MCCC PSY 210 - Chapter 8- Eating Disorders

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1“Mirror, mirror on the wall, who's the fattest one of all?"Chapter 8- Eating DisordersCLASS OBJECTIVES:What are eating disorders?What is the difference between Bulimia Nervosa and Anorexia Nervosa?What are the diagnostic characteristics of each disorder?Test Your Knowledge!True or False?Eating disorders have the highest mortality rate of any mental illness.__________________Eating disorders can be completely “cured.” ______________Almost 50% of people with eating disorders meet the criteria for depression. ______________Women and girls of all ethnic groups susceptible to eating disorders ______________Men don’t get eating disorders ___________________Eating DisordersApproximately 24 million people of all ages and genders suffer from an eating disorderin the U.S.- Eating disorders have __________________________________ __________________________________________________________Eating disorders are not a sign that a person has a problem with food, these are only the symptoms of underlying _________________________________________________The three of the most common eating disorders are- anorexia nervosa, bulimia nervosa, and binge-eating disorder2Eating DisordersEach disorder has different diagnostic criteria, but they all share the _____________________________ ____________________________________________________These are often comorbid with other disorders such as depression, substance abuse, and anxiety disorders (NIMH, 2002). How would YOU define anorexia?________________________________________________________________________________________________________________________________________________________________________Anorexia Nervosa:The relentless pursuit of thinness This eating disorder is characterized by______________________________________________________________________________________________________________They are so successful at losing weight that they put their lives in danger.People with this disorder demonstrate drastic weight loss. Loss of ______________________________________________20% of people struggling with this disorder will die as a result with slightly more than 5% dying within 10 years- _______________________________________________________ Mortality rates for ______________________________________ for any psychological disorder.3“There’s no such thing as too thin”Anorexia is not limited by only a refusal to eat, _________________________________ is common practice in anorexia. - ________________________________________________This disorder is one of the most commonly diagnosed psychiatric diagnoses in young women (________________________)This disorder commonly begins in adolescents who are or believe themselves to be overweight.- Initial dieting escalates to an obsessive preoccupationThere are 2 types of anorexia:_______________________________Approximately half of those diagnosed with anorexia engage in __________________________________________________________________________________________This is demonstrated by an inappropriate evaluation of one’s weight (Body Dysmorphic) denial of seriousness of current low weightThe DSM IV states weight must be 15% below average, but it is often ________% below average by the time they enter TXPeople with anorexia may have some form of cognitive distortions.Jane has Anorexia________Why? _____________________________________________ __________________________________________________________________________________________________________- staying the same weight or gaining weight will cause ________________________________________________________4What will this do to your body?There are many medical consequences that result from anorexia:- Amenorrhea -_____________________________________________ __________________________________________________________- Brittle hair and nails, dry skin- Sensitivity and intolerance to cold- Cardiovascular problems- chronically low BP and HR- Electrolyte imbalanceComorbidityOne anxiety disorder that frequently occurs with anorexia is __________________In anorexia, the intrusive thoughts are focused on _________________________ and the individual engages in a variety of ritualistic behaviors to rid these thoughts (Keel et al., 2003).Substance abuse is also common in anorexia and is a strong predictor of mortality, particularly by suicide.Bulimia NervosaWhich one of these women do you THINK has bulimia?_______________________________________________________________________________________________________________________________________________________________Bulimia NervosaBulimia is one ______________________________________ ______________________________________________________The hallmark of this disorder is binging on large amounts of junk food.5It’s all about the binge…Bulimia is characterized by _______________________________________consuming large amounts of food, which can vary from person to person (Franko, 1993). Just as important as the amount of food is that the eating is “out of control”, which is a criterion integral in defining binge eating. More criteria for bulimiaAnother important criterion is that the individual attempts to compensatefor the binge eating and potential weight gain, almost always by ________________________- Often relying on ________________ ______________________________________________________________________________________________________Who is affected by this disorder?An overwhelming majority of individuals with bulimia are young, mid-upper class, white women.- The typical age of onset is 16-19 years, but pending bulimic behaviors can appear earlier.Research suggests that 6-8% of young women (especially on college campuses) meet criteria for bulimia (Schlundt and Johnson, 1990).- As many as 9% if high school girls meet criteriaNot Just the Ladies…The remaining 5-10% are men who have later onset and a large percentage (42%) of those are usually homosexual/bisexual (Rothblum, 2002).- Male athletes who require weight regulation, such as wrestling are another large group of males with eating disorders.6Bulimia causes serious physical and emotional effects:- ____________________________- Inflammation of the esophagus, salivary glands, and jaw - ____________________________ - Damaged family and social relationships ComparisonsBoth anorexia and bulimia are characterized by a morbid fear of gaining weight and losing control.The major difference seems to be whether the individual


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MCCC PSY 210 - Chapter 8- Eating Disorders

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