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Untitled Prezi

Eating Disorders: A Focus on Prevention

Marlys Slone

on 25 February 2014

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Eating Disorders:
A Focus on Prevention

Diagnosed Eating Disorders
Multidiscipline Team
Most effective treatment…
Binge Eating Disorder
Bulemia Nervosa
Nocturnal Eating Disorders
Other Specified Feeding or Eating Disorder (OSFED)
-Originated in late 1990's.
-"Obsession with dietary virtue," aka healthy eating crosses the line into unhealthy obsession.
-Tend to be self-righteous and superior to others with prideful desire to share their habits.
-Does it deserve its own designation of a disorder?
-The ONLY ED with a tendency for equal or higher incidence among males.
-Family and Friends

*Intense Outpatient vs Outpatient
Night Eating Syndrome
-Diagnosed by delayed circadian pattern of eating where >25% of daily calories are eaten after evening meal or individual wakes up to eat 2+x/week.
-Just as common as AN, BN, or BED.
Sleep-Related Eating Disorder (SRED)
-More dangerous as participant lacks awareness of its occurrence
-Includes non-food items such as shaving cream
-Treatment focuses on drugs, not psychotherapy.
-Exaggerated drive for thinness
-Intense fear of becoming fat or gaining weight with self-worth based on weight or shape
-Restrict energy intake
She once put herself on a 300-calorie-per-day diet that led her to weigh a mere 82 pounds. "It wasn't that I was proud of it, but it was certainly a recognition for my self-control," said Portia DeRossi.
"I spent my entire life being obsessed with dieting," the Bravo reality star told Us in 2011. "Bingeing and then fasting or starving. Forbidding everything. That's how I used to be: up and down 5 pounds every single day, to the extremes. My metabolism was totally wrecked." - Bethenny Frankle
-Overwhelming urges to eat and inappropriate compensatory behaviors or purging follow binge episodes
-Fear of being overweight
-Recurrent binge eating in discrete time period with lack of control
-Self-evaluation is influenced by body shape and weight
She may have survived a battle with cancer, but The Talk co-host admits she's still fighting her eating disorder. "I've been able to conquer just about everything except bulimia," Sharon has said.
-Recurrent binge eating in discrete time period with lack of control
-Binge eating episode must be associated with 3+:
-eating more rapidly than normal
-eating until uncomfortable full
-eating large amounts when not hungry
-eating alone d/t embarrassment by how much one is eating
-feeling disgusted, guilty and depressed after eating
Body Dysmorphic Disorder
Muscle Dysmorphia
Factors that May Contribute to Eating Disorders
Cost effective Emphasize:
-health at every size
-intuitive eating
Marlys Slone, MS, RD, LD
MedCentral Heath System
Outpatient and Community Dietitian
Ashland University
Adjunct Professor

Self-Wellness Activities
-Identify personal stressors/triggers
-Develop a list of stress reducers
-Develop a list of self-POSITIVES
Eating disorders (ED's) are psychiatric disorders with diagnostic criteria based on psychologic, behavior, and physiologic characteristics
Diagnosis criteria from the Diagnostic and Statistical Manual of Mental Disorders, aka DSM V
Kelly Clarkson identifies the cause of her bulemia as frustration due to, "...a missed musical role opportunity given to a thinner, less talented actress.
-Academy of Nutrition and Dietetics (AND)
-Sport Cardiovascular and Wellness Nutrition (SCAN), a practice group of AND
-National Eating Disorders Association (NEDA)
-Eating Disorders Coalition
-Academy for Eating Disorders (AED)
Rumination Disorder
Persistent eating of non-nutritive substances
Note behavior is NOT part of culturally or socially supported practice
- Repeated regurgitation of food by re-chewing,
re-swallowing or spiting out
Avoidant/Restrictive Food Intake Disorder (ARFID)
- Met by persistent failure to meet appropriate nutritional needs
-Significant weight loss or faltering growth
nutrient deficiency
-Dependency on enteral feeding or oral supplements
-Interference with psychosocial functioning
Present with clinical distress and impairment in areas of functioning, but do NOT meet FULL criteria for other feeding and eating disorders. ie. low frequency, short duration, lack significant weight loss
Feeding and Eating Disorders
Obsessive Compulsive and Related disorders
Full transcript