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EATING DISORDER
-DR.AKIF A.B
ANOREXIA NERVOSA
-Seen in adolescent females
-Appetite = normal ( hence the term anorexia is a misnomer)
-Disturbance of body image i.e the patient feels that she is fat but
actually she is not
- restriction of diet leading
to underweight
ANOREXIA NERVOSA
-Amenorrhoea may be present
secondary to starvation.
-Poor sexual development
-Low interest in sexual activities
-Peculiar food habits such as
hiding foods,trying to dispose
food in napkins.
TYPES OF
ANOREXIA NERVOSA
1) Restricting type :50-75%
2)Binge type :25-50%
TREATMENT OF
ANOREXIA NERVOSA
1)Behavioural management : Main treatment
2)SSRIs : Drug of choice
UPDATE
-DSM-4 : Amenorrhoea was a necessary symptom for diagnosis of
Anorexia Nervosa
-DSM-5: Anorexia nervosa can be diagnosed without
amenorrhoea.
DSM : Diagnostic and Statistical manual of mental
disorder
-Bulimia is more common than anorexia nervosa
-.characterised by binge eating followed by self induced vomiting
in fear of gaining weight
-Weight is usually normal whereas in anorexia nervosa pt.
is underweight.
- due to purging patient has enamel erosion and
dental caries
-Normal sexual functioning whereas in anorexia
nervosa sexual functioning is impaired.
-COGNITIVE Behavioural therapy
ANOREXIA BULIMIA
Appetite Normal Normal /binge eating
Sexual development Impaired Normal
Weight Underweight Normal
Treatment Behavioural therapy Behavioural therapy
More common than
anorexia.
eating disorder

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eating disorder

  • 2. ANOREXIA NERVOSA -Seen in adolescent females -Appetite = normal ( hence the term anorexia is a misnomer) -Disturbance of body image i.e the patient feels that she is fat but actually she is not - restriction of diet leading to underweight
  • 3. ANOREXIA NERVOSA -Amenorrhoea may be present secondary to starvation. -Poor sexual development -Low interest in sexual activities -Peculiar food habits such as hiding foods,trying to dispose food in napkins.
  • 4. TYPES OF ANOREXIA NERVOSA 1) Restricting type :50-75% 2)Binge type :25-50%
  • 5. TREATMENT OF ANOREXIA NERVOSA 1)Behavioural management : Main treatment 2)SSRIs : Drug of choice
  • 6. UPDATE -DSM-4 : Amenorrhoea was a necessary symptom for diagnosis of Anorexia Nervosa -DSM-5: Anorexia nervosa can be diagnosed without amenorrhoea. DSM : Diagnostic and Statistical manual of mental disorder
  • 7.
  • 8.
  • 9. -Bulimia is more common than anorexia nervosa -.characterised by binge eating followed by self induced vomiting in fear of gaining weight -Weight is usually normal whereas in anorexia nervosa pt. is underweight. - due to purging patient has enamel erosion and dental caries -Normal sexual functioning whereas in anorexia nervosa sexual functioning is impaired.
  • 11.
  • 12. ANOREXIA BULIMIA Appetite Normal Normal /binge eating Sexual development Impaired Normal Weight Underweight Normal Treatment Behavioural therapy Behavioural therapy More common than anorexia.