4/14/2010 1 PROMINENTISSUESINMENTALHEALTHEating Disorders Depression Anxiety Substance Use EATINGDISORDERSWHATISANOREXIA? Anorexia---refusal to maintain a minimal normal weight, intense fear of gaining weight, a distorted body image, and amenorrhea Symptoms -very thin (less than 25% of normal body weight) -irritability -perfectionist -reduced levels of testosterone (men) -dizziness -slowed heart rate -muscular weakness -growth of hair (lanugo)/hair loss -excuses re eating -decreased sex drive -frequent weighing -difficulty thinking/concentrating -cold feet/hands -distorted body image -slowed BP/ht rate -loss of menstrual cycle -sickly -compulsive exercising -food rituals 1 out of 4 females have anorexia (adolescence and young adulthood) Approximately 95% of cases are women, with an increasing percentage for men
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4/14/2010 2 INACCURATE PERCEPTIONS OFBODY IMAGE ANOREXIA(CONT’D) Increasing incidence of anorexia among women of color and poor women Peak period of anorexia is adolescence Though can happen at any age Increased incidence of young girls (as young as 7 yrs) Increased incidence of older women ―Triggers‖ may be life-stage appropriate Middle age women—life stages may bring about the onset (e.g., divorce; spouse dying) WHATISBULIMIAANDBINGEEATINGDISORDER? Bulimia—recurrent episodes of uncontrolled binge eating, followed by purging activities aimed at controlling body weight -weight fluctuations -vomiting -sore throat and hoarse voice -tooth decay -laxative use -depression -irregular periods -abdominal pain -headaches and fatigue -scars on hand -fasting and/or compulsive exercising -suicidal thoughts -low self-esteem -shoplifting/stealing About 90% or more of cases are women Binge Eating Disorder (BED)-frequent dieting -alcohol abuse -early onset obesity -depression -sense of loss of control while eating -low self-esteem -having ‘forbidden’ foods-eating alone -eating large amounts of food when not hungry -suicidal thoughts