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Criterion A
• Deliberate weight loss so that weight is below what is expected for age and height (eg in an adult a BMI below 17.5 with less than 15 being an extreme case)
Weighing less than 85% of normal weight
Avoiding food and drink
Criterion B
Criterion B: Intense fear of gaining weight
• Obsession with checking the calorie values of all foods
Tendency to lie about how much they eat
Frightened of the consequences of eating food
• Excessive exercise to stop weight gain
Criterion C
Criterion C: Distorted body image
Do not perceive themselves in the same way as others
Cannot accept the severity of their low body weight
• Grassly overestimate their own body weight
Low self-esteem as body weight is used as a way to evaluate themselves
Types of anorexia nervosa
Restricting: The patient will prevent weight gain or promote weight loss through exercise and fasting (avoiding eating Positive Symptoms: These add to the persons thinking and behavioural repertoire so something extra that was not there before the disorder began. Purging: The patient will prevent weight gain or promote weight loss through vomiting, misuse of laxatives, diuretics and enemas