1. Killer, Mischievous, Catapultin’
Eating Disorders
Killer, Mischievous, Catapultin’

3. Eating Disorders 1 in 5 women struggle with eating disorders
90% of all eating disorders are women between the ages of 12-25
10-15% of those with bulimia or anorexia are male
11% of high school students have been diagnosed with eating disorders

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

6. Clip

7. 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

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

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

10. 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

11. 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

12. Cognitive Factors
OCD
Perfectionism

13. Interpersonal Experiences
Trauma
Abuse
Teasing

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

15. Body Dissatisfaction
Usually accompanies another factor

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

17. Familial Factors
Comparing
Highly critical
mother to daughter

18. Genetics
Play a role
Relative has it you are more likely

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

20. Medical Implications Cardiovascular Hypotension (blood pressure)
Heart failure
Gastrointestinal complications
Renal
Thyroid
Gastrointestinal complications-acid reflux and dehydration due to purging

21. Treatment Therapy Group group couples family counseling Support DBT
Extreme arousal and slow return to baseline

22. Treatment 5 Levels Level 1 (Outpatient Treatment),
Level 2 (Intensive Outpatient Treatment),
Level 3 (Partial Hospitalization),
Level 4 (Residential Treatment),
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.

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

24. Therapeutic Recreation
Social skills & enjoy environment
hiking
gardening
fishing
Personal satisfaction & achievement
crafts
games