Subtypes restricting AN R binge eatingpurging AN BP Specifiers in partial

Subtypes restricting an r binge eatingpurging an bp

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• Subtypes: restricting (AN-R), binge eating/purging (AN-BP)  • Specifiers: in partial remission, in full remission, current severity (based on BMI)  • behaviors: eating disorder rules, significantly reduced quantity of food eaten, significantly reduced  variation in types of foods eaten (good foods vs bad foods), ritualistic, obsessive qualities, slow eat- ing, obsessive interest in food  - BN  • Binging: recurrent episodes of binge eating including both: eating a large amount of food and a  sense of lack of control over eating during the episode  • Purging: recurrent inappropriate compensatory behavior: self induced vomiting, misuse of laxatives, fasting, excessive exercise  • the binge eating and purging both occur at least once a week for 3 months  • self evaluation is unduly influenced by body shape and weight  • specifiers: in partial remission, in full remission, severity (based on average episodes per week)  • behaviors: eating fast, secret eating, excessive or secretive exercise, prioritizing compensatory be- haviors over other activities, emotional dysregulation   - BE disorder  • episode of BE is characterized by both of the following: eating in a discrete period of time, eating a  large amount of food, lack of control over eating  • BE are associated with three or more of the following: fast eating, uncomfortably full, eating when  not hungry, eating alone, feeling disgusted  • occurs at least once a week for 3 months  • not associated with the recurrent use of inappropriate compensatory behavior  - other specified feeding or eating disorder • more than 50% of all diagnosed ED  • rates of death are similar to AN  • 50% of patents admitted to tertiary care  • EX: atypical AN (same as AN except weight loss), purging disorder (recurrent purging) - unspecified feeding or eating disorder • do not meet the full criteria for any of the diagnostic classes Psychiatric Comorbidities:  - Affective disorders (depression and bipolar) 
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- anxiety disorders ( OCD, social anxiety, generalized anxiety, PTSD)  - personality disorders (borderline personality disorder)  - substance abuse  - suicidlity   Suicide and ED:  - AN: 20% attempt suicide, put o 4% commit suicide  - BN: 35% attempt suicide; actual suicide rates are no higher than non BN population  Medical Consequences of ED:  - Physical symptoms reflect degree of malnutrition:  • amenorrhea  • stomach pain/ constipation   • fatigue  • cold intolerance  • light headedness  • signs of emotional/ cognitive blunting  Why eating disorders exist?  -
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