Objectives Define the terms Eating Disorder Anorexia Nervosa

Objectives: • Define the terms: – Eating Disorder – Anorexia Nervosa – Bulimia Nervosa • Outline the clinical characteristics of Anorexia Nervosa and Bulimia Nervosa • Compare and contrast Anorexia and Bulimia 1

Eating Disorder Definition • A Dysfunctional relationship with food • Faulty cognition relating to food • Emotional responses to food. 2

Anorexia Definition • Gross undereating • Anxiety Disorder • Use of eating behaviour as a method of control 3

Clinical Characteristics Anorexia Nervosa • According to DSM-IV, there are four criteria for anorexia nervosa: – Weight is less than 85% of that expected – Amenorrhoea – (absence of menstruation) – Body Image Distortion – Anxiety about becoming fat • Over 90% are adolescent females 4

Bulimia Definition • Gross over eating and purging • Mood Disorder (depression) • Use of eating and purging to medicate depressed feelings 5

Clinical Characterisitics Bulimia Nervosa • According to DSM-IV, bulimia nervosa is defined by the following five criteria: – Binge eating – Purge (self-induced vomiting, excessive exercise, going without meals, laxatives) – Frequency of binge and purge (twice a week or more) – Body image distortion • Starts in early adulthood (20’s onwards) 6

Similarities Similarity Anorexic Bulimic Distorted body image See themselves as “normal” size in mirror See themselves as larger in the mirror Obsessive Thinking Fear of food – need for If I binge/purge I will control feel better Dysfunctional eating behaviour Don’t Eat Binge Purge 7

Differences Difference Anorexic Bulimic Weight Reduces Fluctuates around normal Eating patterns Don’t Eat Binge Purge Age of onset Early teens Early adulthood 8

Activity • Read the case studies and pick out the symptoms in each 10 min 5 min STOP 9