1. Eating Disorders

2. Eating Disorders Statistics One out of every 150 American females ages 12-30 years will develop an eating disorder. Statistically athletes are at a greater risk. One out of every 150 American females ages 12-30 years will develop an eating disorder. Statistically athletes are at a greater risk. 1/3 of all Americans are obese and 60% are overweight. 1/3 of all Americans are obese and 60% are overweight. http://www.google.com/imgres?imgurl=http://img843.imageshack.us/img843/5984/measurediet500x375.jpg&imgrefurl=htt p://www.shbabnahda.com/fit/%3Ftag%3Ddiet-mania-in-overweight- america&usg=__mZWVTVQl8bjCMy3gbgrb9JHgWRg=&h=375&w=500&sz=22&hl=en&start=57&zoom=1&tbnid=z2z5mzeD 5p3m6M:&tbnh=130&tbnw=204&ei=5Y9cTZyULYuXtwen2eGJDA&prev=/images%3Fq%3Doverweight%2Bin%2Bamerica% 26um%3D1%26hl%3Den%26safe%3Dactive%26rls%3Dcom.microsoft:en-us:IE- SearchBox%26biw%3D1259%26bih%3D594%26tbs%3Disch:10%2C1280&um=1&itbs=1&iact=hc&vpx=805&vpy=256&du r=3301&hovh=194&hovw=259&tx=142&ty=109&oei=wY9cTeHGLtSdgQeGuInlDQ&page=4&ndsp=20&ved=1t:429,r:4,s:57 &biw=1259&bih=594

3. Eating Disorders Statistics (cont.) 77% of individuals with eating disorders report that the illness can last anywhere from one to fifteen years or even longer in some cases. 77% of individuals with eating disorders report that the illness can last anywhere from one to fifteen years or even longer in some cases. Anyone with an eating disorder is at risk for death. Anyone with an eating disorder is at risk for death.

4. Eating Disorders Statistics (cont.) The mortality rate for eating disorders is approximately 20%. Death is usually due to a “side effect” of the disorder, i.e. cardiac arrest or kidney failure. The mortality rate for eating disorders is approximately 20%. Death is usually due to a “side effect” of the disorder, i.e. cardiac arrest or kidney failure. Long-term, irreversible consequences of eating disorders may affect one’s physical and emotional health. Only 50% of all people with eating disorders report being “cured”. Long-term, irreversible consequences of eating disorders may affect one’s physical and emotional health. Only 50% of all people with eating disorders report being “cured”.

5. Eating Disorders Statistics (cont.) 10% of all people with eating disorders are male 10% of all people with eating disorders are male The eating disorder is not about food, but a way to exert control over something in their lives. The eating disorder is not about food, but a way to exert control over something in their lives. http://www.google.com/imgres?imgurl=http://ovariancancersymptom-s.com/wp-content/uploads/2010/12/ocd- treatment.jpg&imgrefurl=http://ovariancancersymptom-s.com/ocd- treatment/&usg=__BsUWpzIWm4P8zBS0g6C6kcbtztk=&h=500&w=334&sz=29&hl=en&start=39&zoom=1&tbnid=hfX38xYKwtCn3M:&tbn h=136&tbnw=91&ei=BpFcTeSZNIWctweY26HKCw&prev=/images%3Fq%3Docd%2Bpictures%26um%3D1%26hl%3Den%26safe%3Dact ive%26rls%3Dcom.microsoft:en-us:IE- SearchBox%26biw%3D1259%26bih%3D594%26tbs%3Disch:10%2C965&um=1&itbs=1&iact=hc&vpx=665&vpy=208&dur=120&hovh=2 75&hovw=183&tx=98&ty=283&oei=85BcTZHtIsbpgQfg4vXhDQ&page=3&ndsp=21&ved=1t:429,r:17,s:39&biw=1259&bih=594

6. The typical person with an eating disorder obedient obedient perfectionist perfectionist over-compliant over-compliant highly motivated highly motivated successful academically successful academically well liked well liked good athlete good athlete http://www.google.com/imgres?imgurl=http://barboraknobova.files.wordpress.com/2010/12/succes sful-woman2.jpg&imgrefurl=http://chiqueblog.com/2010/12/03/chique-twist-7-are-men-really- scared-of-successful-women/&usg=__ijEJatYTwIaHBhTdtQaDb- ujA4M=&h=151&w=228&sz=11&hl=en&start=0&zoom=1&tbnid=6PYw7RsJpC1mPM:&tbnh=120&t bnw=182&ei=oJVcTfD8BpH1gAfjtunhDQ&prev=/images%3Fq%3Dsuccessful%2Bwomen%26um%3 D1%26hl%3Den%26safe%3Dactive%26rls%3Dcom.microsoft:en-us:IE- SearchBox%26biw%3D1259%26bih%3D594%26tbs%3Disch:1&um=1&itbs=1&iact=hc&vpx=813& vpy=379&dur=1620&hovh=120&hovw=182&tx=91&ty=90&oei=oJVcTfD8BpH1gAfjtunhDQ&page= 1&ndsp=20&ved=1t:429,r:18,s:0

7. Signs to look for include: 1. Lack of confidence in performance. 2. Ritualistic eating behaviors, such as cutting food into small pieces and playing with it. 3. Obsession with calories. http://www.google.com/imgres?imgurl=http://withfriendship.com/images/b/9903/body-dysmorphic- disorder-is.jpg&imgrefurl=http://withfriendship.com/user/boss/body-dysmorphic- disorder.php&usg=__EiP5t6UJg7rNhPxmVgqTI25kNXg=&h=400&w=600&sz=18&hl=en&start=0&zoom=1 &tbnid=utF5z2Hz3N9_MM:&tbnh=129&tbnw=172&ei=lXNdTay- K8f1gAf74M33DQ&prev=/images%3Fq%3Dbody%2Bimage%2Bdisorder%26um%3D1%26hl%3Den%26sa fe%3Dactive%26sa%3DN%26rls%3Dcom.microsoft:en-us:IE- SearchBox%26biw%3D1003%26bih%3D562%26tbs%3Disch:10%2C211&um=1&itbs=1&iact=hc&vpx=44 3&vpy=169&dur=3666&hovh=183&hovw=275&tx=121&ty=133&oei=lXNdTay- K8f1gAf74M33DQ&page=1&ndsp=15&ved=1t:429,r:12,s:0&biw=1003&bih=562

8. Signs to look for (cont.) 4. Menstrual irregularities 5. Loss of hair 6. Light-headedness 7. Blood-shot eyes http://www.google.com/imgres?imgurl=http://www.healthcaremagic.com/article/images/women-hairloss- index.jpg&imgrefurl=http://www.healthcaremagic.com/articles/Hair-Loss/118&usg=__cLRybKoGzfzUbNrbW-- sFUBRxXg=&h=232&w=298&sz=45&hl=en&start=18&zoom=1&tbnid=M3sFNYoowhx_eM:&tbnh=134&tbnw=172 &ei=A5VcTf7TNoOhtwfbvuDHCw&prev=/images%3Fq%3Dloss%2Bof%2Bhair%26um%3D1%26hl%3Den%26saf e%3Dactive%26rls%3Dcom.microsoft:en-us:IE- SearchBox%26biw%3D1259%26bih%3D594%26tbs%3Disch:1&um=1&itbs=1&iact=rc&dur=440&oei=- ZRcTZjGPNKSgQfGo_DzDQ&page=2&ndsp=22&ved=1t:429,r:13,s:18&tx=48&ty=59

9. Signs to look for (cont.) 8. Obsession with weight. 9. Distorted body image. 10. Wearing layers of baggy clothing to hide thinness. http://www.google.com/imgres?imgurl=http://drkevinbrenner.com/wp- content/uploads/2010/11/Body-Dysmorphic- Disorder.jpeg&imgrefurl=http://drkevinbrenner.com/blog/michael-jackson-body- dysmorphic-disorder-syndrome-affected-michael- jackson/422820&usg=__DhndTkvYf3GaUi2ZRR- hTVhgfTE=&h=320&w=307&sz=13&hl=en&start=33&zoom=1&tbnid=dUmymQC9hA 1CYM:&tbnh=119&tbnw=115&ei=JHRdTdKjDNK5tgfBh6miCw&prev=/images%3Fq% 3Dbody%2Bimage%2Bdisorder%26um%3D1%26hl%3Den%26safe%3Dactive%26sa %3DN%26rls%3Dcom.microsoft:en-us:IE- SearchBox%26biw%3D1003%26bih%3D562%26tbs%3Disch:10%2C773&um=1&itbs =1&iact=hc&vpx=114&vpy=204&dur=358&hovh=229&hovw=220&tx=118&ty=126& oei=lXNdTay- K8f1gAf74M33DQ&page=3&ndsp=16&ved=1t:429,r:0,s:33&biw=1003&bih=562

10. Signs to look for (cont.) 11. Social isolation 12. Nervous at mealtime, avoidance of eating in public. 13. Patterns of leaving the table directly to go to the bathroom.

11. Signs to look for (cont.) 14. Running water in the bathroom after meals to hide the sound of vomiting. 15. Significant weight loss. 16. Obsession with grades.

12. Signs to look for (cont.) 17. Obsession with organization of personal space. 18. High emotions; tearful, uptight, overly sensitive, restless. 19. Recurrent overuse injuries and stress fractures.

13. Signs to look for (cont.) 20. Inability to concentrate. 21. Chronic fatigue. 22. Compulsive exercising. 23. Decrease in performance. 24. Depression.

14. Anorexia Nervosa According to the American Psychiatric Association: Intense fear of gaining weight or becoming fat, even though they are already under-weight. Intense fear of gaining weight or becoming fat, even though they are already under-weight. Distorted body image (i.e., claiming to “feel fat” even when emaciated), with an undue influence of body weight or shape on self-perception. Distorted body image (i.e., claiming to “feel fat” even when emaciated), with an undue influence of body weight or shape on self-perception.

15. Anorexia Nervosa (cont.) Weight loss to less than 85% of normal body weight. Weight loss to less than 85% of normal body weight. http://www.google.com/imgres?imgurl=http://ehgazette.blogs.brynmawr.edu/files/2010/01/anorexia1206lindsay- lohan.jpg&imgrefurl=http://ehgazette.blogs.brynmawr.edu/2010/01/15/learning-to-live-with- anorexia/&usg=__8sf6U7hKnSUGGAOIFmc78dOc7kw=&h=699&w=560&sz=112&hl=en&start=0&zoom=1&tbnid=z1dUrlSx3- gRoM:&tbnh=118&tbnw=96&ei=Le1dTfWJNcrogAfz1IXGDQ&prev=/images%3Fq%3Danorexia%26um%3D1%26hl%3Den%26safe%3Dactive%26sa%3DN%26rls%3Dco m.microsoft:en-us:IE- SearchBox%26biw%3D1003%26bih%3D562%26tbs%3Disch:1&um=1&itbs=1&iact=hc&vpx=284&vpy=200&dur=270&hovh=251&hovw=201&tx=151&ty=145&oei=Le1 dTfWJNcrogAfz1IXGDQ&page=1&ndsp=19&ved=1t:429,r:8,s:0 http://www.google.com/imgres?imgurl=http://ehgazette.blogs.brynmawr.edu/files/2010/01/anorexia1206lindsay- lohan.jpg&imgrefurl=http://ehgazette.blogs.brynmawr.edu/2010/01/15/learning-to-live-with- anorexia/&usg=__8sf6U7hKnSUGGAOIFmc78dOc7kw=&h=699&w=560&sz=112&hl=en&start=0&zoom=1&tbnid=z1dUrlSx3- gRoM:&tbnh=118&tbnw=96&ei=Le1dTfWJNcrogAfz1IXGDQ&prev=/images%3Fq%3Danorexia%26um%3D1%26hl%3Den%26safe%3Dactive%26sa%3DN%26rls%3Dco m.microsoft:en-us:IE- SearchBox%26biw%3D1003%26bih%3D562%26tbs%3Disch:1&um=1&itbs=1&iact=hc&vpx=284&vpy=200&dur=270&hovh=251&hovw=201&tx=151&ty=145&oei=Le1 dTfWJNcrogAfz1IXGDQ&page=1&ndsp=19&ved=1t:429,r:8,s:0 Refusal to maintain body weight over a minimal normal weight for age and height. Refusal to maintain body weight over a minimal normal weight for age and height.

16. Anorexia Nervosa (cont.) Denial of the seriousness of the current weight loss. Denial of the seriousness of the current weight loss. Absence of at least three consecutive menstrual cycles. Absence of at least three consecutive menstrual cycles. Anorexia Nervosa is a life-threatening condition

17. Bulimia Nervosa Recurrent episodes of binge eating, characterized by both of the following: Recurrent episodes of binge eating, characterized by both of the following: 1.eating an unusually large amount of food in a discrete period of time 2. Feeling out of control during the eating episode and unable to stop eating or control what and how much is eaten

18. Bulimia Nervosa (cont.) Purging - compensating for the food binge to prevent weight gain: Purging - compensating for the food binge to prevent weight gain: 1.inducing vomiting 2.misusing laxatives 3.enemas or other medications 4.fasting 5.exercising excessively.

19. Bulimia Nervosa (cont.) Binge eating and purging, on average, at least twice a week for three months. Binge eating and purging, on average, at least twice a week for three months. Evaluating self-worth according to body shape and weight. Evaluating self-worth according to body shape and weight. Many individuals with anorexia will also develop symptoms of bulimia. Many individuals with anorexia will also develop symptoms of bulimia.

20. Bulimia Nervosa (cont.) Bulimic behavior can cause: Bulimic behavior can cause: 1. stomach rupture 2. tooth erosion 3. inflammation of the mucous lining of the mouth and throat 4. may eventually cause heart and liver damage

21. Compulsive Eating A large percentage of individuals with eating disorders are compulsive eaters. A large percentage of individuals with eating disorders are compulsive eaters. A compulsive eater keeps eating beyond the time when hunger has been satisfied. Eating is driven by anxiety, fear, frustration, or anger, rather than by hunger or even pleasure. A compulsive eater keeps eating beyond the time when hunger has been satisfied. Eating is driven by anxiety, fear, frustration, or anger, rather than by hunger or even pleasure. Compulsive eaters do not eat for pleasure. Compulsive eaters do not eat for pleasure. Weight does not indicate compulsive eating. Weight does not indicate compulsive eating.

22. “Bigger-exia” Describes individuals who use steroids and other ergogenic aids to build muscles. They are compulsive and excessive about body building workouts. Describes individuals who use steroids and other ergogenic aids to build muscles. They are compulsive and excessive about body building workouts.

23. “Bigger-exia” (cont.) These individuals see extreme size as something to aspire to. These individuals see extreme size as something to aspire to. Many health problems are associated with the use of steroids. Many health problems are associated with the use of steroids. http://www.google.com/imgres?imgurl=http://cdn.bleacherreport.net/images_root/slides/photos/000/209 /980/freak_display_image.jpg%3F1272226215&imgrefurl=http://bleacherreport.com/articles/384333-the- top-10-current-freak- athletes&usg=__fO1Kon_tRIHGGgDOw8yoHLyEaLM=&h=303&w=350&sz=73&hl=en&start=0&zoom=1& tbnid=oviqsbVhIiyeBM:&tbnh=156&tbnw=182&ei=UZJcTeHLCZC2twenq52fDA&prev=/images%3Fq%3D good%2Bathlete%26um%3D1%26hl%3Den%26safe%3Dactive%26rls%3Dcom.microsoft:en-us:IE- SearchBox%26biw%3D1259%26bih%3D594%26tbs%3Disch:10%2C169&um=1&itbs=1&iact=hc&vpx=7 06&vpy=60&dur=320&hovh=209&hovw=241&tx=130&ty=142&oei=LpJcTc_nMILJgQf3kNX8DQ&page=1 &ndsp=18&ved=1t:429,r:9,s:0&biw=1259&bih=59 4

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