Eating Disorders Killer, Mischievous, Catapultin’

● 1 in 5 women struggle with eating disorders ● 90% of all eating disorders are women between the ages of Eating Disorders ●10-15% of those with bulimia or anorexia are male ●11% of high school students have been diagnosed with eating disorders

Definition -any of several psychological disorders (as anorexia nervosa or bulimia) characterized by serious disturbances of eating behavior

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Anorexia Nervosa ● Fear of gaining weight ● Severe food restriction ● Denial of being too thin ● Extremely low body weight ● Lack of menstruation in girls and women

Bulimia Nervosa ●Eating extreme amounts of food in a short time ●Rapid consumption until painfully full

Bulimia Nervosa ●Overcompensating to maintain weight ○ vomiting ○ laxatives ○ exercising ●Twice weekly for at least three months

EDNOS (Eating Disorders Not Otherwise Specified) Usually happen less frequently than the other, specified disorders Examples: ● atypical anorexia nervosa--weight is not below normal ● night eating syndrome--excessive consumption at nighttime

Treatment ● “identifying the cause may not be nearly as important as identifying the maintaining factors of an eating disorder” ● cognitive factors, interpersonal experiences, emotions, and degree of body dissatisfaction

Cognitive Factors ● OCD ● Perfectionism

Interpersonal Experiences ● Trauma ● Abuse ● Teasing

Emotional Connection ● Common Emotional Process with Disorder: o being aware of an unpleasant emotional experience o becoming overwhelmed by his or her feelings o using eating disorder behaviors as a way to cope with the uncomfortable feelings

Body Dissatisfaction ● Usually accompanies another factor

Socioeconomic Factors ● Abundant food = thinness idolized ● Media ● Peers o Learn or perfect their pathogenic disorder ● Not causative, low prevalence

Familial Factors ● Comparing ● Highly critical ● mother to daughter

Genetics ● Play a role ● Relative has it you are more likely

Medical Implications ● Binge vs. purge o Binge: Uncontrolled and excessive eating followed by shame o Purge: get rid of it after ● All systems need to be reviewed o address all problems

Medical Implications ● Cardiovascular ● Hypotension (blood pressure) ● Heart failure ● Gastrointestinal complications ● Renal ● Thyroid

Treatment ● Therapy o group o couples o family o counseling ● Group o Support o DBT  Extreme arousal and slow return to baseline

Treatment ● 5 Levels o Level 1 (Outpatient Treatment), o Level 2 (Intensive Outpatient Treatment), o Level 3 (Partial Hospitalization), o Level 4 (Residential Treatment), o Level 5 (Inpatient Hospitalization). ● Determining Factors:medical complications, suicidal tendencies, body weight (i.e., Body Mass Index), motivation to recover, environmental stress, purging behavior, comorbidities, treatment availability, and structure needed for eating and weight management.

Therapeutic Recreation ● Often present in population ● Engage in normal activities ● Often abandon fun for “Calorie burn” ● Hard time dealing with emotions o stress management classes o relaxation o meditation

Therapeutic Recreation ● Social skills & enjoy environment o hiking o gardening o fishing ● Personal satisfaction & achievement o crafts o games