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 Posted: Fri Dec 11, 2009 6:56 pm
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Anorexia Nervosa
--Body weight is maintained at least 15% below that expected (either lost or never achieved), or Quetelet's body-mass index is 17.5 or less. Prepubertal patients may show failure to make the expected weight gain during the period of growth.
--The weight loss is self-induced by avoidance of "fattening foods" and one or more of the following: self-induced vomiting; self-induced purging; excessive exercise; use of appetite suppressants and/or diuretics.
There is body-image distortion in the form of a specific psychopathology whereby a dread of fatness persists as an intrusive, overvalued idea and the patient imposes a low weight threshold on himself or herself.
--A widespread endocrine disorder involving the hypothalamic-pituitary-gonadal axis is manifest in women as amenorrhoea and in men as a loss of sexual interest and potency. (An apparent exception is the persistence of vaginal bleeds in anorexic women who are receiving replacement hormonal therapy, most commonly taken as a contraceptive pill.) There may also be elevated levels of growth hormone, raised levels of cortisol, changes in the peripheral metabolism of the thyroid hormone, and abnormalities of insulin secretion.
--If onset is prepubertal, the sequence of pubertal events is delayed or even arrested (growth ceases; in girls the breasts do not develop and there is a primary amenorrhoea; in boys the genitals remain juvenile). With recovery, puberty is often completed normally, but the menarche is late.
Bulimia Nervosa
--Binge Eating: The DSM-IV defines binging associated with bulimia nervosa as eating in a "discrete time period" an amount of food significantly greater than expected of normal eating habits.
--Purging: Purging is defined as "recurrent inappropriate compensating behavior" to prevent weight gain after episodes of binging. Purging behavior associated with bulimia nervosa includes self-induced vomiting, misuse of laxatives, diuretic use, enemas, fasting, and excessive exercise.
--Frequency and Duration: For a diagnosis of bulimia nervosa, episodes of binging and purging must occur at least twice a week for three consecutive months.
--Body Image and Weight Loss Attitudes: Bulimics, like anorexics, have a great fear of weight gain, and self-evaluate almost completely in terms of body image and weight loss. A bulimic has an unrealistic image of his or her ideal weight; usually well below the healthy minimum of the individual's age, gender, and height.
--Absence of Anorexia: A cycle of binging and purging is not considered bulimia if it occurs during an episode of anorexia nervosa. Instead, the patient is said to have binge and purge type anorexia.
EDNOS
There are variants of disordered eating that do not meet the diagnostic criteria for anorexia nervosa or bulimia nervosa. These are still eating disorders requiring necessary treatment. A substantial number of individuals with eating disorders fit into this category. Individuals with eating disordered behaviors that resemble anorexia nervosa or bulimia nervosa but whose eating behaviors do not meet one or more essential diagnostic criteria may be diagnosed with EDNOS. Examples include: individuals who meet criteria for anorexia nervosa but continue to menstruate, individuals who regularly purge but do not binge eat, and individuals who meet criteria for bulimia nervosa, but binge eat less than twice weekly, etc. Being diagnosed as having an "Eating Disorder not Otherwise Specified" does not mean that you are in any less danger or that you suffer any less.
COE
Recurrent episodes of binge eating. An episode of binge eating is characterizedby both of the following:
(1) eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely
larger than most people would eat in a similar period of time under similar circumstances.
(2) a sense of lack of control over eating during the episode (i.e., feeling that one cannot stop eating or
control what or how much one is eating)
The binge-eating episodes are associated with three (or more) ofthe following:
(1) eating much more rapidly than normal
(2) eating until feeling uncomfortably full
(3) eating large amounts of food when not feeling physically hungry
(4) eating alone because of being embarrassed by how much one is eating
(5) feeling disgusted with oneself, depressed, or very guilty after overeating
Marked distress regarding binge eating is present.
The binge eating occurs, on average, at least 2 days a week for 6 months.
The binge eating is not associated with the regular use of inappropriate compensatory behaviors (e.g., purging,
fasting, excessive exercise) anddoes not occur exclusively during the course of Anorexia Nervosa or Bulimia Nervosa.
Introduction * Types * Symptoms And Health * FAQs and Misunderstandings * How to Get Help * About Me
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Posted: Fri Dec 11, 2009 7:06 pm
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I was diagnosed with Bulimia Nervosa when I was fourteen. (2007) Before that, I had some issues with depression and suicide and all that.
I was put on prozac, which made me lose my appitite so I lost a lot of weight. I was taken off of it, and then the binging started. I didn't like the feeling of being full, so I started purging. I had purged a few times before this, though, but it wasn't excessive.
I purged every day. Sometimes twice a day. A few months later, my parents noticed, but never really did anything about it, so I continued. I didn't want help, nor was I ready for it.
In August, I was put into an eating disorder program. I was completely against it. I didn't want to let anyone in. I didn't want to start eating "normally" again. The first thing I did when I found out was going was running (literally) to CVS and buying a bottle of laxatives. I cooperated with the program. It wasn't like I was sitting there refusing to eat and throwing fits, but I refused to open up, and I refused to stop binging and purging. My parents weren't really supportive about anything . . . Like, yeah I had the opportunity to recieve treatment, but they weren't really involved in it . . . Didn't show up for family therapy, NEVER, EVER talked about it, etc. Basically, if they don't think about it, hear about it, see it, etc., they could pretend my eating disorder didn't exist.
I left the program and continued with therapy. I had an amazing therapist, but in June the next year, she thought it was necessary for me to go inpatient. I was at the hopsital for a week and a half. I didn't purge, and I ate normally, but again, I wouldn't open up, so they discharged me. I went back to my old therapist, but I was only with her for a few months before she told me to stop seeing her. I've been out of treatment ever since.
My bulimia's not as bad as it used to be. I don't purge every day, and I rarely binge. I'm medically healthy, but I don't eat as normally as I should . . .
That's basically it.
Left out a lot of detail, but I'll answer questions and such.
Introduction * Types * Symptoms And Health * FAQs and Misunderstandings * How to Get Help * About Me
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Posted: Fri Dec 11, 2009 7:15 pm
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Posted: Thu Dec 17, 2009 6:44 pm
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Posted: Thu Dec 17, 2009 7:05 pm
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Hmm.
I think it's a good idea to have this sort of thread...
I personally don't know anyone (or at least am not aware of it) that has one of the main eating disorders, but I myself have been accused of being anorexic.
It's not true, of course. I definitely enjoy food, especially junk food. ;P
I understand why, though. I've been depressed for over three years now, and the past few months I've quite honestly almost totally lost my appetite. I can still eat (sometimes), but either I have no taste for anything or I literally gag on the food. It's harder to eat when I'm stressed or when bad things happen at home, so if something bad happens one morning before school, there's little to no chance that I'll be able to eat at lunch. Only a couple people *really* know what's going on, and my best friend is getting into the habit of asking me what I've eaten that day when we talk, and instructing me to go to the kitchen right before we get off the phone.
As a result of this... whatever it is, I've lost a lot of weight. It's not all that bad, since I was slightly chubby, but it's honestly disconcerting.
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Posted: Thu Dec 17, 2009 7:47 pm
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Posted: Fri Dec 18, 2009 5:52 am
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Posted: Fri Dec 18, 2009 6:45 am
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Posted: Fri Dec 18, 2009 7:56 am
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Posted: Sat Dec 19, 2009 11:28 am
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