jeudi 28 juin 2007

The Battle of Bulimia

The Battle of Bulimia by Anne Wolski


Copyright 2006 Anne Wolski

In a world where a person's worth tends to be measured by appearance, it is little wonder that we have so many young women falling into the trap of eating disorders. This obsession with achieving the perfect figure has led to one of the most dangerous and life-threatening epidemics of our time.

Bulimia is but one of a growing number of eating disorders recognized in our modern society. It is a serious disorder characterized by binge eating followed by forced vomiting or by purging using laxatives. People with bulimia go through this ritual in order to avoid the weight gain which would normally accompany an eating binge.

Why people get this condition is largely unknown and prone to speculation though it is commonly believed that family and social pressure, as well as unrealistic portrayals of perfect body image in the media, play a significant role. The person is also likely to have intense psychological problems.

Unlike people with anorexia, sufferers of bulimia are not as obvious as they normally remain within about twenty percent of their normal weight range. This makes it difficult for a doctor to diagnose. A person with anorexia has the obvious signs of emaciation but with a bulimia sufferer, it is really necessary to observe the binge eating. Because binge eating is usually carried out secretively, this can create a problem in reaching an early diagnosis.

The person is likely to come from a middle-class or upper-class family who are very controlling and put great importance on achievement. The person is often led to believe that diet and figure are of extreme importance. Thus, the person with bulimia, already suffering from a distorted body image, loses their self-esteem.

Because they suffer from bouts of insatiable hunger, they must then compensate for their binges by removing the food from their body by whatever means they can in order to achieve the image acceptable to the parents and to society in general.

These episodes of induced vomiting and purging bring with them another lot of medical problems. In the case of repeated vomiting, the acid irritates the esophagus and pharynx, leaving them inflamed. The acid also affects the teeth, leaving them sharp and rough. Laxative abuse can cause hemorrhoids as well as chronic constipation. Vomiting and the abuse of laxatives can both cause dehydration and electrolyte imbalances.

Treatment often relies on hospitalization where the person receives psychiatric counseling to try to uncover the underlying causes and to help the person to self recovery through understanding of their own issues. There is often group therapy involved as well.

The physical problems are treated symptomatically and also include a diet regime that can control weight without the dangers that this obsession of bulimia can bring. The person should continue with counseling for quite some time after returning home from hospital.

Although bulimia is a serious disorder, death is rare. By seeking treatment and with the loving support of family and friends, the sufferer can eventually return to normal eating habits and a normal, happy and healthy lifestyle.


About the Author
Anne Wolski has worked in the health and welfare industry for over 30 years and is also co director of http://www.magnetic-health-online.com which is a health information portal of many interesting articles by people in the medical industry, as well as http://www.pharmacybyweb.com which has online physicians who can answer your medical questions.

Eating Disorders - Bulimia Nervosa Signs

Eating Disorders - Bulimia Nervosa Signs by Michael Russell


This is probably a very timely article with famous actress and singer Lindsay Lohan having just revealed that she suffers from the terrible eating disorder, Bulimia Nervosa. In this article we're doing to cover the basic characteristics of the disease.

Bulimia Nervosa is a serious and possibly life threatening disease. It is characterized by binge eating and behaviors to compensate for the binges such as induced vomiting. Bulimia Nervosa has three primary symptoms.

1. Regular eating of food in large quantities which is accompanied by a sense of loss of control over one's eating behavior.

2. Regular use of compensating behavior such as induced vomiting, or use of laxatives, diuretic abuse, fasting, and obsessive or compulsive exercise.

3. Extreme worry over body weight and shape.

Specialists have concluded beyond doubt that the chance of recovering from this horrible disease is directly proportional to how soon the disease is discovered and treated. Therefore it is important to be on the lookout for the warning signs of when someone might be suffering from this disease.

These are the warning signs of someone suffering from Bulimia Nervosa.

a. The disappearance of food from the fridge in a very short period of time. This is usually the first sign of binge eating. Also if you happen to find many wrappers or containers in the trash this is another sign of binge eating.

b. Evidence of purging behaviors, such as if the person makes frequent trips to the bathroom after meals or if there are signs, such as smells, of vomiting. Also check for packages of laxatives.

c. A rigid routine of exercise regardless of weather or how tired the person may be.

d. Unusual swelling of the area around the cheeks or jaw.

e. Also check for calluses on the back of hands or knuckles from induced vomiting.

f. Also check to see if the teeth are stained or discolored.

g. Creation of a very rigid routine in order to make time for bingeing and purging.

h. A person suffering from this disease will usually withdraw from society, especially from friends.

i. In general look for signs that weight loss, dieting and control of food intake has become an obsessive point in the person's life.

Bulimia Nervosa can be very harmful to a person's body. The cycle of bingeing and purging can take its toll on the digestive system and can drastically alter how it functions, even to the point of the system being unable to function properly on its own where the person can no longer keep food down. This can lead to terrible chemical imbalances in the body and in turn affect many of the major organ functions, including and especially the heart, which can only take so much stress from the bingeing and purging until eventually it can totally give out.

In our next article we will cover the consequences of Bulimia Nervosa and how to deal with them. We'll also discuss how to psychologically deal with a person who is suffering from this terrible disease.


About the Author
Michael Russell
Your Independent guide to Eating Disorders

The Teen Eating Disorder Defense Mechanism

The Teen Eating Disorder Defense Mechanism by Jerry Cahill


Adolescence can be a very stressful time when people begin gaining independence and discovering who they are. The teen years are when people establish new friendships and also when they find that their body has begun to develop. When a person enters puberty, it can be a very stressful, confusing and frightening period.

A lucky few can make the transition from childhood to adulthood with no major problems. However, many who may develop a teen eating disorder as a way to cope with these changing times.

A teen eating disorder may cause someone to worry that the weight that he or she is gaining will become permanent. This can cause panic and desperate efforts to prevent or shed any weight gain. Teens may be ignorant of the fact that these physical changes will ease with time and that their weight will stabilize without the need for dieting. The teen eating disorder may also be attributed to going through puberty which is a testing time, especially if the teenager also has to undergo sexual advances.

In addition, teens may be under great pressure to perform and excel. Pressure to conform to society's 'ideal' body image may lead to eating disorders. Teens see touched up pictures of models and assume they must look the same way. In an effort to become thin, teens may develop anorexia, bulemia, or other eating disorders. Many teens think that being thin leads to happiness, which can be a strong factor in eating disorders.

Another important factor that may contribute to a teen eating disorder is the home environment. Teens who are subject to emotional, physical, or sexual abuse may develop eating disorders to have control over some aspect of their lives. Teen eating disorders may also help block out painful feelings.

Schools and families can play an active role in preventing teen eating disorders. By teaching teens and families about the warning signs and problems with eating disorders, we may be able to prevent or quickly treat cases of anorexia, bulemia, and other eating disorders. Educators can also be trained to build self-esteem and show teens that they don't have to develop an eating disorder to be successful or beautiful. Through education, prevention, and good treatment, we can get a handle on teen eating disorders.

One Common disorder is Bulimia Eating Disorder. A bulimia eating disorder is a particular kind of eating disorder in which a person eats large amounts of food in a relatively short time of time, and then purges it back up later on. Purging can be done in several methods, including: producing oneself throw up; and taking laxatives, pills, or liquids that increase how fast food moves throughout your body and leads to a bowel movement.


About the Author
Jerry Cahill writes often about health issues. In many cases he publishes his writings on related web sites such as Teen Eating Disorders

Eating Disorders Affect Children As Young As Six

Eating Disorders Affect Children As Young As Six by Chester Ku-Lea


Researchers at the British Paediatric Surveillance Unit estimated that 3.5 children in every 100,000 in the UK are treated for an eating disorder, including anorexia, bulimia and binge eating.

Over a 13 month evaluation, 206 children under 12 years were treated for an eating disorder in Britain and Ireland. At the extreme end of the spectrum, one six-year-old girl was diagnosed with food avoidance, excessive exercising and fear of weight gain. Around 18% of cases identified were seen in boys.

Eating disorders commonly affect adolescents and young adults but until now it has been unclear how many young children are diagnosed and treated.

Puberty and body image are often to blame in these cases among the younger population. Not to mention the effect of skinny models and celebs. Even genetics plays a strong influence. But parents can detect these changes - the experts suggest that children with eating disorders commonly start by cutting out favourite foods such as sweets and crisps and other signs include becoming withdrawn.


About the Author
Chester is a health nutrition consultant and is the owner of AstroNutrition - a provider of premium health nutrition and sports supplements.

Preventing eating disorders

Preventing eating disorders by Groshan Fabiola


Today's society has changed a lot. Nowadays physical appearance is very important in one's mind. Because of that people are starting more and more to give a lot of attention to dieting, food and calories. Normal behavior is rather difficult to tell apart from problems that may escalate in life threatening situations. People that have eating disorders will most certainly develop some ' symptoms' .

The early stages of any eating disorders are very hard to see and define. It is still unknown when a dieting becomes hazardous for people. The same thing applies in the case of weight lose: what is the line that separates normal weight loss from pathological situations. Preventing anorexia and bulimia is actually very hard considering that they are not that visible in a person until it has reached a very advanced stage. Still, as it is with all other diseases and illnesses, the sooner the problem is discovered and treated the better it is for the patient to properly recover and live the problems behind. If the situation is left untreated, solving the problem afterwards may prove to be very hard and of long affect.

There are a lot of signs that can show if someone is starting to develop a serious health problem. If a person begins skipping meals, taking only the smallest of portions, not eating in front of other people than assertive action must be taken. Developing strange ritualistic ways of eating and mixing strange food combinations are also great in indicators that something is wrong with the particular person. One of the weirdest thing that a person with an eating disorder can do is actually chew the food but spit it out right before swallowing. Another strange act that an anorexic will do is buy and cook food for the entire family, but will later on refuse to eat the food. Again, a very common sign of anorexia is the excuse to not to eat. Patients will most certainly always say that they are not hungry ore give nay other excuses just not to eat.

There are many more signs that can tell if a person is starting to develop an eating disorder. If a person becomes disgusted with foods that where an actual favorite, starts eating only a few 'safe' foods, becomes vegetarian but still not eat the necessary quantities of fats, oils and other vegetables that are a must in a vegetarian diet, certain actions must be taken in order to prevent the state of mind and health of the person in question. Boasting around about healthy foods and choosing to eat only low-fat food products and vegetables, are again clear indicators that something is wrong with that particular person.

Tricking other people in to thinking that there is nothing wrong with them by leaving signs that suggest that they have eaten is also a very common thing to do by anorexic people. The truth is that anorexic people will do almost anything to reach the weight that for them is perfect.


About the Author
For more resources about girls with anorexia please review this page http://www.anorexia-center.com/signs-of-anorexia.htm, or even http://www.anorexia-center.com/anorexia-tips.htm

What is Bulimia ? Recognizing The Signs Of Bulimia

Recognizing The Signs Of Bulimia by Eric Morgan


What is Bulimia ?

Bulimia is an eating disorder characterized by bouts of extreme overeating (binging) followed by use of laxatives and self-induced vomiting (purging). Bulimia generally begins as an attempt to avoid weight gain, however the binge/purge cycle gets out of control and the individual finds herself unable to stop.

What are the Signs and Symptoms of Bulimia?

Bulimia, like many eating disorders, can go unrecognized for quite some time before symptoms become obvious. Often the actions and habits of someone with Bulimia, though considered somewhat odd, are not thought to be anything to worry about. Another difficulty in recognizing Bulimia arises from the fact that, as a general rule, those suffering from Bulimia look healthy. Unlike a person suffering from Anorexia, bulimics are often normal weight and may even be overweight. There are, however, signs a concerned parent or friend can look for to assess whether or not a loved one is suffering from bulimic tendencies. An obvious habit is going to the restroom immediately following a meal. This is not a definitive sign, however, as there are many people who excuse themselves shortly after a meal with very legitimate reasons! That said, an odor of vomit or acidic breath can signify purging of calories through self-induced vomiting. Additionally, bulimics will often have callouses on their fingers or the back of their hands from their teeth rubbing on their knuckles as they induce vomiting. Tooth decay from excessive contact with stomach acid can become problematic for bulimics. A trip to the dentist may be one method of determining whether or not your child is vomiting after meals. There may be jaw discomfort, bleeding gums or other oral discomfort.

Abdominal distention and discomfort, bloating and excessive gas may also signal Bulimia. Overuse of laxatives can cause irritation of the gastrointestinal tract and possibly even permanent damage. Diarrhea and constipation can be linked to abuse of laxatives. Long term laxative abuse can lead to poor colon function and, consequently, the inability to have a bowel movement without a laxative (constipation). Diarrhea causes excessive fluid loss, dehydration and mal-absorption of essential nutrients. Electrolyte imbalances can result.

Often an individual who seems to eat 'whatever she wants' and never gain weight is envied, however this can be a sign of Bulimia. Concerned parents may notice that large amounts of food seem to disappear from the kitchen. Additionally an over abundance of food wrappers and trash in the garbage could be cause for concern. Bulimics tend to be very secretive with their eating habits, often hiding out in their rooms or sneaking into the kitchen late at night. Bulimics can inhale huge amounts of food before purging, eating an entire cake or a full carton of ice-cream in one sitting. They may horde food and, although they eat huge amounts when they are by themselves, they will generally be very delicate and even picky eaters when others are present.

Strange eating habits such as cutting food into very small bites, only eating foods in certain combinations, eliminating various types of food, and pushing food around on the plate can all be signs of an eating disorder. Bulimics may also drink large amounts of water and/or diet soda. This can help make vomiting easier.

Excessive or rigid exercise routines can also be a characteristic of Bulimia. Not all bulimics purge through laxatives and vomiting. Some will eat huge amounts of food and then attempt to undo the 'damage' they have caused by imposing strict exercise and diet restrictions on themselves. It can often be difficult to differentiate between a serious athlete and a bulimic because both may exercise more than average and eat very small amounts. Generally, however, the serious athlete will eat enough for their needs while the bulimic will restrict caloric intake to a dangerous level.

What are the consequences of Bulimia?

Bulimia, left undiagnosed, can be a life-threatening illness. Binging can lead to obesity and the plethora of health complications associated with obesity. These include, but are not limited to, heart disease, osteoarthritis, type II diabetes, and hypertension. More alarming, however, are the effects of constant purging. Purging through vomiting can lead to periodontal disease, inflammation of the jaw, salivary glands, and esophagus. In some instances gastric rupture can also occur during purging. Electrolyte imbalances, vitamin and mineral deficiencies, and dehydration are directly related to purging. Sufferers also experience bowel irregularities, chronic diarrhea, constipation, and flatulence. In addition to the above, chronic fatigue, muscle aches and weakness, depression, self-loathing, anxiety and other mental or emotional problems can arise.

Electrolyte imbalance, caused by chronic diarrhea and vomiting in a bulimic, can have uncomfortable and often fatal consequences. Common signs and symptoms of electrolyte imbalance include: ● Weakness ● Irritability ● Muscle cramps ● Thirst ● Tissue swelling ● Confusion ● Agitation ● Depression ● Change in heart rate or blood pressure ● Loss of coordination

Symptoms of dehydration include: ● Dry mucous membranes in the nose and mouth ● Reduced amounts of urine ● Urine that is dark yellow in color ● Dizziness, particularly when standing ● Low blood pressure ● Dry, warm skin ● Irritability

Any of the above signs are cause for concern and, as a parent or friend of a suspected bulimic sufferer, should not be ignored.

What are the best treatment options for Bulimia?

Eating disorders are serious, often fatal diseases. They should not be ignored, particularly since the chance for full recovery decreases significantly the longer the behaviors are left untreated. Treatment for Bulimia involves a comprehensive, multi-faceted approach. This involves psychotherapists, nutristionists, doctors, counselors, and other medical professionals. There are options for out-patient treatment, however treatment at a clinic which specializes in recovery from eating disorders is often the most successful option. Treatment usually involves cognitive behavioral therapy with a psychotherapist. This is to help replace negative body image and damaging attitudes and thought processes with positive, more realistic ideals. Along with this, dance therapy, animal therapy and other 'hands on' types of approaches may be used. The patient will receive a medical evaluation to assess what damage may have been done by the starvation, binging, purging, and excessive exercise. A nutritionist will be consulted to provide a well rounded, nutritional plan and teach proper eating habits. A healthier relationship with food will be taught. The patient may be asked to keep a food diary or journal detailing not only what is eaten and when, but her emotional state at the time. Family therapy is often incorporated in the treatment process to help those around the Bulimic patient understand the processes of the illness and what they can do to help facilitate recovery. Finally, medications such as antidepressants and/or anti-anxiety medications may be prescribed to help stabilize the emotional upheaval surrounding an eating disorder and recovery.

Group therapy and support groups are generally encouraged during treatment for Bulimia. It can be very helpful for Bulimia patient's to realize that they are not alone in their struggles. It is also a good way to draw the patient out and discourage a lot of the secrecy that usually surrounds the patient's actions. It is very important, when choosing a treatment facility, that you ask about the methodology used in their group therapy. Sitting with a group of patient's who struggle with Bulimia and discussing methods of purging or ways that they hide their illness is counter-productive to healing.

Where can I find organizations with more information regarding Bulimia?

There are many organizations geared toward helping those with eating disorders. Caution should be used, when searching for help, to make sure that the organizations and web sites are providing up to date, accurate information. Some organizations you may utilize are:

● National Eating Disorders Association * www.nationaleatingdisorders.org

● Eating Disorder Referral and Information Center * www.edreferral.com

● Pale Reflections Eating Disorders Community Treatment Finder * www.pale-reflections.com

● Something Fishy Website on Eating Disorders * www.something-fishy.org

What can I do if I feel my child or friend has Bulimia?

The first thing to remember is that you cannot force your child/friend to change her behavior. Trying to persuade, force, or 'guilt' the child in to changing will not work! Generally they already feel guilty for their behavior, and adding to that is not beneficial. If your friend or child is over 18, there is nothing you can do to make them stop. Your best option is to be a good listener. Provide them with a list of resources should they choose to seek help. Remember that eating disorders are generally not about the food. The underlying emotional issues are what need to be addressed. Express love and concern for the individual and a desire to help if you are able. Provide them with support if and when they decide to seek professional help.

If your child is under the age of 18, you have more options. Understand, however, that it is not an easy choice to make! Your child may beg, plead, promise to change, etc. to avoid being put in in-patient treatment. Keep in mind that the ultimate goal is full recovery and that the sooner the eating disorder is addressed, the greater the chance of a full recovery. It is rare for an individual to be able to quit these self-destructive behaviors on her own. It is not uncommon for a child to promise to change and then just work harder to hide the habits while continuing the behaviors. There are many options for recovery and help. Research these and decide which option is best for your situation. In the words of one individual suffering from an eating disorder "Research the disease before you talk to your child, hear her out, love her and support her. This is a complex problem that shouldn't be taken lightly..."


About the Author
Avalon Hills Eating Disorder Treatment Center is located in Utah and has two eating disorder clinics; one for teens and one for adults. Learn more about bulimia symptoms here.

An Introduction To Eating Disorders

An Introduction To Eating Disorders by Simone Butler


Eating disorders are among those modern conditions which aren't always taken seriously by the wider population, but which can have very serious effects for its victims. Indeed, far from being a minor problem which sufferers can solve simply by 'pulling themselves together', many of the eating disorders commonly seen are recognized psychological conditions which if left untreated can even turn out to be fatal. For this reason it's very important to spot any early signs of eating disorders in yourself, your family, or friends and colleagues, so that treatment can be started while the problem remains relatively easily coped with.

No one knows for sure how many people are affected by the main disorders, namely anorexia and bulimia, as the official figures inevitably under report the true extent of the problem. One of the features of these conditions, and anorexia in particular, is a lack of awareness in the sufferer that they actually have a problem, and so they naturally don't seek help. In the case of bulimia (binge eating compulsive eating), there is also often an element of guilt over what the sufferer acknowledges is inappropriate and uncontrolled behavior, again leading to an avoidance of treatment.

Bulimia is far more common than anorexia, with around 10% of women suffering from the former compared to 1% the latter. Among anorexics, around 10% of sufferers will eventually die as a result of the condition, and so should you spot any of the warning signs then medical advice should be urgently sought.

What is for sure is that eating disorders are more common than might be expected, and many consider the problem to be increasing in scope partly because of today's mass media promotion of attaining perfect body images.

Anorexia Nervosa, or plain anorexia as it's usually referred to as, is characterized by an unrealistic perception of ones own body. Sufferers will look into the mirror and see an overweight person looking back at them, however slim they may actually be. This constant desire to be thinner can lead to extreme dieting, excessive and obsessive exercise, and a preoccupation with food and avoiding it that can really take over a person's life. In extreme cases, the self starvation will continue unchecked until it proves fatal, even when the physical evidence that the sufferer is seriously underweight should be overwhelmingly obvious.

The effects of bulimia, on the other hand, may not be visible to outside observers. This disorder is characterized by bouts of hugely excessive eating, followed by purging activities to rid the body of the excess calories. Sufferers will lose control of their eating completely during these periods, gorging themselves way beyond any level of food intake necessary for health. Common methods of purging include self-induced vomiting and overuse of laxatives, and this is usually followed by a sense of self loathing and repulsion at the lack of control shown. The sufferer may also self-starve as both a form of atonement for their behavior and as a self imposed punishment.

While bulimia is not as physically harmful as anorexia, the psychological effects can be devastating, leading to depression and even more serious outcomes including suicide in the worst of cases. The physical signs of bulimia which can be observed tend to be related to the purging methods used, and include regularly bloodshot eyes, swollen glands, and dental erosion. In the long term, the dangers include digestive system problems such as ulcers, weakness and exhaustion, and even heart problems.


About the Author
Simone writes on a range of health and social issues, including eating disorders such as anorexia, bulimia and compulsive eating.

What are eating disorders ?

What are eating disorders ? by Arthur Buchanan



Eating disorders often are long-term illnesses that may require long-term treatment. In addition, eating disorders frequently occur with other mental disorders such as depression, substance abuse, and anxiety disorders (NIMH, 2002). The earlier these disorders are diagnosed and treated, the better the chances are for full recovery. This fact sheet identifies the common signs, symptoms, and treatment for three of the most common eating disorders: anorexia nervosa, bulimia nervosa, and binge-eating disorder (NIMH, 2002).

Who has eating disorders?

Research shows that more than 90 percent of those who have eating disorders are women between the ages of 12 and 25 (National Alliance for the Mentally Ill, 2003). However, increasing numbers of older women and men have these disorders. In addition, hundreds of thousands of boys are affected by these disorders (U.S. DHHS Office on Women's Health, 2000).

What are the symptoms of eating disorders? * Anorexia nervosa - People who have anorexia develop unusual eating habits such as avoiding food and meals, picking out a few foods and eating them in small amounts, weighing their food, and counting the calories of everything they eat. Also, they may exercise excessively. * Bulimia nervosa - People who have bulimia eat an excessive amount of food in a single episode and almost immediately make themselves vomit or use laxatives or diuretics (water pills) to get rid of the food in their bodies. This behavior often is referred to as the "binge/purge" cycle. Like people with anorexia, people with bulimia have an intense fear of gaining weight.

* Binge-eating disorder - People with this recently recognized disorder have frequent episodes of compulsive overeating, but unlike those with bulimia, they do not purge their bodies of food (NIMH, 2002). During these food binges, they often eat alone and very quickly, regardless of whether they feel hungry or full. They often feel shame or guilt over their actions. Unlike anorexia and bulimia, binge-eating disorder occurs almost as often in men as in women (National Eating Disorders Association, 2002).

What medical problems can arise as a result of eating disorders?

* Anorexia nervosa - Anorexia can slow the heart rate and lower blood pressure, increasing the chance of heart failure. Those who use drugs to stimulate vomiting, bowel movements, or urination are also at high risk for heart failure. Starvation can also lead to heart failure, as well as damage the brain. Anorexia may also cause hair and nails to grow brittle. Skin may dry out, become yellow, and develop a covering of soft hair called lanugo. Mild anemia, swollen joints, reduced muscle mass, and light-headedness also commonly occur as a consequence of this eating disorder. Severe cases of anorexia can lead to brittle bones that break easily as a result of calcium loss.

* Bulimia nervosa - The acid in vomit can wear down the outer layer of the teeth, inflame and damage the esophagus (a tube in the throat through which food passes to the stomach), and enlarge the glands near the cheeks (giving the appearance of swollen cheeks). Damage to the stomach can also occur from frequent vomiting. Irregular heartbeats, heart failure, and death can occur from chemical imbalances and the loss of important minerals such as potassium. Peptic ulcers, pancreatitis (inflammation of the pancreas, which is a large gland that aids digestion), and long-term constipation are also consequences of bulimiai.

* Binge-eating disorder - Binge-eating disorder can cause high blood pressure and high cholesterol levels. Other effects of binge-eating disorder include fatigue, joint pain, Type II diabetes, gallbladder disease, and heart disease.

What is required for a formal diagnosis of an eating disorder? * Anorexia nervosa - Weighs at least 15 percent below what is considered normal for others of the same height and age; misses at least three consecutive menstrual cycles (if a female of childbearing age); has an intense fear of gaining weight; refuses to maintain the minimal normal body weight; and believes he or she is overweight though in reality is dangerously thin (American Psychiatric Association [APA], 1994; NIMH, 2002). * Bulimia nervosa - At least two binge/purge cycles a week, on average, for at least 3 months; lacks control over his or her eating behavior; and seems obsessed with his or her body shape and weight (APA, 1994; NIMH, 2002). * Binge-eating disorder - At least two binge-eating episodes a week, on average, for 6 months; and lacks control over his or her eating behavior (NIMH, 2002).

How are eating disorders treated?

* Anorexia nervosa - The first goal for the treatment of anorexia is to ensure the person's physical health, which involves restoring a healthy weight (NIMH, 2002). Reaching this goal may require hospitalization. Once a person's physical condition is stable, treatment usually involves individual psychotherapy and family therapy during which parents help their child learn to eat again and maintain healthy eating habits on his or her own. Behavioral therapy also has been effective for helping a person return to healthy eating habits. Supportive group therapy may follow, and self-help groups within communities may provide ongoing support.

* Bulimia nervosa - Unless malnutrition is severe, any substance abuse problems that may be present at the time the eating disorder is diagnosed are usually treated first. The next goal of treatment is to reduce or eliminate the person's binge eating and purging behavior (NIMH, 2002). Behavioral therapy has proven effective in achieving this goal. Psychotherapy has proven effective in helping to prevent the eating disorder from recurring and in addressing issues that led to the disorder. Studies have also found that Prozac, an antidepressant, may help people who do not respond to psychotherapy (APA, 2002). As with anorexia, family therapy is also recommended.

* Binge-eating disorder - The goals and strategies for treating binge-eating disorder are similar to those for bulimia. Binge-eating disorder was recognized only recently as an eating disorder, and research is under way to study the effectiveness of different interventions (NIMH, 2002).

For a referral to the nearest therapist specializing in eating disorders, contact:

National Association of Anorexia Nervosa and Associated Disorders P.O. Box 7 Highland Park, IL 60035 Hotline: 1-847-831-3438 http://www.anad.org/site/anadweb

National Eating Disorders Association Informational and Referral Program 603 Stewart Street, Suite 803 Seattle, WA 98101 1-800-931-2237 http://www.nationaleatingdisorders.org Note: The above is a suggested resource. It is not meant to be a complete list.





About the Author
Listen to Arthur Buchanan on the Mike Litman Show!

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With Much Love, Arthur Buchanan

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