1. PSY 436 Instructor: Emily E. Bullock, Ph.D.
Eating Disorders
PSY 436
Instructor: Emily E. Bullock, Ph.D.

2. DSM-IV-TR Anorexia Nervosa Diagnostic Criteria
Refusal to maintain body weight at or above a minimally normal weight for age and height
Intense fear of gaining weight, even through underweight
Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight
The absence of at least three consecutive menstrual cycles

3. DSM-IV-TR Anorexia Nervosa Diagnostic Criteria
Specifiers
Restricting Type: person not regularly engaged in binge-eating or purging behavior
Bing-Eating/Purging Type: person has regularly engaged in binge-eating or purging behavior

4. Medical Complications of Anorexia
Anemia
Dermatological problems
Cardiovascular complications
Gastrointestinal problems
Menstrual irregularities
Muscular weakness
Abnormal bone growth
Death

5. DSM-IV-TR Bulimia Nervosa Diagnostic Criteria
Recurrent episodes of binge eating that is characterized by both of the following
Eating, in a discrete period of time and amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances
A sense of lack of control over eating during the episodes
Recurrent inappropriate compensatory behavior in order to prevent weight gain (vomiting, laxatives, diuretics, enemas, exercise, fasting)

6. DSM-IV-TR Bulimia Nervosa Diagnostic Criteria
Bing eating and inappropriate compensatory behaviors both occur at least twice a week for 3 months
Self evaluation is unduly influenced by body shape and weight
The disturbance does not occur exclusively during episodes of anorexia
Specifiers
Purging type
Nonpurging type

7. Medical complications of Bulimia
Due to repeated vomiting
Skin irritation
Blockage of salivary ducts
Decay of tooth enamel
Dental cavities
Damage to taste receptors
Abdominal pain
Hiatal hernia
Pancreatitis
Disturbance in menstrual functioning
Laxative dependency
Convulsions and swelling
death

8. A Multifactorial Model of Eating Disorders

9. Thinner and Thinner

10. Treatment of Eating Disorders
Biomedical Treatment
Psychotherapy
Cognitive-behavioral therapy
Family therapy

11. Obesity: A National Epidemic
Are You Obese?
What Causes Obesity?
Genetic Factors
Metabolic Factors
Fat Cells
Lifestyle Factors
Psychological Factors

12. Obesity: A National Epidemic
Facing the Challenge of Obesity
Changing the As, Bs, Cs of overeating