1. Treatment of obesity drug treatments early – amphetamine
more recent - 5HT drugs Sibutramine (Meridia)
jaw wiring
surgery

2. Other end of the spectrum
anorexia
occurs ~ 1% females –typically teens to 20’s
bulimia –
harder to estimate – more likely 4% or so affected

3. Criterion for Anorexia
Weight: 15 % below ideal body weight. Refusal to maintain a normal weight or above normal weight for height and age.
Intense fear of gaining weight or becoming fat, even though underweight.
Body Image Problems
4. No Periods for at least 3 months

4. The illness typically occurs in teen or early 20’s
86% report onset of illness by the age of 20
• 10% report onset at 10 years or younger
33% report onset between ages of 11-15
43% report onset between ages of 16-20

5. This is an illness that persists for many people.
Only 50% report being cured
77% report duration from one to fifteen years
30% report duration from one to five years
31% report duration from six to ten years
16% report duration from eleven to fifteen years
It is estimated that six percent of serious cases die

6. Bulimia
Binge Eating
-a few to several thousand calories within a few hours
- a feeling that one cannot stop eating although one desires to
2. Purging
-vomiting, laxatives, diuretics or excessive exercise
3. Binging and Purging occurs more than 2 x a week for at least 3 months
4.Body Image : Self evaluation and self esteem is overly influenced by weight and shape

7. There are many diseases, disorders, and problem conditions involving food, eating, and weight.
Dieting teens:
More than ½ teenaged girls are, or think they should be, on diets. About 3% become anorexic or bulimic.

8. What are the underlying causes?

9. Also recent data on altered 5HT function
No real pharmacotherapy appears effective