3 Orthorexia Nervosa •Term coined by Steven Bratman, M.D •“Ortho” meaning straight, “orexia” refers to appetite•Not classified in DSM-V(Brown, 2013)one important thing to note: not classified in DSM-V
4 Etiology•Can start with an innocent attempt to eating healthier (Kratina, 2014)•Unhealthy obsession with food
5 Psychopathology •Safety from poor health • Compulsion •Escape from fears•Wanting to be thin•Spirituality through food•Food as an identity
6 PathophysiologyObsessive-Compulsive and Phobic Symptoms (Brytek-Matera, 2012)EmaciationBone Density LossCardiac Complications (Ekern, 2014).Shelby Root
7 Diagnosis Bratman’s Orthorexia Test e.g. “Do you spend more than 3 hours per day thinking about your diet?” (Brytek-Matera, 2012).Shelby Root
8 Treatment Pure healthy foods Vs. Desire to be thin. Need to learn that food is not an obsession.Respond better to treatment
9 Cognitive treatment. belief and thought patterns More flexible. Treatment Cont.Cognitive treatment.belief and thought patternsMore flexible.
10 Recovery Healthy eating with better understanding. Shift in identity Food is a small part of life.
11 ReferencesAmerican Dietetic Association (2011). Nutrition Intervention in the Treatment of Eating Disorders. Journal of the American Dietetic Association, (111),Brytek-Matera, A. (2012). Orthorexia nervosa–an eating disorder, obsessive-compulsive disorder or disturbed eating habit. Archives of Psychiatry and psychotherapy, 1,Ekern, J. (2014). Orthorexia, excessive exercise & nutrition. Retrieved fromBrown, Nancy, Ph.D. "Orthorexia Nervosa." Orthorexia Nervosa. Palo Alto Medical Foundation, Oct Web. 16 FebKratina, Karin. "Orthorexia Nervosa | National Eating Disorders Association." Orthorexia Nervosa | National Eating Disorders Association. National Eating Disorders, n.d. Web. 16 Feb
12 Questions1.Name two items that are symptoms of orthorexia and how they are different than just a healthy eating pattern.2. What test can be used to diagnose orthorexia?3. What is an important step in the road to recovery?