1. Day 5 “Eating Disorders” Kick-off: Read letter, answer question… 1. Truth or Myth 2.Notes: weight 3.Eating Disorders 4.Anorexia 5.Bulimia 6.Binge Eating and Obesity 7. Review Guide

2. Kick-Off TRUE….Letter from an girl suffering from anorexia… 1. Read the letter 2. Answer question… “Why is it important to be sensitive when talking about eating disorders?”

3. “Truth or Myth” Take 2 minutes and complete the 10 questions to your beliefs!

4. Truth or Myth… 1. The cause of eating disorders are complex and involve social, psychological and genetic factors.

5. Truth or Myth… True: Eating disorders are complex conditions that arise from a combination of long- standing behavioral, emotional, psychological, interpersonal and social factors. These include but are not limited to low self esteem, feelings of inadequacy, troubled family relationships, history of abuse, cultural pressures, biological causes and others.

6. 2. Eating disorders are most common among teens and young adults.

7. True: Nine out of every 10 cases are found among girls and young women.

8. 4. People with anorexia or bulimia may over exercise.

9. True: Over exercising is when someone feels driven to exercise as a way to burn calories from food that he or she has just eaten. People with anorexia or bulimia may over exercise.

10. 5. There are no cases of males with eating disorders.

11. False: Males account for 5 to 10 percent of bulimia and anorexia cases. Approximately 10% of eating disordered individuals coming to the attention of health care professionals is male.

12. 6.Treatments of eating disorders involve several different health professionals.

13. True: Typically care is coordinated by a licensed health care professional including but not limited to a psychologist, psychiatrist, social worker, nutritionist/dietitian and/or medical doctor. Treatment may include individual, group or family therapy and medical management. Support groups, nutritional counseling and psychiatric medications under careful medical supervision have also proven helpful for some.

14. 7. Eating disorders can result in serious health consequences including death.

15. True: If untreated, eating disorders may become chronic and lead to severe health problems, even death. About 1,000 people die of anorexia each year according to the American Anorexia/Bulimia Association. Other health consequences include: slowed growth and development, wasting of muscle tissue, drop in blood pressure and pulse rate, body organs shrivel, bone density decreases and symptoms of osteoporosis may occur, and others.

16. 8. Some athletes are susceptible to eating disorders due to the demands of their sport.

17. True: Specific population groups who focus on food or thinness such as athletes, models, culinary professionals as well as young people are at risk for developing an eating disorder (American Dietetic Association’s position paper on eating disorders) Gymnastics, cheerleading, dancing, figure skating, diving, swimming, track, wrestling and equestrian sports exert the most risk due to the weight and appearance demands placed on the athletes.

18. 9. Men are more likely than women to seek help for eating disorders.

19. False: Many men deny they have a problem or are too embarrassed to get help.

20. 10. The pressures of a culture that promotes “thinness” and the “perfect body” contribute to causing eating disorders.

21. True: Cultural values that glorify “thinness” and place value on the “perfect body” have been identified as contributing to eating disorders.

22. Notes on the front…

23. UNDERWEIGHT: 10% below desirable body weight. OVERWEIGHT: 10% above desirable body weight. OBESITY: 20% above desirable body weight.

24. Eating Disorder A condition in which a person has a compelling need to starve, to binge, or to binge and purge. Why are some teens at risk for developing eating disorders? Emphasis on appearance, uncomfortable, perfectionism, control, emotions.

25. Common Eating Disorders Anorexia Nervosa Bulimia Nervosa Binge Eating Disorder

26. Eating Disorder Physical Symptoms Extreme weight loss Thin appearance Abnormal blood counts Fatigue Insomnia Dizziness or fainting A bluish discoloration of the fingers Hair that thins, breaks or falls out Soft, downy hair covering the body Absence of menstruation Constipation Dry skin Intolerance of cold Irregular heart rhythms Low blood pressure Dehydration Osteoporosis

27. Eating Disorder Emotional Symptoms Refusal to eat Denial of hunger Afraid of gaining weight Lying about how much food has been eaten Excessive exercise Flat mood (lack of emotion) Social withdrawal Irritability Preoccupation with food Depressed mood Possible use of laxatives, diet aids or herbal products

28. Side Effects of Eating Disorders Heart Rate DECREASE Blood Pressure decrease life-threatening cardiac arrhythmias or arrest Stunted growth in children Stress fractures and broken bones more likely Osteoporosis Loss of teeth or Gum disease May vomit blood from small tear(s) in esophagus OR Rupture of the esophagus, may lead to circulatory collapse and death Low body temperature Hair becomes thin and may fall out Development of fine body hair as the body’s attempt to keep warm Dehydration, stomach lining erosion or eruption, constipation,

29. If you're concerned that a loved one may have an eating disorder, watch for these possible red flags: Skipping meals Making excuses for not eating Eating only a few certain "safe" foods, usually those low in fat and calories Adopting rigid meal or eating rituals, such as cutting food into tiny pieces or spitting food out after chewing Cooking elaborate meals for others but refusing to eat Repeated weighing of themselves Frequent checking in the mirror for perceived flaws Complaining about being fat Not wanting to eat in public

30. URGE THEM TO TALK TO SOMEONE! Parents Guidance Trusted Teacher Doctor

31. Anorexia Nervosa An eating disorder in which a person starves himself or herself and weighs 15% or more below desirable weight.

32. Anorexia Nervosa https://www.youtube.com/watch?v=hXl0v x-9XpQ (Oprah… 10 minutes) https://www.youtube.com/watch?v=hXl0v x-9XpQ

33. Bulimia An eating disorder in which a person binges and purges.

34. Short Clip on Bulimia Dr. Phil (3 minutes) http://www.youtube.com/watch?v=qP0twyqB WIk&feature=related http://www.youtube.com/watch?v=qP0twyqB WIk&feature=related

35. Binge eating disorder An eating disorder in which a person cannot control eating and eats excessive amounts of food.

36. Review Guide/Homework Next Class… Test on Mental Disorders Portfolio Check Pages 1-7 complete Review Guide

37. Movie on Anorexia… “Dying to be Thin”