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Risk Factors
Precipitating Factors
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Highest mortality in Psychiatry
Anorexia Nervosa
1) BMI<17.5
2) Self induced weight loss
3) Body image distortion
4) Endocrinological consequence
Bulimia Nervosa
1) Eating large amounts of food in a short space of time until uncomfortably full
2) Fear of fatness
3) Acts to counter food by
purging (inc. laxatives)
https://www.beateatingdisorders.org.uk/your-stories/5-things-never-to-say-to-a-recovering-anorexic
Anorexia is a condition where recovery initially makes you feel worse
1) No need to mention how they look (whatever their size)
"Would you believe my honest opinion?"
"Do you think it will be helpful?"
"Your BMI is currently .... and it is (not) in the 18.5-25 range"
"Your K+ is ..... which suggests that...."
2) The problem is usually deeper than the food
(Family dynamics / Self Esteem / Relationships)
3) It can take a long time to treat so be patient
Purging
Loss of HCl from the gut leading to alkalosis
1) 1.25 million people in the UK have an eating disorder. Around 25% of those affected by an eating disorder are male.
2) Starvation itself causes irrational behaviours
3) Anorexia has the highest mortality of all psychiatric conditions
4) MDT approach to treatment is essential
25 yr old female
Professional figure skater
High achiever at top university