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Eating
Disorders: What Do You Do?
Eating disorders: Anorexia and Bulimia
Eating
disorders, which are predominantly Anorexia Nervosa and Bulimia Nervosa , are
primarily characterized by an individual’s over-emphasis on body image. Some of
the more recent surveys indicate that as many as 90 % of American women are
dissatisfied with their bodies. Some authorities hypothesize that young girls
and women may experience negative self-images and low self-esteem because of the
constant bombardment on television, magazines and other media sources of the
“perfect image” of beauty and perfection, which is virtually unattainable. It
has been suggested that the preoccupation with physical appearance, thinness and
dieting, is relatively cultural-specific to the United States and other
industrialized countries. In
conjunction with the relative abundance of food and
resources in these countries, it is very easy to understand why these types of
eating disorders have increased significantly in recent years, and why it is primarily
predominant in the female population.
Eating Disorders Diagnosis:
The diagnosis of Anorexia nervosa, requires an abnormally low body weight,
and amenorrhea for women. Most women with Bulimia Nervosa usually have normal or
above normal weight and usually demonstrate a pattern of binge eating and
compensatory behaviors to avoid gaining weight. Many individuals with Anorexia
Nervosa also binge and purge in a way that would also qualify for a diagnosis of
Bulimia Nervosa, but maintain a abnormally low body weight. Because of the
overlap in symptoms, these diagnostic categories have been challenged in that
many individuals would simply move from one diagnosis to another depending upon
fluctuations in body weight and the presence or absence of menses. There are
also a significant amount of pure cases of anorexia nervosa (individuals who
never binge or purge), and also pure case of Bulimia Nervosa, in which
individuals never fall below their normal weight. In all cases of eating
disorders however, there is a disturbed perception of an individual’s body
weight and an unusually intense fear of gaining weight and becoming fat.
Eating Disorders Treatment:
If proper treatment is initiated at an early enough point in time, eating
disorders may be treated and healthy weight restored. The sooner these disorders
are diagnosed and treated, the better the prognosis for recovery. Because of the
complexity of psychological factors, social issues and medical concerns
involved, proper treatment requires a comprehensive treatment plan involving
medical care, psychosocial interventions, nutritional counseling and possible
medication management. It is always important at the time of diagnosis for the
clinician to determine whether the person is in immediate danger requiring
hospitalization or would be able to be treated on an outpatient basis.
By Paul Susic MA Licensed Psychologist
Ph.D Candidate
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Eating Disorders Help
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