Eating Disorders cont......... psych notes

Anorexia Nervosa Refusal to maintain body weight etc. Intense fear of gaining weight Disturbance of body weight/shape Amenorrehea Therefore, underweight. mid teens 10 X more frequent in women than men. Perceptional disorder, hips, buttocks and thighs, loss of period, sexually indifference. Characteristics and Physical Effects reduced blood pressure dry skin hair loss from scalp slower heart rate brittle nails/bones Hormone levels change. 50% of anorexics do not recover. Suicide and depression also occurs. Comorbidity (when two or more diagnosis together) with obsessive compulsive disorder, depression, anxiety, alcoholism and personality disorder. Restricting Type - Person not reg. engaged in binge eating or purging behaviour. Binge Eating/purging type - Regularly engaged in binge eating or purging behaviour (ie self induced, i.e.. self induced vomiting or the misuse of laxatives. Therefore, same weight. Bulimia Nervosa recurrent episodes of binge eating. eating in discrete period of time (eg. 2 hours) where others wouldn’t eat so much and lack of control. b. recurrent inappropriate behaviour to prevent weight gain. (binge eating and inappropriate behaviour). c. at least twice a week for 3 months. d. self-evaluation unduly influenced by body shape and weight. e. disturbance does not occur exclusively during episodes of Anorexia Nervosa. Purging type - massive eating and purging. Non purging type - massive eating fasting or excessive exercise. Characteristics and Physical Effects Excessive food/brief time/purging, exercises etc….less than 2 hours. May be triggered by stress; usually carried out in secret (2-4000 calories). Long term effects teeth problem sores around mouth cuts in hands from teeth bloating self disgust and feelings of hatred begins in adolescence more frequent in women than men Bulimic more favourable in treatment than anorexia Comorbidity -same as anorexia impulse control shop lifting and promiscuity to be continued with Aetiology of Eating Disorders