EatingDisorders9 edith

EatingDisorders9 edith - Eating Disorders Eating Anorexia...

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Unformatted text preview: Eating Disorders Eating Anorexia Nervosa Bulimia Nervosa Anorexia Nervosa Anorexia A) Symptoms: 1. Intense fear of gaining weight (“becoming fat”) (“becoming 2. Body image distortion -overestimate body weight -overestimate 3. Body weight below 85% of normal - maintain there and refuse to gain weight maintain 4. Amenorrhea for 3 months, at least. B) Other Features: B) 1. Almost always women - young girls 14-19 years. young 2. Obsessive concern with food & eating - possibly because of starvation possibly 3. Often rigid & overcontrolled - concerned with control, order, perfection concerned 4. Sometimes involves purging 5. Distorted sense of hunger and satiety 6. Often associated with depression and low self esteem low C) Causes of Anorexia: 1. Immediate precipitant = dieting 2. Low self-esteem, depression 2. paired with perfectionism paired (including cognition distortions, (including assumptions) assumptions) 3. Societal images of “perfect woman” 4. Family factors – Minuchin a) enmeshed family a) b) adolescent struggles for independence b) and self control c) over-involvement in “sickness” maintains family equilibrium and child obsession child d) parents: d) - unable to see problem as voluntary - unable to make demands on child - but also can’t allow independence D) Treatment of Anorexia 1. Gain weight and begin eating - hospitalization and controlled weight gain controlled 2. Psychotherapy to deal with “growing up” 3. Alter misconceptions about body image and weight and 4. Family therapy Bulimia Bulimia Symptoms: 1. Frequent, re-current episodes of binge-purge - usually over 2000 calories/binge - purge by vomiting, laxatives, diuretics, & excessive exercise excessive 2. Binging feels out of control 3. Obsessed with weight and figure 4. Aware of problem: binge causes guilt; purging relieves it Other features of Bulimia: 1. Depression & low self-esteem are common 2. More involvement in dating relationships than 2. anorexics 3. Serious medical problems from vomiting: - tooth disintegration tooth - stomach, kidney, heart damage - damage to esophagus 4. May be slightly overweight Causes of Bulimia 1. Similar societal factors as anorexia 2. Low self worth, low self confidence 3. Family factors: Bruch - unresponsive mothering -> poor awareness of body needs and sensations - family enmeshment and conflict avoidance family 4. Biological factors: binge/purge disrupts body’s ability to regulate ability Treatment of Bulimia Treatment 1. Exposure and response prevention to end binge/purge (eat without purge) (eat 2. Supportive therapy re: - low self esteem issues - misconceptions about weight and food 3. Family therapy to confront enmeshment issues 3. (though many women no longer living at home) (though 4. Group therapy 5. Self-help groups – “Over-eaters Anonymous” 6. Interpersonal Psychotherapy ...
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