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Eating Disorders Overview

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teassa eddy

on 22 April 2014

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Transcript of Eating Disorders Overview

Eating Disorders
Introduction to Eating Disorders
DSM Diagnostic Criteria
Definition
:
"characterized by a persistent disturbance of eating or eating-related behaviors that results in the altered consumption or absorption of food and that significantly impairs physical health and psychological functioning"
(American Psychiatric Association, 2013)
DSM Diagnoses
Pica

Rumination Disorder

Avoidant/Restrictive Food Intake Disorder

Anorexia Nervosa

Bulimia Nervosa

Binge-Eating Disorder
DSM Diagnoses
Other Specified Feeding or Eating Disorder

307.59 (F50.8)
Does not meet full criteria for diagnosis
Includes:
Purging disorder
Atypical anorexia nervosa
Low frequency and/or limited duration Bulimia nervosa and Binge-eating disorder

Unspecified Feeding or Eating Disorder

307.50 (F50.9)
Does not meet full criteria for diagnosis
Does not wish to specify why criteria is not met
DSM Diagnoses
Pica

307.52 (F98.3) (F50.8)
Eating nonnutritive, nonfood substances
Ex. TLC's My Strange Addiction

Rumination Disorder

307.53 (F98.21)
Repeated regurgitation of food
Re-chewed, re-swallowed, spit-out

Avoidant/Restrictive Food Intake Disorder
307.59 (F50.8)
"Lack of interest in eating or food; avoidance based on the sensory characteristics of food; concern about aversive consequences of eating" (American Psychiatric Association, 2013)
Failing to meet nutritional and/or energy needs
DSM Diagnoses
Anorexia Nervosa

307.1 (F50.01) (F50.02)
Restriction of energy intake
Low body weight
Fear of gaining weight
Disturbance in body image

Bulimia Nervosa

307.51 (F50.2)
Binge eating
Compensatory behaviors to avoid weight gain

Binge-Eating Disorder

307.51 (F50.8)
Binge eating
Feelings of guilt, embarrassment, depression, uncomfortably full, etc.
Treatment
Individual Psychotherapy
Cognitive Behavior Therapy (CBT)
CBT-E
Interpersonal Therapy (IPT)

Family-based therapy

Group psychotherapy & self-help groups

H.A.L.T.
(H. Martin, personal communication, March 31, 2014)
Eating Disorders Coalition
http://www.nationaleatingdisorders.org/sites/default/files/Toolkits/parenttoolkit/index.html?bookmarks=34
Eating Disorder Policies

Federal Response to Eliminate Eating Disorders (
FREED
) Act
Fund research, train professionals and personnel, ensure available treatment
Eating Disorders Coalition


PA House Bill 1959
Parental education and screenings

Food Insecurity and Eating Disorders
Decrease in food consumption
Especially fruits and veggies

Decrease in fiber, potassium, vitamin intake

Treatment aimed at higher SES populations
Belief that lower SES have issues that supersede eating disorder presentation and treatment

The Media & Eating Disorders
Highlights
Highest mortality rate of all mental illnesses

Poorest prognosis:
Anorexia Nervosa
Longer duration

Treatment:
Difficult
Effectiveness varies

Only a few eating disorder policies

The media has a large influence, but many other factors contribute to development and outcome

A comprehensive approach
References
American Psychiatric Association. (2013).
Diagnostic and
statistical manual of mental disorders
(5th ed.). Arlington, VA: American Psychiatric Publishing.

Eating Disorders Coalition. (2011, July 16). What is the FREED Act? [Blog
post]. Retrieved from http://eatingdisorderscoalition.blogspot.com
/2011/07/what-is-freed-act.html

Food Insecurity. (n.d.).
In Eating Disorders: An encyclopedia of causes, treatment,
and prevention
. Retreived from http://books.google.com books?id= 0IJ7VWTAfqcC&pg=PA218&lpg=PA218&dq=food+insecurity+and+eating+disorders&source=bl&ots=QAxiQ54mG4&sig=QG1ewbO2EF wNXicxAyDHm4boHNM&hl=en&sa=X&ei=wwVCU_fAIMafyQHX_IDoBA&ved=0CHMQ6AEwCQ#v=onepage&q=food%20insecurity%20and%20eating%20disorders&f=false.

Kenney, J. (2013).
Mental Health and Public Policy
[PowerPoint slides]. Retrieved from https://courseweb.pitt.edu/webapps/portal/frameset.jsp?tab_tab_group_id=_3_1&url=%2Fwebapps%2Fblackboard%2Fexecute%2Flauncher%3Ftype%3DCourse%26id%3D_158880_1%26url%3D.

http://www.anad.org
Full transcript