NSB204 Eating Disorders (Wk 11)

Risks of eating disorders

- Biological and Genetic factors - Individual Psychological Factors - Sociocultural and environmental influences - Interpersonal relationships - Prevention and protective factors

Affect of eating disorders on physical health

- Cardiovascular effects - Electrolyte abnormalities - Renal Dysfunction - Gastrointestinal effects - Endocrine effects - Musculoskeletal effects - Dental and oral effects - Skin/integument effects - Neurological effects - Cognitive changes

Treatment and recovery for eating disorders

- Hospitalisation - Nutritional Rehabilitation - Therapeutic relationships - Normalising eating patterns

What assessments can be done to diagnose and identify eating disorders?

- Mental Health Assessment - Body Image assessment - Nutritional and exercise assessment - Assessing disordered eating behaviours and rituals - Family assessment

Psychotherapeutic Techniques and Treatment

- Specialist supportive clinical management - CBT - Interpersonal Therapy - Motivational Interventions - Psychoeducation - Family Therapy - Self-help programs - Pharmacotherapy

3 features Anorexia is characterised by

-persistent restriction of energy intake -intense fear (and avoidance of) weight gain or of being 'fat' -disturbed perception of body weight and/or shape

Other specified feeding or eating disorders (OSFED)

A. Atypical Anorexia Nervosa: All of the criteria for anorexia nervosa are met, except that despite significant weight loss, the individual's weight is within or above the normal range. B. Bulimia Nervosa (of low frequency and/or limited duration): All of the criteria for Bulimia Nervosa are met, except that the binge eating and inappropriate compensatory behavior occurs, on average, less than once a week and/or for less than 3 months. C. Binge Eating Disorder (of low frequency and/or limited duration): All of the criteria for binge eating disorder are met, except that the binge eating occurs, on average, less than once a week and/or for less than three months. D. Purging Disorder: Recurrent purging behavior to influence weight or shape (e.g. self-induced vomiting, misuse of laxatives, diuretics, or other medications) in the absence of binge eating. E. Night Eating Syndrome: Recurrent episodes of night eating, as manifested by eating after awakening from sleep or by excessive food consumption after the evening meal.

Night Eating Syndrome:

Recurrent episodes of night eating, as manifested by eating after awakening from sleep or by excessive food consumption after the evening meal.

Purging Disorder:

Recurrent purging behavior to influence weight or shape (e.g. self-induced vomiting, misuse of laxatives, diuretics, or other medications) in the absence of binge eating.

Binge Eating Disorder

characterised by recurrent episodes of binge eating without the compensatory behaviours that people who experience bulimia nervosa employ to avoid weight gain.

Anorexia nervosa

complex and potentially long-term mental illness that has impairment outcomes comparable to people with schizophrenia and the highest mortality rate of any mental illness ( Surgenor & Maguire, 2013 ). It is characterised by three key features: persistent restriction of energy intake; intense fear (and avoidance of) weight gain or of being 'fat'; and a disturbed perception of body weight and/or shape (DSM-5)

What can cause serious and potentially fatal medical problems in Bulimba Nervosa

fluid and electrolyte disturbances

Triggers for binge eating

hunger interpersonal stressors intense emotions boredom negative feelings related to self-worth body weight and shape

Bulimia nervosa

is characterised by regular, overwhelming urges to over-eat (binge), followed by the use of compensatory behaviour to avoid weight gain such as self-induced vomiting, excessive exercise, food avoidance or laxative misuse

Key features for distinguishing bulimia nervosa from anorexia norvosa

weight: people with bulimia are likely to have normal or near-normal body weight