstruate)
NOT SYMPTOM but seen alot:
--obsession with food (won't it but like ot have it around - food is everywhere around them)

2 types:
Restrictive - dieting, fasting, excessive exercise, low cal stuff
Binge/purge - eat small portions but more than they normally do, then purge

Onset:
mid-late adolescence

Bulimia (hungry like an ox)
--Binge and compensatory behavior
Binge - eating large amt. in one sitting
(extreme amount, junk food)
--loss of control to stop eating
--can't control - have shame
(anorexics have pride instead)
--know it's wrong - want to stop
--experiences pleasure and excitement during binge
Compensatory behavior - purging or non-purging
--Purging - completely empty til no more
(vomit, diuretic, laxatives, enemas)
--Non-purging (fasting, huge amts of food then not)
(excessive exercise - 3 to 4 hours a day)

Self-evaluation - unduly influenced by body shape and weight
Must have - binge/purge 2 times a wk. for 3 mos.
--money is an issue
--work can affect

Medical complications (electrolyte imbalance, cardiac arythmia and arrest)
Specific to bulimia - dentist
(back of teeth shows more damage, due to vomit)
(swollen salivary glands)

Bulimics are NOT successful at losing weight - many times overweight
Compensatory behavior really has no effect

Demographics:
--90% female
--late adolescent and adulthood
--much more prevalent than anorexia
(easy to eat too much, harder to starve self)

Binge-eating Disorder
--individual does binge, but they lack the compensatory behavior
--eat alot but not making up for it (gain lots of weight)
--reaction to stress possibly
--may feel guilty and out of control but do nothing about it
--more stress will cause binge to be larger
(decrease levels of stress or develop coping or relaxation skills to cope better)

Eating Disorders NOS
--will not meet for one of the others but close
(all symptoms of anorexia but now <85 yet
(bulimic but not often enough)
--sometimes a mixture of both disorders so can't be completely specific (anorexia usually wins)