1. Eating Disorders Killer, Mischievous, Catapultin’

3. ● 1 in 5 women struggle with eating disorders ● 90% of all eating disorders are women between the ages of 12-25 Eating Disorders ●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 https://www.youtube.com/watch?v=87P2loH02E8

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: o being aware of an unpleasant emotional experience o becoming overwhelmed by his or her feelings o 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 o 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 o Binge: Uncontrolled and excessive eating followed by shame o Purge: get rid of it after ● All systems need to be reviewed o address all problems

20. Medical Implications ● Cardiovascular ● Hypotension (blood pressure) ● Heart failure ● Gastrointestinal complications ● Renal ● Thyroid

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

22. Treatment ● 5 Levels o Level 1 (Outpatient Treatment), o Level 2 (Intensive Outpatient Treatment), o Level 3 (Partial Hospitalization), o Level 4 (Residential Treatment), o 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 o stress management classes o relaxation o meditation

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