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Binge Eating Disorder (BED)
Characterized by persistent episodes of binge eating, loss of control, and greater weight and shape concerns compared to obesity.
Criteria for BED in DSM-5
Persistent episodes of binge eating at least once a week, with loss of control, and eating objectively large amounts of food within a 2-hour period.
Empirically-supported treatments for BED
Cognitive Behavior Therapy (CBT) and Interpersonal Psychotherapy (IPT), aimed at reducing binge eating episodes and psychopathology.
Body Mass Index (BMI)
A measure of body fat based on weight (kg) and height (m) used to categorize weight status.
BMI Categories
Underweight: <18.5 kg/m², Normal weight: 18.5-24.9 kg/m², Overweight: 25.0-29.9 kg/m², Obese: ≥30.0 kg/m².
Obesogenic environment
An environment that promotes increased food intake, unhealthy eating habits, and physical inactivity, leading to obesity.
RED, YELLOW, GREEN food classification
A system categorizing foods based on energy density; GREEN: Low fat and sugar, YELLOW: Moderate fat and sugar, RED: High fat and sugar.
Common treatments for obesity
Behavioral Weight Loss (BWL), dietary changes, physical activity recommendations, surgical procedures, and pharmacotherapy.
Muscle Dysmorphia
An eating disorder characterized by an obsessive concern with muscle size and body appearance, leading to compulsive exercise.
Dialectical Behavior Therapy (DBT)
A therapy developed by Dr. Marsha Linehan for patients with severe mood and personality symptoms, focusing on emotional regulation.
Cognitive Behavioral Therapy—Enhanced (CBT-E)
A specialized form of CBT developed by Christopher Fairburn for eating disorders, focusing on changing maladaptive thoughts and behaviors.
Family-Based Therapy (FBT)
Developed by Lock and Le Grange, primarily for adolescents with anorexia, involving family in the treatment to restore healthy eating patterns.
Role of Registered Dietician in Eating Disorder Care
Providing nutrition counseling, education, and medical nutrition therapy to support recovery and healthy eating practices.
Self-Compassion according to Neff
Involves self-kindness, common humanity, and mindfulness toward oneself during suffering and inadequacies.
Components of Compassion-Focused Therapy (CFT)
Targets individuals with high levels of shame and mental illness, focusing on emotion regulation through three systems: threat, drive, and soothing.
Psychiatrist's role in eating disorder care
Defines and manages co-occurring conditions, prescribes medications, and assesses symptoms to untangle complexities of eating disorders.
Medications supported for eating disorders
Prozac for BN, Vyvanse for BED, Remeron and Zyprexa for ARFID, Topiramate for BED and BN.
Integrated care for Eating Disorders and Substance Use
Involves comprehensive screenings, individualized treatment plans, and coordinated services for both conditions.