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Eating Disorders

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Binge-Eating Disorder. The Nature of. Bulimia Nervosa. Facts ... Binge-Eating-Purging Type. Rely on Purging. About Half of All Cases. More Impulsive Behavior ... – PowerPoint PPT presentation

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Title: Eating Disorders


1
Eating Disorders
2
An Overview of Eating Disorders
  • Two Main Types
  • Anorexia Nervosa
  • Bulimia Nervosa
  • Share Strong Drive to be Thin
  • Largely a Female Problem
  • Largely a Westernized Problem
  • Largely an Upper SES Problem
  • Many Die as a Result!

3
Do I Have an Eating Disorder?
  • I worry about gaining weight.
  • I am preoccupied with losing weight.
  • I frequently diet or feel the need to be on a
    diet.
  • My mood depends on my weight (e.g., if I gain 1
    pound I am depressed, irritable, etc.)
  • I feel bad about myself if I gain weight.

4
Do I Have an Eating Disorder?
  • If I gain one pound, I worry that I will continue
    to gain weight.
  • I think of certain foods as being either good
    or bad and feel guilty about eating bad
    foods.
  • I use food to comfort myself.
  • When I am eating I, at times, feel I have lost
    control.

5
Do I Have an Eating Disorder?
  • I spend a significant amout of time thinking
    about food and when I will eat.
  • I try to hide how much I eat.
  • I have thought about (or have) self-induced
    vomiting as a means of weight control.

6
Do I Have an Eating Disorder?
  • After eating, I may use laxatives, diuretics,
    exercise, etc. to prevent weight gain.
  • I am dissatisfied with my body size and shape.
  • I eat until I feel stuffed.

IS YOUR TOTAL gt 5??
7
The Nature of Bulimia Nervosa
  • Clinical Description
  • Binging
  • Eat Large Amounts of Food
  • Eating is Out of Control
  • Compensatory Behaviors
  • Purging via Self-Induced Vomitting
  • Laxatives, Diuretics, Exercise

8
The Nature of Bulimia Nervosa
Restrictors
Amt of Milk Shake
Normals
TIME 1
TIME 2
TIME 3
9
The Nature of Bulimia Nervosa
SNACK
Bulimics
Body Size Estimate
Normals
10
The Nature of Bulimia Nervosa
  • Medical Consequences
  • Salivary Gland Enlargement
  • Eroded Dental Enamel
  • Electrolyte Imbalance
  • Intestinal Problems
  • Calluses on Fingers and Hands

11
The Nature of Bulimia Nervosa
  • Associated Features
  • More Severe Form Purging Type
  • Most Have Other DSM Disorders
  • Paradoxically
  • Purging is an Inefficient Means to Reduce Weight
  • A Closely Related Disorder
  • Binge-Eating Disorder

12
The Nature of Bulimia Nervosa
  • Facts and Statistics
  • 90-95 are Women
  • White Middle-to-Upper Middle Class
  • Onset 16-19 Years of Age
  • 6-8 College Women
  • About 2.8 Population Overall
  • Chronic if Left Untreated

13
The Nature of Anorexia Nervosa
  • Clinical Description
  • Morbid Fear of
  • Gaining Weight
  • Losing Control Over Eating
  • Deliberate Weight Loss
  • 15 Below Expected Normal
  • Life-Threatening Consequences

14
The Nature of Anorexia Nervosa
  • Two Subtypes
  • Restricting Type
  • Excessive Dieting
  • Binge-Eating-Purging Type
  • Rely on Purging
  • About Half of All Cases
  • More Impulsive Behavior

15
The Nature of Anorexia Nervosa
  • Distorted Body Image

16
MALES ATTRACTIVE
Females Ideal
Females Current
Females Attractive
17
The Nature of Anorexia Nervosa
  • Medical Consequences
  • Amenorrhea
  • Dry Skin
  • Brittle Hair or Nails
  • Sensitivity to Cold
  • Lanugo
  • Heart Problems
  • Electrolyte Imbalance

18
The Nature of Anorexia Nervosa
  • Associated Features and Facts
  • Begins Early in Adolescence
  • Perfectionistic High-Achievers
  • All-or-None Thinking
  • Obsessive and Orderly
  • Comorbid DSM Disorders
  • Obsessive-Compulsive Disorder
  • Substance Abuse

19
The Nature of Anorexia Nervosa
  • Causes
  • Social and Cultural Factors
  • Thinness Equals Success
  • Has Increased Over Time
  • Media
  • Sets Impossible Idealized Images

20
The Nature of Anorexia Nervosa
  • Causes
  • When Food is Restricted
  • We Become Preoccupied With It!
  • Media
  • Sets Impossible Idealized Images

21
The Nature of Anorexia Nervosa
  • Causes
  • Family Influences
  • Successful and Driven
  • Concerned About Appearances
  • Eager to Maintain Harmony
  • Deny or Ignore Conflicts
  • Lack of Open Communication

22
The Nature of Anorexia Nervosa
  • Causes
  • Biological Influences
  • Runs in Families
  • Unclear What is Inherited
  • Psychological Influences
  • Diminished Sense of Control
  • Low Self-Esteem

23
The Treatment of Eating Disorders
  • Psychosocial Treatments
  • Bulimia Nervosa
  • Education About Eating Behavior
  • Scheduled Eating
  • Alter Thinking About Shape, Eating, and Weight
  • Treatment Works!

24
The Treatment of Eating Disorders
  • Psychosocial Treatments
  • Anorexia Nervosa
  • Must Restore Normal Weight!
  • Most Will Gain Weight (Easy)
  • Keeping the Weight On (Hard)
  • Treatment Similar to Bulimia
  • Treatment Can Work!

25
Other Eating Disorders
  • Rumination Disorder
  • Regurgitating and Reswallowing Food
  • Disorder of Infancy--Adolescence
  • Can Occur With Bulimia
  • High Mortality Rate (25)

26
Other Eating Disorders
  • Rumination Disorder
  • Pica
  • Infants and MR Populations
  • Eating Non-Nutritive Substances
  • paint, string, hair, feces,

27
Other Eating Disorders
  • Rumination Disorder
  • Pica
  • Feeding Disorder
  • Infants and Very Young
  • Failure to Thrive Syndrome

28
Food For Thought
Are Eating Disorders
a Form of Addiction?
29
Food For Thought
  • Severe Craving
  • Loss of Control
  • Used to Cope With Negative Feelings
  • Preoccupied with Substance
  • Unsuccessful Attempts to Quit
  • Denial
  • Adverse Psychosocial Consequences
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