1. Aim: For what reasons do adolescents have a high incidence of eating disorders? Do Now: How would you define an eating disorder (in general) How would you define an eating disorder (in general) At what point does dieting and being conscious of weight become an eating disorder (in your opinion)? At what point does dieting and being conscious of weight become an eating disorder (in your opinion)?

2. Discussion Questions: 1.Why do people develop eating disorders? 2.Why are eating disorders so much more prevalent among females than males (10X) 3.Why are these even more prevalent in adolescent girls? 4.Why are they more prevalent in certain cutlures/ethnicities/races? 5.How do you think you can treat a person with an eating disorder?

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7. DSM-IV-TR Diagnostic Criteria for Body Dysmorphic Disorder A.Preoccupation with an imagined or slight defect in appearance (skin, hair, weight, nose, etc.) B.Causes significant distress or impairment in social, occupational, or other important areas of functioning. Difference between ‘ideal’ self and ‘real’ self

8. Western culture tends to place more emphasis on a thin body image in comparison to other cultures.

9. Obesity: A disorder characterized by being excessively overweight. Obesity increases the risk for health issues like cardiovascular diseases, diabetes, hypertension, arthritis, and back problems.

10. Dieting: 63% of women feel that body weight determines their mood.63% of women feel that body weight determines their mood. Americans spend 33 billion dollars on dieting and diet-related productsAmericans spend 33 billion dollars on dieting and diet-related products The average female starts dieting at age 9yrsThe average female starts dieting at age 9yrs

11. Risk Factors for Eating Disorders: Ethnic and socioeconomic statusEthnic and socioeconomic status Cultural influenceCultural influence Low self- esteem/perfectionismLow self- esteem/perfectionism Difficulties with communication, separation and conflict resolution w/ familyDifficulties with communication, separation and conflict resolution w/ family Anxiety or depressive disorderAnxiety or depressive disorder Family historyFamily history A drive to excel in sportsA drive to excel in sports Early pubertyEarly puberty WinterWinter Identical TwinsIdentical Twins

12. Bulimia-Nervosa: Minimum of 2 binge-eating episodes weekly for 3 months/recurrent binge eating A feeling of lack of control over binge-eating behavior Regular use of self-induced vomiting, laxatives, diuretics, strict dieting, fasting, or vigorous exercise to prevent weight gain

13. Anorexia-Nervosa: Refusal or inability to maintain body weight over a minimum normal weight Intense fear of gaining weight despite being underweight Disturbance in perception of body shape Absence of 3 consecutive menstrual cycles

15. Incidences: The incidence of eating disorders has increased five times since 1955The incidence of eating disorders has increased five times since 1955 More than 1/2 of high school girls have dietedMore than 1/2 of high school girls have dieted Anorexia is the third most common chronic disease in teensAnorexia is the third most common chronic disease in teens

16. Common Male Groups with Eating Disorders:

17. Prognosis & Treatment: Worsening occurs in 15-25% of patientsWorsening occurs in 15-25% of patients Mortality is 5% for anorexiaMortality is 5% for anorexia Poorer prognosis for bulimia with history of sexual abuse, coexistent personality disorder or depression, substance abusePoorer prognosis for bulimia with history of sexual abuse, coexistent personality disorder or depression, substance abuse Treatment: cognitive therapy, medication, in and out patient treatment centersTreatment: cognitive therapy, medication, in and out patient treatment centers

18. Taboo: Eating Disorder http://www.youtube.com/watch?v=wJPrhJt y7TMhttp://www.youtube.com/watch?v=wJPrhJt y7TM

19. We will now watch selected parts of the documentary “THIN” which documents the daily lives of residents inside an eating disorder clinic in Florida.