Eating Disorders Killer Mischievous Catapultin Eating Disorders 1

Eating Disorders Killer, Mischievous, Catapultin’

Eating Disorders ● 1 in 5 women struggle with eating disorders ● 90% of all eating disorders are women between the ages of 12 -25 ● 10 -15% of those with bulimia or anorexia are male ● 11% of high school students have been diagnosed with eating disorders

Definition -any of several psychological disorders (as anorexia nervosa or bulimia) characterized by serious disturbances of eating behavior

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Anorexia Nervosa ● ● ● Fear of gaining weight Severe food restriction Denial of being too thin Extremely low body weight Lack of menstruation in girls and women

Bulimia Nervosa ● Eating extreme amounts of food in a short time ● Rapid consumption until painfully full

Bulimia Nervosa ● Overcompensating to maintain weight ○ ○ ○ vomiting laxatives exercising ● Twice weekly for at least three months

EDNOS (Eating Disorders Not Otherwise Specified) Usually happen less frequently than the other, specified disorders Examples: ● atypical anorexia nervosa--weight is not below normal ● night eating syndrome--excessive consumption at nighttime

Treatment ● “identifying the cause may not be nearly as important as identifying the maintaining factors of an eating disorder” ● cognitive factors, interpersonal experiences, emotions, and degree of body dissatisfaction

Cognitive Factors ● OCD ● Perfectionism

Interpersonal Experiences ● Trauma ● Abuse ● Teasing

Emotional Connection ● Common Emotional Process with Disorder: o o o being aware of an unpleasant emotional experience becoming overwhelmed by his or her feelings using eating disorder behaviors as a way to cope with the uncomfortable feelings

Body Dissatisfaction ● Usually accompanies another factor

Socioeconomic Factors ● Abundant food = thinness idolized ● Media ● Peers o Learn or perfect their pathogenic disorder ● Not causative, low prevalence

Familial Factors ● Comparing ● Highly critical ● mother to daughter

Genetics ● Play a role ● Relative has it you are more likely

Medical Implications ● Binge vs. purge Binge: Uncontrolled and excessive eating followed by shame o Purge: get rid of it after o ● All systems need to be reviewed o address all problems

Medical Implications ● ● ● Cardiovascular Hypotension (blood pressure) Heart failure Gastrointestinal complications Renal Thyroid

Treatment ● Therapy o o group couples family counseling ● Group o o Support DBT § Extreme arousal and slow return to baseline

Treatment ● 5 Levels ● o o o Level 1 (Outpatient Treatment), Level 2 (Intensive Outpatient Treatment), Level 3 (Partial Hospitalization), Level 4 (Residential Treatment), Level 5 (Inpatient Hospitalization). Determining Factors: medical complications, suicidal tendencies, body weight (i. e. , Body Mass Index), motivation to recover, environmental stress, purging behavior, comorbidities, treatment availability, and structure needed for eating and weight management.

Therapeutic Recreation ● ● Often present in population Engage in normal activities Often abandon fun for “Calorie burn” Hard time dealing with emotions o o o stress management classes relaxation meditation

Therapeutic Recreation ● Social skills & enjoy environment o o o hiking gardening fishing ● Personal satisfaction & achievement o o crafts games