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Eating Disorders (ANOREXIA (Mortality is 10x higher than the general…
Eating Disorders
ANOREXIA
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Anorexia affects the whole body; the disorder brings about a number of associated medical complications
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BULIMIA
To maintain body image, purging occurs after binge eating to compensate for potential weight gain
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It is typical for people with anorexia or bulimia tend to have low insight into the medical implications of the disorders
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B-E-D
Avoidant behaviors--such as being embarrassed about the large quantity of food one might consume--can be a sign of an eating disorder
It is important to be sensitive about how to address the eating disorder so that the patient and family do not further blame themselves for the disorder
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Binge eating disorder defined as eating behavior that causes significant distress and is present at least 2 days a week for 6 months; there are no associated compensatory behaviors
Severity ranges from mild (1-3 binge-eating episodes per week) to extreme (14 or more binge-eating episodes per week)
Most common comorbid disorders are bipolar disorders, depressive disorders, anxiety disorders and substance use disorders
ANOREXIA
People don't typically inherit an eating disorder itself. In the case of anorexia, personality traits such as perfectionism and high anxiety are passed down. People with these personality traits may have decreased central coherence, or find it easy to perceive fine details, but challenging to "zoom out" and take in the greater scope of situations
It is important to rule out diabetes, thyrotoxicosis, cystic fibrosis, bowel diseases, malignancies and other possible causes of weight loss. That said, anorexia is often overlooked as a cause of weight loss in younger individuals and should not be neglected as a possibility.
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B-E-D & BN
Obesity, substance misuse and depression are more common in families in which a member suffers from bulimia nervosa or binge eating disorder. Borderline personality disorder is also a common comorbid disorder
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The island of Fiji experienced a spike in eating disorders--particularly B-E-D and bulimia--after the introduction of TV. Speaks to the power of society and culture on how people perceive themselves!
Antidepressants appear to be beneficial in the treatment of bulimia nervosa in young people and adults (60 mg fluoxetine daily) and appear to also be effective in managing B-E-D.
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