Eating Disorders

discontent with weight

has increased in society over time

Weight bias

increases as children age through transition from adolescene to young adulthood

Some symptoms but not all

partial syndrome eating disorder

Anorexia Nervosa

fail to maintain normal body weight for age + height

fear becoming fat, have distorted body image and amenorrhea

Amenorrhea

stop having menstrual period

Restrictive Type Anorexia

refuse to eat, excessive exercise + prevent gain

Binge/purge type Anorexia

food restriction with bingeing episodes

Damages caused by anorexia

cardiovascular damage, weak bones, kidney damage, impaired immune system, suicide

Bulimia Nervosa

bingeing and preventing weight loss from binge

via vomiting, exercise, laxatives

Bingeing

eating controlled large amount of food in one sitting

Dangerous electrolyte imbalance

causes heart damage

Binge Eating disorder

compulsively overeat continuously/on discrete binges but don’t compensate for overeating

binge eating disorder symptoms

eating rapidly and in large amount when not hungry until uncomfortably full

eating alone

feel guilt/embarassment

binge leading can lead to

obesity

higher depression/anxiety rates

other specified feeding/eating disorder

presentation of ED that causes clinically significant distress/impairment but doesn’t meet full ED criteria

Atypical anorexia

all criteria for anorexia are met but weight is within/above normal range

Bulimia of low frequency/limited duration

meet bulimia criteria but binge/compensatory behaviors occur less than 1x a week and or for less than 3 months

Night eating disorder

regularly eat excess food @ night after dinner

obesity

significantly overwight, BMI > 30

health conditions associated with obesity

increased risk for heart disease, hypertension, stroke, type 2 diabetes, cancer

causes of obesity

toxic food environments + lack of excerise

biological factors in an eating disorder

changes in puberty that occurs in girls but not boys

imbalances/dysregulation of neurochemicals and decreased hypothalamus functioning

Sociocultural/Psychological factors

constant presentation with images of ideal body

social media, emphasis on physical appearance for overall self worth

sports risk

increase pressure to maintain certain weight/shape

Cognitive factors

low self esteem, all or none thinking

strategy for dealing with painful emotions

family factor

low parental warmth and high demands

family-related adverse life event

treatments for anoreixa

CBT to confront overvaluation on thinness

reward weight gain, must gain trust

family/multi family therapy with treatment team

Treating bulimia/binge eating

monitor conditions that accompany eating

deal with interpersonal problems

behavioral therapy

teach how to monitor intake, coping techniques to avoid binge

biological treatments

SSRIs, antidepressants, antipsychotics