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Understanding Eating Disorders (Diagnostic Criteria & Understanding…
Understanding Eating Disorders
What are they?
Core psychopathology
severe disturbances in eating
over evaluation of shape and wt & over investment in controlling wt and size
Current ED diagnosis
Binge Eating Disorder
EDNOS (non-specific)
highest prevalence -
don't meet the above criteria
Bulimia Nervosa
the 2nd most prevalent - 30-35%
Other
purging disorder
pica
night eating syndrome
orthorexia
bigorexia
Anorexia Nervosa
want to be thin
20-25% of cases - more common in athletes
Diagnostic Criteria & Understanding
Comfort zone challenge
Aims to broaden the 'rules'/'fears' of the ED
Imagine your own fears (eg ht's) and how would u overcome it
Transdiagnositc model
ED shares same core pscyopathologies as over evaluating eating, wt shape and control
Perpetuating factors
dietary restriction
binge eating
low self-esteem
over concern w wt % body shape control
Precipitating factors
developmental tasks
loss/grief
diet/physical illness
Predisposing factors
individual
genetic
soci-cultural
Body checking feeds the concern over wt
Tx around removing the body checking
Separation model
Aims to 'externalise' the ED from true self
Assigns behaviours to the ED
"Would you give your diet to a loved one?"
The box of change
Challenges comfort zones, self beliefs, life experiences
Highlights importance of MDT's
DSM V
#
ED and the family environment
Affects the whole family/home environment