LECTURE ON EATING DISORDERS
LECTURE ON EATING DISORDERS
ANOREXIA NERVOSA AND BULIMIA NERVOSA
RECENT RESEARCH INTEREST
ANOREXIA NERVOSA
A. REFUSAL TO MAINTAIN NORMAL WEIGHT (85%)
B. INTENSE FEAR OF GAINING WEIGHT
C. DISTURBANCE OF BODY-IMAGE OR DENIAL
D. AMENNORHEA (3 CYCLES MISSED)
RESTRICTING TYPE OR
BINGE-EATING PURGING TYPE
MAINLY FEMALES
TYPICAL AGE OF ONSET: 14-19
FREQUENT FEATURES:
PRE-OCCUPATION WITH FOOD
DEPRESSION
OBSESSIVE-COMPULSIVE PATTERNS
HEALTH PROBLEMS
LOW BLOOD PRESSURE
OSTEOPOROSIS
METABOLIC IMBALANCES
2-10% MORTALITY
CONNECTION WITH STARVATION
BULIMIA NERVOSA (BINGE-PURGE SYNDROME)
A. BINGE EATING
B. COMPENSATORY BEHAVIOR
C. FREQUENT, FOR AT LEAST 3 MONTHS
D. SELF-EVALUATION OVER-INFLUENCED BY BODY SIZE
E. NOT SIMPLY PART OF ANOREXIA
PURGING TYPE OR
NON-PURGING TYPE
MAINLY FEMALES
TYPICAL AGE OF ONSET: 15-21
COMPENSATORY BEHAVIORS:
VOMITING
LAXATIVES
EXERCISE
VOMITING
INEFFECTIVE
DESTROYS TEETH AND GUMS
POTASSIUM DEFICIENCY
HYPOKALEMIA
WEAKNESS, CONFUSION, PARALYSIS
KIDNEY OR HEART DAMAGE
CAUSES OF EATING DISORDERS
"MULTIDIMENSIONAL RISK PERSPECTIVE"
SOCIOCULTURAL
CHANGE IN IDEAL BODY IMAGE IN WESTERN CULTURE
INCREASE IN EATING DISORDERS
LESS AMONG BLACKS THAN WHITES
CERTAIN PROFESSIONS
MALES IN CERTAIN SPORTS
PSYCHOGENIC
APPROVAL SEEKING
MOOD DISORDERS
ANTIDEPRESSANTS HELP
BIOGENIC
HYPOTHALAMUS
GLUCAGON-LIKE PEPTIDE-1 (GLP-1)
WEIGHT SET POINT
DIETING?
TREATMENT OF ANOREXIA
RESTORE WEIGHT
SUPPORTIVE NURSING
ANTI-DEPRESSANTS
BUILD AUTONOMY, FEELINGS OF CONTROL
EDUCATION / MISCONCEPTIONS /DISTORTIONS
FAMILY THERAPY
45% FULL RECOVERY. 30% CONSIDERABLE RECOVERY.
TREATMENT OF BULIMIA
COGNITIVE THERAPY
EDUCATION
CORRECTING IRRATIONAL THOUGHTS
GROUP THERAPY
GROUP MEAL
DIARIES
EATING AND RESPONSE PREVENTION
ANTI-DEPRESSANTS
40% OUTSTANDING RESPONSE. 40% MODERATE RESPONSE
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