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7 Eating Disorders - Coggle Diagram

- - - - Anything below 19.4 BMI, there's a severity specifier too e.g. under 15 BMI is extreme severity of anorexia - ICD says below 17.5 BMI
    - - Leads to excessive exercise - more weight is loss, more the fear increases
    - - Overestimate their real size, could be specific part of body or more global, self-esteem contingent, treatment is hard bc against personal goals/often don't recognise problem, highest mortality rate
    - - Menstrual cycle stops - dropped from DSM-5, not enough difference between women
    - - Restricting, binge eating/purging, personality differences.
    - - More so in adolescent girls & young women - there's a distorted body image, excessive dieting, excessive weight loss, pathological fear - there's 3 critieria's of anorexia:
      - Very rare - .3% - .5% in the population - but this oculd be underestimates. On the increase since 1930s. More common in women than men. EDNOS rates are higher.
  - - - Binge eating, inappropriate compensatory behaviours (exercise or purging) - once weekly for 3 months, overevaluate weight/shape, not meet criteria for anorexia
      - There's a severity specifier - in terms of how many compensatory behaviours are seen
    - - Purging vs. non-purging types
    - - Eating excessively large amount of food, within short period of time, feeling like their eating is out of control (whilst eating), distress after bingeing, variations in how long binges last, how many binges occur, and how much they eat during binges
    - - For a diagnoses, CB should happen weekly - bingeing and CB are the two main criteria's for BN
      - Purging (laxatives, vomiting - helps reduce their distress of bingeing), exercising (not as extreme as anorexia), dieting/fasting (predisposes individual to bingeing).
    - - 1% - 4% in population - so it's rare (but could be underestimates). On the increase since 1930s. BN is also more common in women than men. EDNOS rates are higher.
- - - - They over-evaluate their shape, weight and how much they control it (lives become focused on this), they then try and get low weight via strict diet & non-compensatory behaviours, then they get extremely low weight
      - They socially withdraw - makes preoccupation intense
    - - Overevaluates shape, weight and control, leads to strict diet & non-compensatory behaviours, but negative life events happen, the strict rules get broken bc of lack of self-control, binge eat, then compensatory behaviours.
    - - Clinical perfectionism, mood intolerance, low self-esteem, interpersonal difficulties
- - - - Introduce new eating pattern, regular weighing, formulations should be specific to client, help client see benefits of change
      - Psychoeducation, encourage to 3 meals & 2 snacks, don't skip meals & don't go too long without eating (firm rules), don't go straight to regaining weight for AN (refeeding), food diary (think about triggers), record exercise, practice problem solving, avoid vomiting/laxatives.
    - - Address the mechanisms that maintain the disorder
      - Dieting, improve problem-solving, cognitive distortions, the 4 maintaining mechanisms, eat flexible & varied diet (dangerous foods), reduce/stop the shape & weight checking (maintains behaviours), work with clients avoidance of weight, build self-esteem, work on thought errors
    - - Relapse prevention
      - Look at triggers, help them develop strategies to overcome it, post-treatment review.