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PERSONALITY AND EATING
   DISORDERS
       Holly Cook
CO-MORBIDITY OF PERSONALITY DISORDERS
       AND EATING DISORDERS


  Borderline Personality Disorder (BPD)


 Obsessive...
BORDERLINE PERSONALITY DISORDER(BPD)
    Mostly occurs in relation to Bulimia Nervosa




    Self-image

        Report...
OBSESSIVE COMPULSIVE PERSONALITY
             DISORDER (OCPD)
    Occurs mostly in restrictive anorexia nervosa

        ...
AVOIDANT PERSONALITY
          DISORDER (AVPD)
    Prevalent among all types of eating

    disorders

    As many a thir...
NARCISSISTIC PERSONALITY DISORDER (NPD)

    Many ED patients have narcissistic issues, however

    NPD is rarely diagno...
HISTRIONIC PERSONALITY DISORDER (HPD)
    Mostly seen in patients with

    bulimia

    Self esteem depends on others

...
GENERAL PERSONALITY TRAITS- ANOREXIA

    Compulsive

        Indecisiveness
    
        Extreme perfectionism
    
  ...
GENERAL PERSONALITY TRAITS-BULIMIA
    Impulsive

      Kleptomania 65%-67%
    
     Addictions/substance abuse
     ...
CONSIDERATIONS
    Knowing links between eating disorders and

    personality can help to provide better and more
    ef...
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Personality And Eating Disorders

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Personality And Eating Disorders

  1. 1. PERSONALITY AND EATING DISORDERS Holly Cook
  2. 2. CO-MORBIDITY OF PERSONALITY DISORDERS AND EATING DISORDERS Borderline Personality Disorder (BPD)   Obsessive Compulsive Personality Disorder (OCPD)  Avoidant Personality Disorder (AvPD)  Narcissistic Personality Disorder (NPD)  Histrionic Personality Disorder(HPD) Up to 48% of those with eating  disorders also suffer from one or more personality disorders
  3. 3. BORDERLINE PERSONALITY DISORDER(BPD) Mostly occurs in relation to Bulimia Nervosa  Self-image  Report many “ups and downs”  Risky and Impulsive  2% of general population  Up to 40% of those with eating disorders  Suicide occurs in 8%-10% of individuals with this  disorder
  4. 4. OBSESSIVE COMPULSIVE PERSONALITY DISORDER (OCPD) Occurs mostly in restrictive anorexia nervosa  25%-40% of cases  Value control, inflexibility and perfectionism  o Anxiety usually is usually onset in childhood o Obsessive compulsive disorder values rituals and obsessions. This is present in some with ED, but OCPD is more common
  5. 5. AVOIDANT PERSONALITY DISORDER (AVPD) Prevalent among all types of eating  disorders As many a third of people with eating  disorders are avoidant personalities Avoid interpersonal contact because  of a sense of inadequacy Possible Reasons  AN: tendency to refuse help from others  BN: shame surrounding binging and purging behaviors  Main goal is to avoid criticism 
  6. 6. NARCISSISTIC PERSONALITY DISORDER (NPD) Many ED patients have narcissistic issues, however  NPD is rarely diagnosed Obsessed with their image in the mirror  Egocentric and self-focused behavior  Diagnosed in roughly 2% of ED patients 
  7. 7. HISTRIONIC PERSONALITY DISORDER (HPD) Mostly seen in patients with  bulimia Self esteem depends on others  and does not arise from a true feeling of self worth Driving need to be in the  spotlight Dangerous behavior to get  attention i.e. binging/purging to lose dramatic  amounts of weight
  8. 8. GENERAL PERSONALITY TRAITS- ANOREXIA Compulsive  Indecisiveness  Extreme perfectionism  Counting calories  Checking body constantly  Cutting and re-cutting of food  Need to exercise 
  9. 9. GENERAL PERSONALITY TRAITS-BULIMIA Impulsive  Kleptomania 65%-67%   Addictions/substance abuse  Emotional eating  Purging feels “out of their control”
  10. 10. CONSIDERATIONS Knowing links between eating disorders and  personality can help to provide better and more effective treatment for patients with eating disorders Knowing these links can also have  a predictive value A person with an eating disorder does not  necessarily have a personality disorder and visa- versa

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