EATING DISORER
BULIMIA NERVOSA
- You purge but still maintain normal weight
o Eating large amoung + experience a lack of control + purging techniques = normal
weight
o Purging techniques: vommiting, laxatives, fasting, excessive exercise (purge when big
amoungts of food)
o Binge and purging occur atleast once a week for 3 months
- In bulimia nervosa, out-ofcontrol eating episodes, or binges, are followed by self-induced
vomiting, excessive use of laxatives, or other attempts to purge (get rid of) the food.
- Self-evaluation is unduly influenced by body shape and weight
- Does not occur exclusively during episodes of anorexia
- Specify:
o Mild: An average of 1-3 episodes
o Moderate: AVE 4-7 episodes
o Severe: AVE 8-14 episodes
o Extreme: AVE 14 or more episodes
- Question during assessment
o How often do you eat large amount of foods that you think is over your
o How often do you vomit after you feel lost of control
- Binge eating usually occurs in screcy or as inconspicousuly as possible
- Continue until painfully full
- A form of regulation – this means when the person is stress, they eat.
- Vomits brings a sense of relief
- Typically are within the normal weight or overweight range.
ANOREXIA NERVOSA
- Loose weight dangerously (underwight), have a weak muscles
- In anorexia nervosa, the person eats only minimal amounts of food or exercises vigorously to
offset food intake so body weight sometimes drops dangerously. (looks at the body mass index)
o Significsnt low weight + intense fear of gaining weight
o Strong sense of control
o Refuses to acknowledge the severity of one’s body mass.
o Restrictive & Binge-eating/purging (more on restrictives)
Restrictive (exercise of will power)
Dieting – not eat
Avoiding
Exercise
Binge-eating/purging type (purge happens even small amount of foods, because
of the fear of gaining weight)
Vommiting
Laxitives
o Amenorrhea. Dry skin, brittle hair, sensitivity to cold temperatures, constrant fatigue,
swelling arms and legs, reduced bone mass, increase anxiety.
o Stong internalization of thin body ideal (distortion of thoughts)
o High mortality rate because of starvation- lack of nutrition and suicide
- Question during assessment
o What do you feel if you control yourself?
- Comorbid with OCD
- Strat with bulimia and proceed with anorexia
BINGE-EATING DISORDER
- Individuals may binge repeatedly and find it distressing, but they do not attempt to purge the
food. The chief characteristic of these related disorders is an overwhelming, all-encompassing
drive to be thin.
o Consuming too much + loss of control
o Eating is rapid then bulimia
o Eating stops when one feels uncomfortably full
o Eating despite absense of hunger
o Embarassed by how much food is eaten (often isolate their self)
o Binge eating occurs at least once a week
o No compensatory behavior (different with bulimia because they don’t purge)
o Specify
Mild 1-3 binge episode perweek
Moderate 4-7 spisodes per week
Severe 8-13 spidoes per week
Extreme 14 or more episodes per week
ANOREXIA- treatment we should recognize that they have the belief as their truth despite the
consequences --------------- Build Trust (explore belief) listen para makuha ang pinakareason. When
you get the trust don’t question the belief.
They have the belief that it is their beauty.
Beaty
Problem
with Self
Esteem