1. Objectives: Define the terms:
Eating Disorder
Anorexia Nervosa
Bulimia Nervosa
Outline the clinical characteristics of Anorexia Nervosa and Bulimia Nervosa
Compare and contrast Anorexia and Bulimia
3.50
Go through
Explain we will be learning by doing
Handouts will be provided

2. Eating Disorder Definition
A Dysfunctional relationship with food
Faulty cognition relating to food
Emotional responses to food.

3. Anorexia Definition Gross undereating Anxiety Disorder
Use of eating behaviour as a method of control

4. Clinical Characteristics - Anorexia Nervosa
According to DSM-IV, there are four criteria for anorexia nervosa:
Weight is less than 85% of that expected
Amenorrhoea – (absence of menstruation)
Body Image Distortion
Anxiety about becoming fat
Over 90% are adolescent females

5. Bulimia Definition Gross over eating and purging
Mood Disorder (depression)
Use of eating and purging to medicate depressed feelings

6. Clinical Characterisitics - Bulimia Nervosa
According to DSM-IV, bulimia nervosa is defined by the following five criteria:
Binge eating
Purge (self-induced vomiting, excessive exercise, going without meals, laxatives)
Frequency of binge and purge (twice a week or more)
Body image distortion
Starts in early adulthood (20’s onwards)

7. Similarities Similarity Anorexic Bulimic Distorted body image
See themselves as “normal” size in mirror
See themselves as larger in the mirror
Obsessive Thinking
Fear of food – need for control
If I binge/purge I will feel better
Dysfunctional eating behaviour
Don’t Eat
Binge Purge

8. Differences Difference Anorexic Bulimic Weight Reduces
Fluctuates around normal
Eating patterns
Don’t Eat
Binge Purge
Age of onset
Early teens
Early adulthood

9. Activity
Read the case studies and pick out the symptoms in each
10min
5min
STOP