Eating Disorders_October 2010

Eating Disorders_October 2010 - Sara M. St. George, M.A....

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Sara M. St. George, M.A. PSYC 411 October 2010
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Lecture 1: Friday 10/8 – Diagnostic Criteria & ‘The Basics’ Lecture 2: Monday 10/11 Etiology & Treatment Lecture 3: Wednesday 10/13 Special Populations & Obesity
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What comes to mind when you think of eating disorders?
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Let’s Get to Know the Clients … "Pro-ana" Website Tips & Tricks "Thinspirations"
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General Facts Anorexia nervosa has the highest death rate of any psychological disorder. Today, ~8 million people suffer from anorexia and bulimia.
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Types of Eating Disorders Anorexia Nervosa (AN) Bulimia Nervosa (BN) Eating Disorder Not Otherwise Specified (EDNOS)
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Anorexia Nervosa (AN) DSM-IV-TR Criteria: Less than 85% ideal body weight Intense fear of becoming fat Disturbed body perception, undue influence of weight/shape on self- evaluation, or denial of illness Amenorrhea for 3 consecutive months Subtypes: Restricting, Binge eating/ Purging Counseling Center: 803-777-5223; Psychological Services Center: 803-734-0378
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Body Mass Index Weight (kg) divided by height (m 2 ) A scientific way for psychologists and other health professionals to measure “ thinnes s.”
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AN Continued… Prevalence .3 1% in females 9:1 female: male ratio Onset: Mid-late adolescence; typically after puberty Comorbidity Major Depressive Disorder Anxiety disorders (obsessive-compulsive symptoms)
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AN: Physical Features
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AN and Personality Perfectionism (e.g., set high standards for themselves) Obsessionality (e.g., repeated thoughts) Neuroticism (e.g. being hypersensitive, worrying excessively without the ability to shake things off) Low self-esteem
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Bulimia Nervosa (BN) DSM-IV-TR Criteria: Episodes of binging followed by compensatory behaviors Avg. 2 episodes/week for 3 months Being overly concerned with body weight and shape Subtypes: Purging, Non-purging Counseling Center: 803-777-5223; Psychological Services Center: 803-734-0378
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Eating in a discrete period of time (e.g., within 2 hours) A sense of lack of control Thousands of calories consumed
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BN Continued … Prevalence 1 3% females; .1 - .3% men 9:1 female: male ratio Onset: Late adolescence - early adulthood Comorbidity Major Depressive Disorder Anxiety symptoms Substance use disorders Borderline Personality Disorder
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BN: Physical Consequences
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