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EATING DISORDERS
DEFINITION
• APA dictionary — any disorder characterized primarily by a pathological
disturbance of attitudes and behaviors related to food, including
anorexia nervosa, bulimia nervosa, and binge-eating disorder. Other
eating-related disorders include pica and rumination, which are usually
diagnosed in infancy or early childhood.
TYPES OF EATING
DISORDERS
1. Anorexia nervosa
2. Bulimia nervosa
3. Binge eating disorder
4. Avoidant/restrictive food intake
disorder
5. Pica
6. Rumination disorder
CHARACTERISTICS
• Severely restricted
eating
• Intense fear of
gaining weight
• Distorted body
perception
• Two types
• Restrictive
• Purging
• Cardiac and respiratory problems
• Thinning bones
• Gastrointestinal functioning changes
• Loss of energy
• Hair loss
• Weak / brittle nails
• Hormonal changes — infertility
• Sexual functioning becomes
disturbed
• Anemia
• Loss of muscle
• Electrolyte abnormalities
• Obsessive Compulsive personality
traits
• Extreme drive for perfectionism
MEDICAL PROBLEMS
ANOREXIA NERVOSA
SYMPTOMS
• Abnormally low body weight.
• Unrealistic fear of getting fat or
gaining weight.
• Restricted food intake
• Feel that they are overweight even
if seriously underweight.
• Extreme weight loss
• Hair thinning/falling out
• Dry / yellowish skin
• Dehydration
• Low blood pressure
• Intolerance of cold
• Constipation and abdominal pains
• Fatigue
CHARACTERISTICS
• Rapidly eat an inordinately
excessive amount of food
• Try to rid of excessive caloric
consumption
• Experience lack of control
• Binge  Purge
• Two types
• Restrictive
• Purging
• Dental decay
• Permanent gastrointestinal
damage
• Fluid retention in hands and feet
• Heart valve collapse
• Constant dehydration
• Toxic effects
• Digestive problems
• Anxiety, depression, personality
disorder
MEDICAL PROBLEMS
BULIMIA NERVOSA
SYMPTOMS
• Preoccupied with body shape and
weight
• Distorted /negative body image
• Damaged teeth and gums
• Changing weight
• Face and cheek swelling from
enlarged glands
• Going to the bathroom right after
eating, during meals or for long
periods of time
• Not wanting to eat in public or in
front of others
• Strict dieting or fasting after binge
eating
• Constantly worrying or complaining
CHARACTERISTICS
• New diagnosis added to DSM-5
• Lack control over eating and
engage in binges at least twice a
week for 6 months
• Gain a significant amount of
weight.
• Sleep apnea
• Cancer
• Heart diseases
• High blood pressure
• Type 2 diabetes
• Arthritis
• depression and other mood
problems.
MEDICAL PROBLEMS
BINGE-EATING DISORDER
SYMPTOMS
• the intake of large amounts of
food
• go past point of feeling
full/hungry
• when person is alone
• Followed by guilt/self-disgust
• Eating rapidly during binge
episodes
• Eat until uncomfortably full
CHARACTERISTICS
• Individuals show an apparent
lack of interest in eating or food
• Do so because they are
concerned about the aversive
consequences.
• May avoid food based on
sensory characteristics
• Color, Smell, Texture, Temperature,
Taste
• May develop this condition in
negative response to having an
aversive experience while eating
— choking
• Young adults seem particularly
prone to this disorder
• Dizziness and fainting
• Low blood pressure
• A slow pulse
• Dehydration
• Weakened bones
(osteoporosis)
• Weak muscles
• Amenorrhea
MEDICAL PROBLEMS
AVOIDANT/RESTRICTIVE FOOD INTAKE
DISORDER
SYMPTOMS
• Lose significant amount of
weight
• Show significant nutritional
deficiency
• Food avoidance
• Become dependent on
feeding through stomach tube
/ oral nutritional supplements
• Poor growth
• Have delayed puberty
CHARACTERISTICS
• Eating disorder associated with
childhood
• Eat inedible substances
• Paint, string, hair, paper, chalk, etc.
• Most serious cause of self-injury
to occur in individuals with
intellectual developmental
disabilities
• Behavior must continue for at
least 1 month to qualify as pica.
• Occurs in children, pregnant
women and individuals with
intellectual disorders, individuals
with nutritional deficiency.
• Lead poisoning
• Injury to gastrointestinal tract
• Parasitic infections
• Intestinal blockages
• Choking
• Schizophrenia
• Obsessive-compulsive
disorder (OCD)
MEDICAL PROBLEMS
PICA
SYMPTOMS
• Compulsively eating things
that aren’t food or have no
nutritional value
• Could be developed as a
form of coping mechanism.
• In some cases, a deficiency
in iron, zinc, or another
nutrient may be associated
with pica
• Unusual cravings may be a
sign that the body is trying
to replenish low nutrient
levels.
CHARACTERISTICS
• Eating disorder associated with
childhood
• Regurgitates and rechews food after
swallowing it
• Then either spits or re-swallows it.
• 5 common disturbances
1. Delayed or absent development of feeding
and eating skills
2. Difficulty managing or tolerating food or
drink
3. Reluctance to eat food based on taste,
texture and other sensory tolerating food
or drink
4. Lack of appetite or interest in food
• Unhealthy weight loss
• Malnutrition
• Dental erosion
• Bad breath
• Embarrassment
• Social isolation
MEDICAL PROBLEMS
RUMINATION DISORDER
SYMPTOMS
• Effortless regurgitation,
typically withing 10 minutes of
eating
• Typically happens at every
meal.
• Abdominal pain or pressure
relieved by regurgitation
• A feeling of fullness
• Bad breath
• Nausea
• Unintentional weight loss
TREATMENT AND CAUSES
Disorder Causes Treatment Comorbid disorders
Anorexia nervosa
perfectionism, sensitivity,
perseverance, OCD traits,
anxiety, peer pressure, societal
expectations, dieting,
starvation, transitions, trauma
Family-based therapy,
individual therapy, medication,
nutritional counselling,
group/family therapy,
hospitalization
Depression, anxiety disorders,
borderline personality disorder,
OCD, substance use disorder
Bulimia nervosa
Genetics, depression, anxiety
disorders, substance use
disorder, trauma, environment,
dieting, stress, poor self-image,
Interpersonal therapy, family-
based treatment, medications,
nutrition education,
hospitalization
Substance use disorder,
affective disorders, personality
disorder
Binge eating
Genetics, body image, body
size, binge eating, emotional
trauma.
Interpersonal psychotherapy,
dialectical behaviour therapy,
medication, behavioural
weight-loss programs
Mood disorders, substance use
disorders, anxiety disorders,
borderline personality disorder,
PTSD.
Avoidant/restrictive food
intake disorder
Not exactly known, Having
gastrointestinal symptoms
(heartburn/constipation), food
allergies
Nutritional counselling, medical
care, feeding therapy
Neurodevelopmental,
disruptive & conduct disorders,
anxiety, OCD, depression,
bipolar disorder,
Pica
Nutritional deficiency, coping
mechanism, craving of inedible
items, malnourishment
Mild aversive therapy,
behavioural therapy,
differential reinforcement
Developmental disabilities,
autism spectrum disorder,
intellectual disability,
schizophrenia, OCD.
Rumination disorder
Unclear, increase in abdominal
pressure
Diaphragmatic Breathing
techniques, behavioural and
distraction techniques,
Developmental disabilities,
anxiety, depression
Eating Disorders. (1).pptx

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Eating Disorders. (1).pptx

  • 2. DEFINITION • APA dictionary — any disorder characterized primarily by a pathological disturbance of attitudes and behaviors related to food, including anorexia nervosa, bulimia nervosa, and binge-eating disorder. Other eating-related disorders include pica and rumination, which are usually diagnosed in infancy or early childhood.
  • 3. TYPES OF EATING DISORDERS 1. Anorexia nervosa 2. Bulimia nervosa 3. Binge eating disorder 4. Avoidant/restrictive food intake disorder 5. Pica 6. Rumination disorder
  • 4. CHARACTERISTICS • Severely restricted eating • Intense fear of gaining weight • Distorted body perception • Two types • Restrictive • Purging • Cardiac and respiratory problems • Thinning bones • Gastrointestinal functioning changes • Loss of energy • Hair loss • Weak / brittle nails • Hormonal changes — infertility • Sexual functioning becomes disturbed • Anemia • Loss of muscle • Electrolyte abnormalities • Obsessive Compulsive personality traits • Extreme drive for perfectionism MEDICAL PROBLEMS ANOREXIA NERVOSA SYMPTOMS • Abnormally low body weight. • Unrealistic fear of getting fat or gaining weight. • Restricted food intake • Feel that they are overweight even if seriously underweight. • Extreme weight loss • Hair thinning/falling out • Dry / yellowish skin • Dehydration • Low blood pressure • Intolerance of cold • Constipation and abdominal pains • Fatigue
  • 5. CHARACTERISTICS • Rapidly eat an inordinately excessive amount of food • Try to rid of excessive caloric consumption • Experience lack of control • Binge  Purge • Two types • Restrictive • Purging • Dental decay • Permanent gastrointestinal damage • Fluid retention in hands and feet • Heart valve collapse • Constant dehydration • Toxic effects • Digestive problems • Anxiety, depression, personality disorder MEDICAL PROBLEMS BULIMIA NERVOSA SYMPTOMS • Preoccupied with body shape and weight • Distorted /negative body image • Damaged teeth and gums • Changing weight • Face and cheek swelling from enlarged glands • Going to the bathroom right after eating, during meals or for long periods of time • Not wanting to eat in public or in front of others • Strict dieting or fasting after binge eating • Constantly worrying or complaining
  • 6. CHARACTERISTICS • New diagnosis added to DSM-5 • Lack control over eating and engage in binges at least twice a week for 6 months • Gain a significant amount of weight. • Sleep apnea • Cancer • Heart diseases • High blood pressure • Type 2 diabetes • Arthritis • depression and other mood problems. MEDICAL PROBLEMS BINGE-EATING DISORDER SYMPTOMS • the intake of large amounts of food • go past point of feeling full/hungry • when person is alone • Followed by guilt/self-disgust • Eating rapidly during binge episodes • Eat until uncomfortably full
  • 7. CHARACTERISTICS • Individuals show an apparent lack of interest in eating or food • Do so because they are concerned about the aversive consequences. • May avoid food based on sensory characteristics • Color, Smell, Texture, Temperature, Taste • May develop this condition in negative response to having an aversive experience while eating — choking • Young adults seem particularly prone to this disorder • Dizziness and fainting • Low blood pressure • A slow pulse • Dehydration • Weakened bones (osteoporosis) • Weak muscles • Amenorrhea MEDICAL PROBLEMS AVOIDANT/RESTRICTIVE FOOD INTAKE DISORDER SYMPTOMS • Lose significant amount of weight • Show significant nutritional deficiency • Food avoidance • Become dependent on feeding through stomach tube / oral nutritional supplements • Poor growth • Have delayed puberty
  • 8. CHARACTERISTICS • Eating disorder associated with childhood • Eat inedible substances • Paint, string, hair, paper, chalk, etc. • Most serious cause of self-injury to occur in individuals with intellectual developmental disabilities • Behavior must continue for at least 1 month to qualify as pica. • Occurs in children, pregnant women and individuals with intellectual disorders, individuals with nutritional deficiency. • Lead poisoning • Injury to gastrointestinal tract • Parasitic infections • Intestinal blockages • Choking • Schizophrenia • Obsessive-compulsive disorder (OCD) MEDICAL PROBLEMS PICA SYMPTOMS • Compulsively eating things that aren’t food or have no nutritional value • Could be developed as a form of coping mechanism. • In some cases, a deficiency in iron, zinc, or another nutrient may be associated with pica • Unusual cravings may be a sign that the body is trying to replenish low nutrient levels.
  • 9. CHARACTERISTICS • Eating disorder associated with childhood • Regurgitates and rechews food after swallowing it • Then either spits or re-swallows it. • 5 common disturbances 1. Delayed or absent development of feeding and eating skills 2. Difficulty managing or tolerating food or drink 3. Reluctance to eat food based on taste, texture and other sensory tolerating food or drink 4. Lack of appetite or interest in food • Unhealthy weight loss • Malnutrition • Dental erosion • Bad breath • Embarrassment • Social isolation MEDICAL PROBLEMS RUMINATION DISORDER SYMPTOMS • Effortless regurgitation, typically withing 10 minutes of eating • Typically happens at every meal. • Abdominal pain or pressure relieved by regurgitation • A feeling of fullness • Bad breath • Nausea • Unintentional weight loss
  • 11. Disorder Causes Treatment Comorbid disorders Anorexia nervosa perfectionism, sensitivity, perseverance, OCD traits, anxiety, peer pressure, societal expectations, dieting, starvation, transitions, trauma Family-based therapy, individual therapy, medication, nutritional counselling, group/family therapy, hospitalization Depression, anxiety disorders, borderline personality disorder, OCD, substance use disorder Bulimia nervosa Genetics, depression, anxiety disorders, substance use disorder, trauma, environment, dieting, stress, poor self-image, Interpersonal therapy, family- based treatment, medications, nutrition education, hospitalization Substance use disorder, affective disorders, personality disorder Binge eating Genetics, body image, body size, binge eating, emotional trauma. Interpersonal psychotherapy, dialectical behaviour therapy, medication, behavioural weight-loss programs Mood disorders, substance use disorders, anxiety disorders, borderline personality disorder, PTSD. Avoidant/restrictive food intake disorder Not exactly known, Having gastrointestinal symptoms (heartburn/constipation), food allergies Nutritional counselling, medical care, feeding therapy Neurodevelopmental, disruptive & conduct disorders, anxiety, OCD, depression, bipolar disorder, Pica Nutritional deficiency, coping mechanism, craving of inedible items, malnourishment Mild aversive therapy, behavioural therapy, differential reinforcement Developmental disabilities, autism spectrum disorder, intellectual disability, schizophrenia, OCD. Rumination disorder Unclear, increase in abdominal pressure Diaphragmatic Breathing techniques, behavioural and distraction techniques, Developmental disabilities, anxiety, depression