{"id":29,"date":"2022-06-15T12:21:26","date_gmt":"2022-06-15T12:21:26","guid":{"rendered":"https:\/\/pressbooks.palni.org\/psychopathology\/?post_type=chapter&#038;p=29"},"modified":"2022-08-22T19:05:56","modified_gmt":"2022-08-22T19:05:56","slug":"chapter-6","status":"publish","type":"chapter","link":"https:\/\/pressbooks.palni.org\/psychopathology\/chapter\/chapter-6\/","title":{"raw":"Chapter 6: Eating Disorders","rendered":"Chapter 6: Eating Disorders"},"content":{"raw":"<h2>Chapter 6: Eating Disorders<\/h2>\r\n\r\n<hr \/>\r\n\r\n<h2>Overview<\/h2>\r\nEating disorders are serious and persistent conditions related to eating behaviors that will negatively impact an individual's life. Eating disorders typically focus heavily on body weight, shape, and food which ultimately affect the body's ability to absorb nutrition. These disorders can have a lasting effect on multiple bodily systems like cardiovascular, gastrointestinal, skeletal, and contribute to the other diseases manifestation (Mayo Clinic, 2022). These disorders can be initiated by recurring and distressing thoughts and emotions (American Psychiatric Association, 2022).\r\n\r\n[caption id=\"attachment_263\" align=\"aligncenter\" width=\"679\"]<img class=\" wp-image-263\" src=\"http:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/eating-disorder-300x114.jpg\" alt=\"&quot;To eat or not to eat?&quot; by daniellehelm is licensed under CC BY 2.0. \" width=\"679\" height=\"258\" \/> \"<a href=\"https:\/\/www.flickr.com\/photos\/37218489@N06\/3967455172\" target=\"_blank\" rel=\"noopener noreferrer\">To eat or not to eat?<\/a>\" by <a href=\"https:\/\/www.flickr.com\/photos\/37218489@N06\" target=\"_blank\" rel=\"noopener noreferrer\">daniellehelm<\/a> is licensed under <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/?ref=openverse\" target=\"_blank\" rel=\"noopener noreferrer\">CC BY 2.0<\/a>.[\/caption]\r\n<h2>Anorexia Nervosa<\/h2>\r\n<strong>Criteria to Diagnose: <\/strong>This disorder is characterized by \"persistent refusal of food, excessive fear of weight gain, refusal to maintain minimally normal body weight, disturbed perception of body image, and amenorrhea (absence of at least three menstrual periods)\" (American Psychological Association, 2022). Individuals with this disorder often engaging excessive body measuring like weights, measuring, and mirror assessments (Black &amp; Grant, 2014). There are high rates of comorbidity and mortality associated with this disorder.\r\n\r\nThere are two types of anorexia: the restricting type and the binge\/purging type. Each are very serious and life threatening conditions, but especial those who engage in purging (American Psychiatric Association, 2022).\r\n\r\n<strong>Typical Demographics: <\/strong>Individuals that typically experience this disorder are adolescent girls, it can effect any person at any time. Roughly 1% of women are diagnosed with this is .1% of men are diagnosed. This disorder was the first eating disorder identified and seems to be present throughout history (Black and Grant, 2014).\r\n\r\n<strong>Treatment, Medications, and Therapies: <\/strong>Treatment includes developing health behaviors for eating and weight control. If there are co-occurring disorders, those would also be addressed. Sometimes stress and genetics play a role in this disorder, so preventative methods, details below may be relevant to stop the disorder before it starts (Mayo Clinic, 2022).\r\n\r\n[caption id=\"attachment_240\" align=\"alignright\" width=\"445\"]<img class=\" wp-image-240\" src=\"http:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/Sandbox-1-300x300.png\" alt=\"Encourage healthy eating habits for your children. Talk to your child about healthful eating. Reinforce a body-positive message with your children. Talk to your child's doctor if you have questions or need help.\" width=\"445\" height=\"445\" \/> Ways to prevent anorexia can include: Encourage healthy eating habits for your children. Talk to your child about healthful eating. Reinforce a body-positive message with your children. Talk to your child's doctor if you have questions or need help.[\/caption]\r\n\r\n<strong>Case Studies to Review:<\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s11245-020-09718-x\" target=\"_blank\" rel=\"noopener\">Secret hunger: The case of Anorexia Nervosa<\/a> (2021)<\/li>\r\n \t<li><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s40519-021-01226-0\" target=\"_blank\" rel=\"noopener\">The transition from restrictive anorexia nervosa to binging and purging: A systematic review and meta-analysis<\/a> (2022)<\/li>\r\n \t<li><a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2021.756669\/full\" target=\"_blank\" rel=\"noopener\">A perspective on chronic and long-lasting anorexia nervosa<\/a> (2021)<\/li>\r\n<\/ul>\r\n<h2>[h5p id=\"18\"]<\/h2>\r\n<h2>Bulimia Nervosa<\/h2>\r\n[caption id=\"attachment_261\" align=\"alignleft\" width=\"347\"]<img class=\" wp-image-261\" src=\"http:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/binge-300x225.jpg\" alt=\"&quot;Shellharbour Food Photography: Seafood Platter for One ($55) from Ocean Beach Hotel, Shellharbour NSW 2528 Australia&quot; by Vanessa Pike-Russell is licensed under CC BY-NC-ND 2.0. \" width=\"347\" height=\"260\" \/> \"<a href=\"https:\/\/www.flickr.com\/photos\/25056484@N00\/470041018\" target=\"_blank\" rel=\"noopener noreferrer\">Shellharbour Food Photography: Seafood Platter for One ($55) from Ocean Beach Hotel, Shellharbour NSW 2528 Australia<\/a>\" by <a href=\"https:\/\/www.flickr.com\/photos\/25056484@N00\" target=\"_blank\" rel=\"noopener noreferrer\">Vanessa Pike-Russell<\/a> is licensed under <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/2.0\/?ref=openverse\" target=\"_blank\" rel=\"noopener noreferrer\">CC BY-NC-ND 2.0<\/a>.[\/caption]\r\n\r\n<strong>Criteria to Diagnose: <\/strong>Bulimia Nervosa is characterized by consuming large quantities of food ([pb_glossary id=\"247\"]binging[\/pb_glossary]) and then purging the food via vomiting, laxatives, or excessive exercise (Black &amp; Grant, 2014; APA, 2022). Binging occurs at least weekly following by the \"compensatory\" behaviors (American Psychiatric Association, 2022). Individuals with this disorder will often exhibit these behaviors: frequent bathroom trips after meals, sort throat, swelling of face, tooth decay, acid reflux, diarrhea, excessive use of laxatives or water pills, and feeling light-headed (American Psychiatric Association, 2022).\r\n\r\nLike anorexia, individuals typically experience body image distortion and extreme concern for fatness and body shape. The preoccupation with their body image leads to a reduction in self-worth (American Pscyhiatric Association, 2022).\r\n\r\n<strong>Typical Demographics: <\/strong>The majority of those diagnosed are women, roughly 1% are adolescent women (Black &amp; Grant, 2014); generally these individuals are 18 years of age.\r\n\r\n[caption id=\"attachment_249\" align=\"aligncenter\" width=\"529\"]<a href=\"https:\/\/www.nimh.nih.gov\/health\/statistics\/eating-disorders\"><img class=\"wp-image-249\" src=\"http:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/past-year-prevalence-of-2-300x200.png\" alt=\"past year prevalence of binge eating disorder among US adults.\" width=\"529\" height=\"352\" \/><\/a> Past year prevalence of binge eating disorder among US adults (NIMH).[\/caption]\r\n\r\n<strong>Treatment, Medications, and Therapies: <\/strong>Recommended treatment plans, that are tailored to individual needs, include psychotherapy (individual, group, and\/or family), medical care, nutritional counseling, and medications. Antidepressants, specifically Prozac, is the only SSRI approved to be used for this disorder.\r\n\r\n<strong>Case Studies to Review:<\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2021.764112\/full\" target=\"_blank\" rel=\"noopener\">Case report: Unexpected remission from extreme and enduring bulimia nervosa with repeated ketamine assisted psychotherapy<\/a> (2021)<\/li>\r\n \t<li><a href=\"https:\/\/www.mdpi.com\/2072-6643\/13\/8\/2834\">Stigmatization toward people with anorexia nervosa, bulimia nervosa, and binge-eating disorder: A scoping review<\/a> (2021)<\/li>\r\n<\/ul>\r\n[h5p id=\"19\"]\r\n<h2>Binge Eating<\/h2>\r\n[caption id=\"attachment_257\" align=\"alignleft\" width=\"376\"]<img class=\" wp-image-257\" src=\"http:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/binge-eating1-300x238.jpg\" alt=\"&quot;[365] 096&quot; by Corie Howell is licensed under CC BY-NC-ND 2.0.\" width=\"376\" height=\"298\" \/> \"<a href=\"https:\/\/www.flickr.com\/photos\/53628108@N00\/3475820366\" target=\"_blank\" rel=\"noopener noreferrer\">[365] 096<\/a>\" by <a href=\"https:\/\/www.flickr.com\/photos\/53628108@N00\" target=\"_blank\" rel=\"noopener noreferrer\">Corie Howell<\/a> is licensed under <a href=\"https:\/\/creativecommons.org\/licenses\/by-nd-nc\/2.0\/jp\/?ref=openverse\" target=\"_blank\" rel=\"noopener noreferrer\">CC BY-NC-ND 2.0<\/a>.[\/caption]<strong>Criteria to diagnose: <\/strong>Binge-eating disorder is when individuals lose all awareness and control over their eating; often consuming large quantities of food in a two hour span. The difference between this disorder and bulimia nervosa is that the individuals do not complete compensatory behaviors after binging. Therefore, these individuals are often over-weight or obese. Binge-eating is usually characterized by eating large quantities when not hungry, even when uncomfortable; usually eating along and feeling guilty about the episodes (NIMH, 2022). The binge-eating occurs at least once a week (Mayo Clinic, 2022).\r\n\r\n<strong>Typical Demographics: <\/strong>\"Approximately two-thirds of individuals with binge-eating disorder have a history of using inappropriate compensatory behaviors, suggesting a past diagnosis of bulimia nervosa\" (Black &amp; Grant, 2014).\r\n\r\n<strong>Treatment, Medications, and Therapies: <\/strong>National Eating Disorders Association (2022) suggests that roughly 4% of women and 2% of men have had this disorder at some point in their life. It is three times more common than anorexia and bulimia.\r\n\r\n<strong>Case Studies to Review:<\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/bmcpsychiatry.biomedcentral.com\/articles\/10.1186\/s12888-021-03499-2\">Stressful life events among individuals with a history of eating disorders: A case-control comparison<\/a> (2021)<\/li>\r\n \t<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK551700\/\">Binge eating disorder<\/a> (2022)<\/li>\r\n<\/ul>\r\n[h5p id=\"20\"]\r\n\r\n<hr \/>\r\n\r\n<h2>References<\/h2>\r\nAmerican Psychiatric Association (2022). <em>What are eating disorders? <\/em>Retrieved on August 22, 2022 from <a href=\"https:\/\/www.psychiatry.org\/patients-families\/eating-disorders\/what-are-eating-disorders\">https:\/\/www.psychiatry.org\/patients-families\/eating-disorders\/what-are-eating-disorders<\/a>\r\n\r\nAmerican Psychological Association (2022). <em>Anorexia nervosa. <\/em>APA. Retrieved on August 22, 2022 from <a href=\"https:\/\/dictionary.apa.org\/anorexia-nervosa\">https:\/\/dictionary.apa.org\/anorexia-nervosa<\/a>\r\n\r\nBBC Three (2018, July 1). <em>Anorexia recovery story: How I survived an eating disorder <\/em>[Video]. YouTube. <a href=\"https:\/\/www.youtube.com\/watch?v=aW23gpBx2i8\">https:\/\/www.youtube.com\/watch?v=aW23gpBx2i8<\/a>\r\n\r\nBlack, D. W., &amp; Grant, J. E. (2014). <i>DSM-5\u00ae Guidebook\u202f: The Essential Companion to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition: Vol. Fifth edition<\/i>. American Psychiatric Association Publishing.\r\n\r\nBrelet L, Flaudias V, D\u00e9sert M, Guillaume S, Llorca P-M, and Boirie Y. (2021). Stigmatization toward People with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder: A Scoping Review. <em>Nutrients<\/em>; 13(8):2834. <a href=\"https:\/\/www.mdpi.com\/2072-6643\/13\/8\/2834\">https:\/\/doi.org\/10.3390\/nu13082834<\/a>\r\n\r\nGiordano, S. Secret Hunger: The Case of Anorexia Nervosa. <i>Topoi<\/i> 40, 545\u2013554 (2021). https:\/\/doi.org\/10.1007\/s11245-020-09718-x\r\n\r\nIqbal A, Rehman A. Binge Eating Disorder. (2022 Jun 5). In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. <span class=\"bk_cite_avail\"> Available from: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK551700\/\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK551700\/<\/a><\/span>\r\n\r\nLie, S.\u00d8., Bulik, C.M., Andreassen, O.A. <i>et al.<\/i> (2021). Stressful life events among individuals with a history of eating disorders: a case-control comparison. <i>BMC Psychiatry<\/i> 21, 501\u00a0 <a href=\"https:\/\/bmcpsychiatry.biomedcentral.com\/articles\/10.1186\/s12888-021-03499-2#citeas\">https:\/\/doi.org\/10.1186\/s12888-021-03499-2<\/a>\r\n\r\nMayo Clinic (2022). <em>Eating disorders. <\/em>Diseases and Conditions. Retrieved on August 22, 2022 from <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/eating-disorders\/symptoms-causes\/syc-20353603\">https:\/\/www.mayoclinic.org\/diseases-conditions\/eating-disorders\/symptoms-causes\/syc-20353603<\/a>\r\n\r\nMayo Clinic (2022). <em>Bulimia disorders.<\/em> Diagnosis and treatment. Retrieved on August 22, 2022 from <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/bulimia\/diagnosis-treatment\/drc-20353621\">https:\/\/www.mayoclinic.org\/diseases-conditions\/bulimia\/diagnosis-treatment\/drc-20353621<\/a>\r\n\r\nNational Institute of Mental Health (2022). <em>Eating disorders. <\/em>Health Topics. Retrieved on August 22, 2022 from <a href=\"http:\/\/Encourage healthy eating habits for your children. Talk to your child about healthful eating. Reinforce a body-positive message with your children. Talk to your child's doctor if you have questions or need help.\">http:\/\/Encourage healthy eating habits for your children. Talk to your child about healthful eating. Reinforce a body-positive message with your children. Talk to your child's doctor if you have questions or need help.<\/a>\r\n\r\nPatient (2018, Feburary 26). <em>What is anorexia nervosa? <\/em>[Video]. YouTube. <a href=\"https:\/\/www.youtube.com\/watch?v=aW23gpBx2i8\">https:\/\/www.youtube.com\/watch?v=aW23gpBx2i8<\/a>\r\n\r\nRagnhildstveit A, Jackson LK, Cunningham S, Good L, Tanner Q, Roughan M and Henrie-Barrus P (2021) Case Report: Unexpected Remission From Extreme and Enduring Bulimia Nervosa With Repeated Ketamine Assisted Psychotherapy. <i>Front. Psychiatry<\/i> 12:764112. <a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2021.764112\/full\">doi: 10.3389\/fpsyt.2021.764112<\/a>\r\n\r\nSerra, R., Di Nicolantonio, C., Di Febo, R. <i>et al.<\/i> (2022). The transition from restrictive anorexia nervosa to binging and purging: a systematic review and meta-analysis. <i>Eat Weight Disord<\/i> 27, 857\u2013865. https:\/\/doi.org\/10.1007\/s40519-021-01226-0\r\n\r\nSpeciani M, Barak Y, Damanhuri H, De Ronchi D, Panariello F and Atti AR (2021). A Perspective on Chronic and Long-Lasting Anorexia Nervosa. <i>Front. Psychiatry<\/i> 12:756669. <a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2021.756669\/full\">doi: 10.3389\/fpsyt.2021.756669<\/a>\r\n\r\nStanford Center for Health Education (2022, May 25). <em>Bulimia: Signs &amp; treatment options <\/em>[Video]. YouTube. <a href=\"https:\/\/www.youtube.com\/watch?v=jWTKFX2cPPs\">https:\/\/www.youtube.com\/watch?v=jWTKFX2cPPs<\/a>\r\n\r\nStanford Center for Health Education (2022, July 14). <em>Binge eating disorder: Recovery begins with compassion <\/em>[Video]. YouTube. <a href=\"https:\/\/www.youtube.com\/watch?v=ZfNYQ8n_guY\">https:\/\/www.youtube.com\/watch?v=ZfNYQ8n_guY<\/a>","rendered":"<h2>Chapter 6: Eating Disorders<\/h2>\n<hr \/>\n<h2>Overview<\/h2>\n<p>Eating disorders are serious and persistent conditions related to eating behaviors that will negatively impact an individual&#8217;s life. Eating disorders typically focus heavily on body weight, shape, and food which ultimately affect the body&#8217;s ability to absorb nutrition. These disorders can have a lasting effect on multiple bodily systems like cardiovascular, gastrointestinal, skeletal, and contribute to the other diseases manifestation (Mayo Clinic, 2022). These disorders can be initiated by recurring and distressing thoughts and emotions (American Psychiatric Association, 2022).<\/p>\n<figure id=\"attachment_263\" aria-describedby=\"caption-attachment-263\" style=\"width: 679px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-263\" src=\"http:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/eating-disorder-300x114.jpg\" alt=\"&quot;To eat or not to eat?&quot; by daniellehelm is licensed under CC BY 2.0.\" width=\"679\" height=\"258\" srcset=\"https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/eating-disorder-300x114.jpg 300w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/eating-disorder-768x292.jpg 768w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/eating-disorder-65x25.jpg 65w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/eating-disorder-225x85.jpg 225w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/eating-disorder-350x133.jpg 350w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/eating-disorder.jpg 1024w\" \/><figcaption id=\"caption-attachment-263\" class=\"wp-caption-text\">&#8220;<a href=\"https:\/\/www.flickr.com\/photos\/37218489@N06\/3967455172\" target=\"_blank\" rel=\"noopener noreferrer\">To eat or not to eat?<\/a>&#8221; by <a href=\"https:\/\/www.flickr.com\/photos\/37218489@N06\" target=\"_blank\" rel=\"noopener noreferrer\">daniellehelm<\/a> is licensed under <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/?ref=openverse\" target=\"_blank\" rel=\"noopener noreferrer\">CC BY 2.0<\/a>.<\/figcaption><\/figure>\n<h2>Anorexia Nervosa<\/h2>\n<p><strong>Criteria to Diagnose: <\/strong>This disorder is characterized by &#8220;persistent refusal of food, excessive fear of weight gain, refusal to maintain minimally normal body weight, disturbed perception of body image, and amenorrhea (absence of at least three menstrual periods)&#8221; (American Psychological Association, 2022). Individuals with this disorder often engaging excessive body measuring like weights, measuring, and mirror assessments (Black &amp; Grant, 2014). There are high rates of comorbidity and mortality associated with this disorder.<\/p>\n<p>There are two types of anorexia: the restricting type and the binge\/purging type. Each are very serious and life threatening conditions, but especial those who engage in purging (American Psychiatric Association, 2022).<\/p>\n<p><strong>Typical Demographics: <\/strong>Individuals that typically experience this disorder are adolescent girls, it can effect any person at any time. Roughly 1% of women are diagnosed with this is .1% of men are diagnosed. This disorder was the first eating disorder identified and seems to be present throughout history (Black and Grant, 2014).<\/p>\n<p><strong>Treatment, Medications, and Therapies: <\/strong>Treatment includes developing health behaviors for eating and weight control. If there are co-occurring disorders, those would also be addressed. Sometimes stress and genetics play a role in this disorder, so preventative methods, details below may be relevant to stop the disorder before it starts (Mayo Clinic, 2022).<\/p>\n<figure id=\"attachment_240\" aria-describedby=\"caption-attachment-240\" style=\"width: 445px\" class=\"wp-caption alignright\"><img class=\"wp-image-240\" src=\"http:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/Sandbox-1-300x300.png\" alt=\"Encourage healthy eating habits for your children. Talk to your child about healthful eating. Reinforce a body-positive message with your children. Talk to your child's doctor if you have questions or need help.\" width=\"445\" height=\"445\" srcset=\"https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/Sandbox-1-300x300.png 300w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/Sandbox-1-1024x1024.png 1024w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/Sandbox-1-150x150.png 150w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/Sandbox-1-768x768.png 768w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/Sandbox-1-65x65.png 65w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/Sandbox-1-225x225.png 225w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/Sandbox-1-350x350.png 350w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/Sandbox-1.png 1080w\" \/><figcaption id=\"caption-attachment-240\" class=\"wp-caption-text\">Ways to prevent anorexia can include: Encourage healthy eating habits for your children. Talk to your child about healthful eating. Reinforce a body-positive message with your children. Talk to your child&#8217;s doctor if you have questions or need help.<\/figcaption><\/figure>\n<p><strong>Case Studies to Review:<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s11245-020-09718-x\" target=\"_blank\" rel=\"noopener\">Secret hunger: The case of Anorexia Nervosa<\/a> (2021)<\/li>\n<li><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s40519-021-01226-0\" target=\"_blank\" rel=\"noopener\">The transition from restrictive anorexia nervosa to binging and purging: A systematic review and meta-analysis<\/a> (2022)<\/li>\n<li><a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2021.756669\/full\" target=\"_blank\" rel=\"noopener\">A perspective on chronic and long-lasting anorexia nervosa<\/a> (2021)<\/li>\n<\/ul>\n<h2>\n<div id=\"h5p-18\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-18\" class=\"h5p-iframe\" data-content-id=\"18\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Anorexia\"><\/iframe><\/div>\n<\/div>\n<\/h2>\n<h2>Bulimia Nervosa<\/h2>\n<figure id=\"attachment_261\" aria-describedby=\"caption-attachment-261\" style=\"width: 347px\" class=\"wp-caption alignleft\"><img class=\"wp-image-261\" src=\"http:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/binge-300x225.jpg\" alt=\"&quot;Shellharbour Food Photography: Seafood Platter for One ($55) from Ocean Beach Hotel, Shellharbour NSW 2528 Australia&quot; by Vanessa Pike-Russell is licensed under CC BY-NC-ND 2.0.\" width=\"347\" height=\"260\" srcset=\"https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/binge-300x225.jpg 300w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/binge-768x576.jpg 768w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/binge-65x49.jpg 65w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/binge-225x169.jpg 225w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/binge-350x263.jpg 350w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/binge.jpg 1024w\" \/><figcaption id=\"caption-attachment-261\" class=\"wp-caption-text\">&#8220;<a href=\"https:\/\/www.flickr.com\/photos\/25056484@N00\/470041018\" target=\"_blank\" rel=\"noopener noreferrer\">Shellharbour Food Photography: Seafood Platter for One ($55) from Ocean Beach Hotel, Shellharbour NSW 2528 Australia<\/a>&#8221; by <a href=\"https:\/\/www.flickr.com\/photos\/25056484@N00\" target=\"_blank\" rel=\"noopener noreferrer\">Vanessa Pike-Russell<\/a> is licensed under <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/2.0\/?ref=openverse\" target=\"_blank\" rel=\"noopener noreferrer\">CC BY-NC-ND 2.0<\/a>.<\/figcaption><\/figure>\n<p><strong>Criteria to Diagnose: <\/strong>Bulimia Nervosa is characterized by consuming large quantities of food (<button class=\"glossary-term\" aria-describedby=\"29-247\">binging<\/button>) and then purging the food via vomiting, laxatives, or excessive exercise (Black &amp; Grant, 2014; APA, 2022). Binging occurs at least weekly following by the &#8220;compensatory&#8221; behaviors (American Psychiatric Association, 2022). Individuals with this disorder will often exhibit these behaviors: frequent bathroom trips after meals, sort throat, swelling of face, tooth decay, acid reflux, diarrhea, excessive use of laxatives or water pills, and feeling light-headed (American Psychiatric Association, 2022).<\/p>\n<p>Like anorexia, individuals typically experience body image distortion and extreme concern for fatness and body shape. The preoccupation with their body image leads to a reduction in self-worth (American Pscyhiatric Association, 2022).<\/p>\n<p><strong>Typical Demographics: <\/strong>The majority of those diagnosed are women, roughly 1% are adolescent women (Black &amp; Grant, 2014); generally these individuals are 18 years of age.<\/p>\n<figure id=\"attachment_249\" aria-describedby=\"caption-attachment-249\" style=\"width: 529px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.nimh.nih.gov\/health\/statistics\/eating-disorders\"><img class=\"wp-image-249\" src=\"http:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/past-year-prevalence-of-2-300x200.png\" alt=\"past year prevalence of binge eating disorder among US adults.\" width=\"529\" height=\"352\" srcset=\"https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/past-year-prevalence-of-2-300x200.png 300w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/past-year-prevalence-of-2-1024x683.png 1024w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/past-year-prevalence-of-2-768x512.png 768w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/past-year-prevalence-of-2-65x43.png 65w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/past-year-prevalence-of-2-225x150.png 225w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/past-year-prevalence-of-2-350x233.png 350w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/past-year-prevalence-of-2.png 1200w\" \/><\/a><figcaption id=\"caption-attachment-249\" class=\"wp-caption-text\">Past year prevalence of binge eating disorder among US adults (NIMH).<\/figcaption><\/figure>\n<p><strong>Treatment, Medications, and Therapies: <\/strong>Recommended treatment plans, that are tailored to individual needs, include psychotherapy (individual, group, and\/or family), medical care, nutritional counseling, and medications. Antidepressants, specifically Prozac, is the only SSRI approved to be used for this disorder.<\/p>\n<p><strong>Case Studies to Review:<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2021.764112\/full\" target=\"_blank\" rel=\"noopener\">Case report: Unexpected remission from extreme and enduring bulimia nervosa with repeated ketamine assisted psychotherapy<\/a> (2021)<\/li>\n<li><a href=\"https:\/\/www.mdpi.com\/2072-6643\/13\/8\/2834\">Stigmatization toward people with anorexia nervosa, bulimia nervosa, and binge-eating disorder: A scoping review<\/a> (2021)<\/li>\n<\/ul>\n<div id=\"h5p-19\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-19\" class=\"h5p-iframe\" data-content-id=\"19\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Bulimia\"><\/iframe><\/div>\n<\/div>\n<h2>Binge Eating<\/h2>\n<figure id=\"attachment_257\" aria-describedby=\"caption-attachment-257\" style=\"width: 376px\" class=\"wp-caption alignleft\"><img class=\"wp-image-257\" src=\"http:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/binge-eating1-300x238.jpg\" alt=\"&quot;[365] 096&quot; by Corie Howell is licensed under CC BY-NC-ND 2.0.\" width=\"376\" height=\"298\" srcset=\"https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/binge-eating1-300x238.jpg 300w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/binge-eating1-768x608.jpg 768w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/binge-eating1-65x51.jpg 65w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/binge-eating1-225x178.jpg 225w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/binge-eating1-350x277.jpg 350w, https:\/\/pressbooks.palni.org\/psychopathology\/wp-content\/uploads\/sites\/34\/2022\/06\/binge-eating1.jpg 1024w\" \/><figcaption id=\"caption-attachment-257\" class=\"wp-caption-text\">&#8220;<a href=\"https:\/\/www.flickr.com\/photos\/53628108@N00\/3475820366\" target=\"_blank\" rel=\"noopener noreferrer\">[365] 096<\/a>&#8221; by <a href=\"https:\/\/www.flickr.com\/photos\/53628108@N00\" target=\"_blank\" rel=\"noopener noreferrer\">Corie Howell<\/a> is licensed under <a href=\"https:\/\/creativecommons.org\/licenses\/by-nd-nc\/2.0\/jp\/?ref=openverse\" target=\"_blank\" rel=\"noopener noreferrer\">CC BY-NC-ND 2.0<\/a>.<\/figcaption><\/figure>\n<p><strong>Criteria to diagnose: <\/strong>Binge-eating disorder is when individuals lose all awareness and control over their eating; often consuming large quantities of food in a two hour span. The difference between this disorder and bulimia nervosa is that the individuals do not complete compensatory behaviors after binging. Therefore, these individuals are often over-weight or obese. Binge-eating is usually characterized by eating large quantities when not hungry, even when uncomfortable; usually eating along and feeling guilty about the episodes (NIMH, 2022). The binge-eating occurs at least once a week (Mayo Clinic, 2022).<\/p>\n<p><strong>Typical Demographics: <\/strong>&#8220;Approximately two-thirds of individuals with binge-eating disorder have a history of using inappropriate compensatory behaviors, suggesting a past diagnosis of bulimia nervosa&#8221; (Black &amp; Grant, 2014).<\/p>\n<p><strong>Treatment, Medications, and Therapies: <\/strong>National Eating Disorders Association (2022) suggests that roughly 4% of women and 2% of men have had this disorder at some point in their life. It is three times more common than anorexia and bulimia.<\/p>\n<p><strong>Case Studies to Review:<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/bmcpsychiatry.biomedcentral.com\/articles\/10.1186\/s12888-021-03499-2\">Stressful life events among individuals with a history of eating disorders: A case-control comparison<\/a> (2021)<\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK551700\/\">Binge eating disorder<\/a> (2022)<\/li>\n<\/ul>\n<div id=\"h5p-20\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-20\" class=\"h5p-iframe\" data-content-id=\"20\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Binge Eating Disorder\"><\/iframe><\/div>\n<\/div>\n<hr \/>\n<h2>References<\/h2>\n<p>American Psychiatric Association (2022). <em>What are eating disorders? <\/em>Retrieved on August 22, 2022 from <a href=\"https:\/\/www.psychiatry.org\/patients-families\/eating-disorders\/what-are-eating-disorders\">https:\/\/www.psychiatry.org\/patients-families\/eating-disorders\/what-are-eating-disorders<\/a><\/p>\n<p>American Psychological Association (2022). <em>Anorexia nervosa. <\/em>APA. Retrieved on August 22, 2022 from <a href=\"https:\/\/dictionary.apa.org\/anorexia-nervosa\">https:\/\/dictionary.apa.org\/anorexia-nervosa<\/a><\/p>\n<p>BBC Three (2018, July 1). <em>Anorexia recovery story: How I survived an eating disorder <\/em>[Video]. YouTube. <a href=\"https:\/\/www.youtube.com\/watch?v=aW23gpBx2i8\">https:\/\/www.youtube.com\/watch?v=aW23gpBx2i8<\/a><\/p>\n<p>Black, D. W., &amp; Grant, J. E. (2014). <i>DSM-5\u00ae Guidebook\u202f: The Essential Companion to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition: Vol. Fifth edition<\/i>. American Psychiatric Association Publishing.<\/p>\n<p>Brelet L, Flaudias V, D\u00e9sert M, Guillaume S, Llorca P-M, and Boirie Y. (2021). Stigmatization toward People with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder: A Scoping Review. <em>Nutrients<\/em>; 13(8):2834. <a href=\"https:\/\/www.mdpi.com\/2072-6643\/13\/8\/2834\">https:\/\/doi.org\/10.3390\/nu13082834<\/a><\/p>\n<p>Giordano, S. Secret Hunger: The Case of Anorexia Nervosa. <i>Topoi<\/i> 40, 545\u2013554 (2021). https:\/\/doi.org\/10.1007\/s11245-020-09718-x<\/p>\n<p>Iqbal A, Rehman A. Binge Eating Disorder. (2022 Jun 5). In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. <span class=\"bk_cite_avail\"> Available from: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK551700\/\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK551700\/<\/a><\/span><\/p>\n<p>Lie, S.\u00d8., Bulik, C.M., Andreassen, O.A. <i>et al.<\/i> (2021). Stressful life events among individuals with a history of eating disorders: a case-control comparison. <i>BMC Psychiatry<\/i> 21, 501\u00a0 <a href=\"https:\/\/bmcpsychiatry.biomedcentral.com\/articles\/10.1186\/s12888-021-03499-2#citeas\">https:\/\/doi.org\/10.1186\/s12888-021-03499-2<\/a><\/p>\n<p>Mayo Clinic (2022). <em>Eating disorders. <\/em>Diseases and Conditions. Retrieved on August 22, 2022 from <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/eating-disorders\/symptoms-causes\/syc-20353603\">https:\/\/www.mayoclinic.org\/diseases-conditions\/eating-disorders\/symptoms-causes\/syc-20353603<\/a><\/p>\n<p>Mayo Clinic (2022). <em>Bulimia disorders.<\/em> Diagnosis and treatment. Retrieved on August 22, 2022 from <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/bulimia\/diagnosis-treatment\/drc-20353621\">https:\/\/www.mayoclinic.org\/diseases-conditions\/bulimia\/diagnosis-treatment\/drc-20353621<\/a><\/p>\n<p>National Institute of Mental Health (2022). <em>Eating disorders. <\/em>Health Topics. Retrieved on August 22, 2022 from <a href=\"http:\/\/Encourage healthy eating habits for your children. Talk to your child about healthful eating. Reinforce a body-positive message with your children. Talk to your child's doctor if you have questions or need help.\">http:\/\/Encourage healthy eating habits for your children. Talk to your child about healthful eating. Reinforce a body-positive message with your children. Talk to your child&#8217;s doctor if you have questions or need help.<\/a><\/p>\n<p>Patient (2018, Feburary 26). <em>What is anorexia nervosa? <\/em>[Video]. YouTube. <a href=\"https:\/\/www.youtube.com\/watch?v=aW23gpBx2i8\">https:\/\/www.youtube.com\/watch?v=aW23gpBx2i8<\/a><\/p>\n<p>Ragnhildstveit A, Jackson LK, Cunningham S, Good L, Tanner Q, Roughan M and Henrie-Barrus P (2021) Case Report: Unexpected Remission From Extreme and Enduring Bulimia Nervosa With Repeated Ketamine Assisted Psychotherapy. <i>Front. Psychiatry<\/i> 12:764112. <a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2021.764112\/full\">doi: 10.3389\/fpsyt.2021.764112<\/a><\/p>\n<p>Serra, R., Di Nicolantonio, C., Di Febo, R. <i>et al.<\/i> (2022). The transition from restrictive anorexia nervosa to binging and purging: a systematic review and meta-analysis. <i>Eat Weight Disord<\/i> 27, 857\u2013865. https:\/\/doi.org\/10.1007\/s40519-021-01226-0<\/p>\n<p>Speciani M, Barak Y, Damanhuri H, De Ronchi D, Panariello F and Atti AR (2021). A Perspective on Chronic and Long-Lasting Anorexia Nervosa. <i>Front. Psychiatry<\/i> 12:756669. <a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2021.756669\/full\">doi: 10.3389\/fpsyt.2021.756669<\/a><\/p>\n<p>Stanford Center for Health Education (2022, May 25). <em>Bulimia: Signs &amp; treatment options <\/em>[Video]. YouTube. <a href=\"https:\/\/www.youtube.com\/watch?v=jWTKFX2cPPs\">https:\/\/www.youtube.com\/watch?v=jWTKFX2cPPs<\/a><\/p>\n<p>Stanford Center for Health Education (2022, July 14). <em>Binge eating disorder: Recovery begins with compassion <\/em>[Video]. YouTube. <a href=\"https:\/\/www.youtube.com\/watch?v=ZfNYQ8n_guY\">https:\/\/www.youtube.com\/watch?v=ZfNYQ8n_guY<\/a><\/p>\n<div class=\"glossary\"><div class=\"glossary__tooltip\" id=\"29-247\" hidden><p>eating a large amount of food in a short period of time with a loss of control or awareness of what is being consumed (American Psychiatric Association, 2022).<\/p>\n<\/div><\/div>","protected":false},"author":20,"menu_order":6,"template":"","meta":{"pb_show_title":"","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[49],"contributor":[],"license":[],"part":3,"_links":{"self":[{"href":"https:\/\/pressbooks.palni.org\/psychopathology\/wp-json\/pressbooks\/v2\/chapters\/29"}],"collection":[{"href":"https:\/\/pressbooks.palni.org\/psychopathology\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.palni.org\/psychopathology\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.palni.org\/psychopathology\/wp-json\/wp\/v2\/users\/20"}],"version-history":[{"count":24,"href":"https:\/\/pressbooks.palni.org\/psychopathology\/wp-json\/pressbooks\/v2\/chapters\/29\/revisions"}],"predecessor-version":[{"id":265,"href":"https:\/\/pressbooks.palni.org\/psychopathology\/wp-json\/pressbooks\/v2\/chapters\/29\/revisions\/265"}],"part":[{"href":"https:\/\/pressbooks.palni.org\/psychopathology\/wp-json\/pressbooks\/v2\/parts\/3"}],"metadata":[{"href":"https:\/\/pressbooks.palni.org\/psychopathology\/wp-json\/pressbooks\/v2\/chapters\/29\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.palni.org\/psychopathology\/wp-json\/wp\/v2\/media?parent=29"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.palni.org\/psychopathology\/wp-json\/pressbooks\/v2\/chapter-type?post=29"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.palni.org\/psychopathology\/wp-json\/wp\/v2\/contributor?post=29"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.palni.org\/psychopathology\/wp-json\/wp\/v2\/license?post=29"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}