1. Eating Disorders

2.  An eating disorder is an obsession with food and weight that harms a person's well-being.

3.  Generally, eating disorders involve self-critical, negative thoughts and feelings about body weight and food, and eating habits that disrupts normal body function, and daily life activities.

4.  For the most part eating disorders are related to obsessive compulsive disorders and are treated as mental health issues.  Eating disorders can cause physical problems, nutrient imbalances and can even lead to death.

5. DIET  Dieting is about controlling your weight. EATING DISORDER  ED’s are about controlling your life and emotions through your weight.

6. DIET  Dieting is about improving health EATING DISORDER  Eating Disorders are about getting thinner at the risk of your health.

7.  Anorexia Nervosa  Bulimia Nervosa  Compulsive Eating  Binge Eating

8.  Body Dismorphic Disorder  Muscle Dysmorphia (bigorexia)  Compulsive Exercising  Night Eating Syndrome  Sleep Eating Disorder  Pica

9. THESE ARE PSYCHIATRIC DISORDERS THAT MANIFEST IN A WAY THAT IS RELATED TO FOOD OR EXERCISE!! IT’S NOT REALLY ABOUT THE FOOD…

10.  Anorexics usually think they're fat even though they're very thin.  Thinness is an obsession.  They avoid food (may even find food disgusting)  They look like they're sick.

11.  They constantly worry about calories, fat, and/or food.  They may take diet pills, laxatives or water pills to lose weight.  They may exercise too much.

13.  Usually Caucasian female  Middle–upper socioeconomic class  Responsible, meticulous, & obedient  Competitive and obsessive  May have conflicts with family  High family expectations  Expression of self control

14.  Extreme thinness  Menstrual problems (amenorrhea)  Lanugo--a fine hair that grows on the skin in response to the body's need for warmth  Extra sensitivity to cold  Easily Bruising Skin

15.  Dry Skin and Hair, Brittle Hair &Nails,  Hair Loss  Bloated stomach after eating  Edema (swelling of face, etc.)  Yellowed skin  Confused thinking ( since the brain needs fuel to function properly)

16.  Abnormal, rigid eating habits  Eating very little food (300-600 kcal/day)  Hiding and storing food  Exercising compulsively  Preparing meals for others, but not eating  Withdrawing from friends and family  Critical of self and others  Sleep disturbances and depression

18.  Nervosa Bulimia is eating a lot of food at once (bingeing) and then purging by vomiting, exercising, or using laxatives, pills, etc to remove the food from the body.

21.  Bingeing- Eating a large amount of food in a short period of time.  Purging-Behavior to compensate for binges; e.g., vomiting, abuse of laxatives or diuretics, fasting, excessive exercise  A loss of control to stop the cycle.  Binges and purging both occur at least twice a week for 3 months (average)

22.  Vomiting causes most health problems  Demineralization of teeth  Drop in blood potassium  Swelling of salivary glands  Stomach ulcers and bleeding  Constipation  Weight fluctuations  Leads to guilt, depression, low self-esteem

23.  Loss of control  Many are not diagnosed (hide their behavior)  Hidden binge-and-purge habits  Elaborate food rules  Binge may consist of 3,000+ kcal  Convenient, high-sugar, high-fat foods  Excessive exercise (“debting” )  Binge-Purge cycles triggered by emotional factors

24.  A binge eater periodically goes on large binges, consuming an unusually large quantity of food in a short period of time (less than 2 hours) uncontrollably, eating until they are uncomfortably full.  They do not purge after eating.  Tend to have a more difficult time losing weight and maintaining healthy weight.

25.  An "addiction" to food,  Using food and eating as a way cope with daily stresses and problems in their lives.  Can be overweight to extremely obese.  Hide behind their physical appearance, using it as a blockade against society  They feel guilty for not being "good enough,“  Shame for being overweight  Very low self-esteem

26.  They use food and eating to cope with these feelings, which only leads into the cycle of feeling them ten-fold and trying to find a way to cope again.  With a low self esteem and often constant need for love and validation he/she will turn to obsessive episodes of binging and eating as a way to forget the pain and the desire for affection.

27.  Obesity  Type II Diabetes  High blood-pressure/Stroke  High cholesterol  Heart attacks  Arthritis  Bone deterioration  Extreme pain  Death

28.  BDD is a preoccupation with a physical defect in appearance or a vastly exaggerated concern about a minimal defect.  The individual thinks about his or her defect for at least an hour per day.  The disorder leads to a great deal of internal suffering.

29.  Fear ridicule in social situations (think everyone is looking at or talking about the defect)  May consult plastic surgeons and undergo painful or risky procedures to try to change the perceived defect.  The medical procedures rarely produce relief. Indeed they often lead to a worsening of symptoms.  Obsessive ruminations about appearance may make it difficult to concentrate on schoolwork.

30.  Repeated requests for reassurance about the defect  Avoiding mirrors/obsessive looking in mirrors  Repeatedly measuring or palpating the defect  Elaborate grooming rituals.  Camouflaging some aspect of one’s appearance  Repeated touching of the defect  Avoiding social situations where the defect might be seen by others.  Anxiety when with other people.

31.  An obsession with muscles and body building, getting bigger and stronger.  May feel they need to be muscular and ‘‘ripped “ to be attractive.  AKA reverse anorexia or bigorexia

33.  Many reported taking anabolic steroids to build bigger muscles, but still were unsatisfied  Preoccupation body building is so intense that some routinely gave up desirable jobs, careers and social engagements to spend hours in a gym each day.  They weighed themselves several times a day, repeatedly checked themselves in mirrors.

34.  They may refuse to go to the beach or pool for fear their bodies don't look good enough to be seen.  Wear baggy sweatshirts and pants even in midsummer to conceal their bodies  Experienced great distress if they had to miss even one day of weight-lifting.

35.  The main goal of the exercise is burning calories  Will find time at any cost to do the exercise (including cutting school, taking off from work, hiding in the bathroom and exercising, etc.).  Addictive & compulsive- putting the individual's physical safety, emotional health and other areas of their life (job, school, family, etc.) in jeopardy because of the compulsive nature of the exercise.

36.  A sense of temporary power, control and/or self-respect.  A way to forget about their underlying issues and to relieve guilt and pressure of the stresses that build.  Some will continue to exercise with a feeling that it is a chore or a punishment, others will be addicted to the sense of power and self- respect they feel from the activity.

37.  People that skips meals during the day and then binge on food in the evening  They end up overeating at night and may even eat until very late.  This may lead to problems with falling asleep and/or staying asleep.

38.  It is a combined sleep-eating problem.  Associated with sleep walking  They binge on usually large quantities of food,  Sufferers may not remember these episodes,  At great risk of unintentional self-injury.  Leads to anxiety, tiredness, stress and anger.

39.  A compulsive craving for eating, chewing or licking non-food items or foods containing no nutrition.  Including chalk, plaster, paint chips, baking soda, starch, glue, rust, ice, coffee grounds, etc.  Sometimes be linked to certain mineral deficiencies (i.e., iron or zinc).  Pica can be associated with, developmental delays, mental deficiencies, mental illness, family problems and/or a family history of the disorder.

40.  Malnutrition  Vitamin& Mineral Deficiencies (Iron deficiency anemia)  Dehydration  Electrolyte Imbalances  Muscle Atrophy  Low Blood Pressure  Impaired Neuromuscular Function  Paralysis

41.  Dizziness, blurred vision, passing out, heart pounding and headaches.  Low Platelet Count  Low Blood Sugar/Hypoglycemia  Diabetes  Bad Circulation  Slowed or Irregular Heartbeat, Arrhythmias, Angina, Heart Attack

42.  Hormone imbalances  Ketoacidosis  Kidney Infection and Failure  Osteoporosis/Osteopenia  Arthritis  Dental Problems, erosion of tooth enamel, severe decay, gum disease  Infertility, Miscarriage, Birth defects

43.  Edema  Tearing of Esophagus, gastric rupture, GI Bleeding, peptic ulcers  Acid Reflux Disorders  Cancer -  Insomnia  Chronic Fatigue Syndrome

44.  Lowered body temperature.  Pancreatitis  Digestive Difficulties -cramps, bloating, constipation, diarrhea, incontinence  Weakness and Fatigue  Seizures  Depression

45. Death Caused by any of the previous or any combination of the following: heart attack or heart failure; lung collapse; internal bleeding, stroke, kidney failure, liver failure; pancreatitis, gastric rupture, perforated ulcer, depression and suicide.heart attack stroke

46.  Unnatural concern about body weight (even if the person is not overweight)  Obsession with calories, fat, and/or food.  Use of any medicines to keep from gaining weight (diet pills, laxatives, water pills)  Throwing up after meals  Refusing to eat /lying about how much was eaten  Fainting  Over-exercising  Not having periods  Increased anxiety about weight

47.  Myth #1: You have to be underweight to have an eating disorder.  People with eating disorders come in all shapes and sizes. Many individuals with eating disorders are of average weight or are overweight.  Myth #2: Only teenage girls and young women are affected by eating disorders.  While eating disorders are most common in young women in their teens and early twenties, they are found in men and women of all ages.  Myth #3: People with eating disorders are vain.  It’s not vanity that drives people with eating disorders to follow extreme diets and obsess over their bodies, but rather an attempt to deal with feelings of shame, anxiety, and powerlessness.  Myth #4: Eating disorders aren’t really that dangerous.  All eating disorders can lead to irreversible and even life-threatening health problems, such as heart disease, bone loss, stunted growth, infertility, and kidney damage.

48.  Psychotherapy  Nutritional counseling  Support groups  Residential treatment

49.  For anorexics, the first step is getting back to a normal weight. If you're malnourished or very thin, you may be put in the hospital. Your doctor will probably want you to see a dietitian to learn how to pick healthy foods and eat at regular times. For both anorexics and bulimics, family and individual counseling (talking about your feelings about your weight and problems in your life) is helpful.