Restriction of energy intake that leads to failure to maintain body weight Anorexia Nervosa 2 Types Restricting Binge eating purging More prevalent in women Co morbid with anxiety depression OCD Mortality rate 5 15 proud they can control what they are eating Bulimia Nervosa Recurrent episodes of binge eating characterized by sense of lack of control over eating during the episode Inappropriate compensatory behaviors eating in discrete period of time an amount of food larger than most would eat in a similar circumstances specific severity mild 1 3 episodes per week moderate 4 7 severe 8 13 Extreme 14 or more more likely in females more common than anorexia Similarities with anorexia disordered eating over concern about weight distortion of body image Differences weight differs bulimia fluctuates anorexia stays low in control v out of control feelings Cultural Considerations ethnic disorders Risk Factors initial levels of depressive symptoms weight related teasing physical abuse or sexually victimized Impulse control impairment bulimia Weak global processing objectified body conscious parental attachment Critical Period for eating disorder Puberty Treatment CBT reflect conflict and sources of anxiety that are widespread in the culture involve exaggerated form of behavior that is normal in culture and highly valued cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127 cid 127