Eating Disorders Behavior Disorders EPC 695B

Three diagnoses in Eating Disorders Section Anorexia Nervosa Anorexia Nervosa Bulimia Nervosa Bulimia Nervosa Eating Disorders NOS Eating Disorders NOS

General Characteristics Onset of Eating Disorder is usually in teens. Onset of Eating Disorder is usually in teens. Usually encountered in girls and young women. Usually encountered in girls and young women.

Anorexia Nervosa (criteria listed on p. 589) Characteristics: Refuses to maintain body weight at or above minimally normal weight Refuses to maintain body weight at or above minimally normal weight Intense fear of gaining weight or being fat Intense fear of gaining weight or being fat Disturbance in way one sees body - these clients see themselves as fat, despite their being severely underweight Disturbance in way one sees body - these clients see themselves as fat, despite their being severely underweight Absence of at least three consecutive menstrual cycles. Absence of at least three consecutive menstrual cycles. Specify Type: Restricting Type - At current time, client is not regularly engaging in binge-eating or purging behavior Restricting Type - At current time, client is not regularly engaging in binge-eating or purging behavior Binge-Eating/Purging Type - Client does engage in this behavior Binge-Eating/Purging Type - Client does engage in this behavior

Bulimia Nervosa (Criteria listed on p. 594) Characteristics: Recurrent episodes of binge eating Recurrent episodes of binge eating Prevents weight gain by self-induced vomiting, purging, and exercise. Prevents weight gain by self-induced vomiting, purging, and exercise. Clients do not have body distortion characteristic of Anorexia Nervosa Clients do not have body distortion characteristic of Anorexia Nervosa Specify Type: Purging Type: Client regularly engages in self- induced vomiting or misuse of laxatives, diuretics, or enemas. Purging Type: Client regularly engages in self- induced vomiting or misuse of laxatives, diuretics, or enemas. Nonpurging Type: Client uses other inappropriate compensatory behaviors, such as fasting or excessive exercise Nonpurging Type: Client uses other inappropriate compensatory behaviors, such as fasting or excessive exercise

307.50Eating Disorder NOS (Criteria listed on p. 594) Characteristic: Disorders of eating that do not meet the criteria for any specific Eating Disorder. Disorders of eating that do not meet the criteria for any specific Eating Disorder.

The legacy of Karen Carpenter, the young pop singer who died from anorexia nervosa, should remind clinicians that the first goal in treatment is always to: KEEP the CLIENT ALIVE KEEP the CLIENT ALIVE Beyond this, the goals are to: Establish adequate nutrition, Establish adequate nutrition, Treat physical complications, Treat physical complications, Correct abnormal eating habits, Correct abnormal eating habits, Supplant family over-involvement with more appropriate intrafamilial relationships, Supplant family over-involvement with more appropriate intrafamilial relationships, Enhance self-control, identity, and autonomy, Enhance self-control, identity, and autonomy, Identify and begin correcting dysfunctional thoughts, attitudes, and beliefs, and Identify and begin correcting dysfunctional thoughts, attitudes, and beliefs, and Correct defects in affects and behavioral regulation. Correct defects in affects and behavioral regulation.