Orthorexia Nervosa Term coined by Steven Bratman, M.D “Ortho” meaning straight, “orexia” refers to appetite Not classified in DSM-V (Brown, 2013)
Etiology Can start with an innocent attempt to eating healthier (Kratina, 2014) Unhealthy obsession with food
Psychopathology Safety from poor health Compulsion Escape from fears Wanting to be thin Spirituality through food Food as an identity
Pathophysiology ●Obsessive-Compulsive and Phobic Symptoms (Brytek-Matera, 2012) ●Emaciation ●Bone Density Loss ●Cardiac Complications (Ekern, 2014).
Diagnosis ●Bratman’s Orthorexia Test ○ e.g. “Do you spend more than 3 hours per day thinking about your diet?” (Brytek- Matera, 2012).
Treatment ●Pure healthy foods Vs. Desire to be thin. ●Need to learn that food is not an obsession. ●Respond better to treatment
Treatment Cont. ●Cognitive treatment. - belief and thought patterns ●More flexible.
Recovery ●Healthy eating with better understanding. ●Shift in identity ●Food is a small part of life.
References ●American 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 from excessive-exercise#Symptoms-and-Signs-of-Excessive-Exercise excessive-exercise#Symptoms-and-Signs-of-Excessive-Exercise ● Brown, Nancy, Ph.D. "Orthorexia Nervosa." Orthorexia Nervosa. Palo Alto Medical Foundation, Oct Web. 16 Feb ●Kratina, Karin. "Orthorexia Nervosa | National Eating Disorders Association." Orthorexia Nervosa | National Eating Disorders Association. National Eating Disorders, n.d. Web. 16 Feb
Questions 1.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?