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TYPES OF EATING DISORDERS

Read below to see the main types of eating disorder treatment that I speciale in, and information aobut symptoms, warning signs and the health consequences of each: Anorexia, Bulimia, Binge Eating Disorder, Bulimarexia and Emotional Eating.

>> Anorexia

It is a serious, potentially life-threatening eating disorder characterized by self-starvation and excessive weight loss. Anorexia has seen a threefold increase over the past 40 years among women in their 20s and 30s.

Anorexia nervosa has the highest premature fatality rate of any mental illness.
Symptoms of Anorexia
  • Resistance to maintaining body weight at or above a minimally normal weight for age and height
  • Intense fear of weight gain or being “fat” despite dangerously low weight
  • Disturbance in the experience of body weight or shape
  • Undue influence of weight or shape on self-evaluation
  • Denial of the seriousness of low body weight
  • Loss of menstrual periods in girls and women post-puberty

Warning Signs of Anorexia
  • Dramatic or persistent steady weight loss
  • Preoccupation with weight, food, calories, fat grams, and/or dieting
  • Refusal to eat certain foods, progressing to severe food restrictions
  • Frequent comments about feeling “fat” or overweight despite weight loss
  • Denial of hunger
  • Development of food rituals such as weighing, using the same utensils, not eating before noon
  • Development of rules, i.e. no fat, nothing more than 100 calories, no meat or dairy, etc.
  • Consistent excuses to avoid mealtimes or situations involving food
  • Isolation, withdrawal from family and friends
  • Excessive, rigid exercise regimen--despite weather, fatigue, illness, or injury
  • Withdrawal from friends and activities.
  • Life revolves around weight loss, dieting, and control of food

  


Health Consequences of Anorexia Nervosa
  • Abnormally slow heart rate and low blood pressure
  • Risk for heart failure rises as heart rate and blood pressure levels sink lower and lower
  • Reduction of bone density  - osteoporosis
  • Muscle loss and weakness
  • Severe dehydration, which can result in kidney failure
  • Fainting, fatigue, and overall weakness
  • Dry hair and skin, hair loss is common
  • Growth of a downy layer of hair called lanugo all over the body, including the face, in an effort to keep the body warm

>> What is Bulimia?

Bulimia Nervosa is a serious, potentially life-threatening eating disorder characterized by a cycle of bingeing and compensatory behaviors, such as self-induced vomiting or excessive exercise, designed to undo or compensate for the effects of binge eating.
How Big is the Problem?
  • Bulimia saw a five-fold increase from 1988 to 1999
  • Bulimia is on the increase again in the late 2000’s.
  • Nearly 2% of adult women meet the diagnostic criteria for bulimia nervosa

Symptoms of Bulimia
  • Regular intake of large amounts of food accompanied by a sense of loss of control over eating behavior
  • Regular use of inappropriate compensatory behaviors such as self-induced vomiting, laxative or diuretic abuse, fasting, and/or obsessive or compulsive exercise.
  • Extreme concern with body weight and shape.

Warning Signs of Bulimia Nervosa
  • Creation of complex lifestyle schedules or rituals to make time for binge-and-purge sessions
  • Withdrawal from friends and activities
  • Life revolves around weight loss, dieting, and control of food
  • Evidence of binge-eating:
    1. Disappearance of large amounts of food in short periods of time
    2. Wrappers and containers indicating the consumption of large amounts of food
    3. Large amounts spent on food
  • Evidence of purging behaviors
    1. Frequent trips to the bathroom after meals
    2. Signs and/or smells of vomiting
    3. Presence of wrappers or packages of laxatives or diuretics
    4. Excessive, rigid exercise
    5. Unusual swelling of the cheeks or jaw area
    6. Calluses on the back of the hands and knuckles from self-induced vomiting
    7. Discoloration, staining or loss of teeth



Health Consequences of Bulimia Nervosa
  • Purging leads to electrolyte imbalances caused by dehydration and loss of potassium and sodium
  • Irregular heartbeats, possible heart failure and death may result
  • Inflammation and possible rupture of the esophagus from frequent vomiting
  • Chronic irregular bowel movements and constipation as a result of laxative abuse
  • Gastric rupture is an uncommon but possible side effect of binge eating

>> What is Binge Eating Disorder?

  • Frequent episodes of eating large quantities of food in short periods of time without purging
  • Feeling out of control over eating behavior.
  • Feeling ashamed or disgusted by the behavior
  • Eating when not hungry and eating in secret
Statistics and Facts on Binge Eating Disorder

From 2 to 8 percent of all adults in the United States (or 6 to 25 million Americans) have binge eating disorder.  People with binge eating disorder may develop problems associated with obesity and are at risk for diabetes.


Health Consequences of Binge Eating Disorder
  • High blood pressure
  • High cholesterol levels
  • Heart disease
  • Type II Diabetes
  • Gallbladder disease

>> What is Bulimarexia?

Bulimarexia combines Anorexia and Bulimia in cycles of restricting plus bingeing and purging…. or cycles of restricting plus purging only.
Two Types of Bulimarexic’s  

More Anorexic Type:

  • Restricts for long periods of time and then when forced to eat, purges whatever is eaten
  • More difficult for family to identify because they see him or her eat one or two meals per day
  • Weight remains dangerously low

More Bulimic Type
  • Hard to spot because he/she has a greater range of food choices and may go for long periods without bingeing and purging
  • Diets, or eats “healthy” foods for periods of time until succumbing to the urge to eat a “bad” food, at which point a binge may be triggered that ends in purging.
  • Weight is normal to slightly overweight

>> What is Emotional Eating?

Emotional eating, is eating for reasons other than hunger i.e. instead of the physical symptom of hunger initiating the eating, an emotion triggers the eating
Signs of Emotional Eating
  • Emotional hunger comes on suddenly; physical hunger occurs gradually.
  • Often crave a specific food, such as pizza or ice cream, as only that food will meet your need. When you eat because you are actually hungry, you're open to options.
  • Emotional hunger feels like it needs to be satisfied instantly with the food you crave; physical hunger can wait
  • When eating to satisfy an emotional need, you more likely to keep eating. When eating because you are hungry, you’re more likely to stop when full
  • Emotional eating can leave behind feelings of guilt; eating when physically hungry does not