Eating Disorder Information                                            NNFED

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What is Anorexia Nervosa?

   This eating disorder may develop from dieting and continue into a cycle of losing weight and not eating.  Individuals with anorexia nervosa may exhibit a combination of restrictive and purging (laxatives, diuretics, self-induced vomiting) behaviours to maintain a low weight.  Restrictive behaviours include under-eating, avoidance of high calorie food and engaging in strenuous exercise,   These behaviours undermine an individual's physical health, self-esteem and feeling of competency.  Fifteen percent of people who develop anorexia die either directly from or consequences of the eating disorder such as heart failure.

What is Bulimia Nervosa?

    This eating disorder is most commonly associated with bingeing and may or may not be accompanied by purging behaviours (self-induced vomiting or the misuse of laxatives, diuretics or enemas.) A person with bulimia may also fast or exercise to lose weight, is often at a normal weight and may ultimately gain weight.  A continuous cycle of bingeing and purging slows down the body's metabolism.  During a binge, the body absorbs fat and calories thereby increasing the likelihood of gaining weight.

     The binge-purge cycle often begins at transition points of independence (such as changing high school, leaving for college, moving away from home) when stress is high and there may be no other outlets for emotional conflict and tension. A high rate of bulimic behaviours has been reported among college women.   Complications that lead to death are less common in bulimia but if treatment is not pursue, bulimia can become a lifelong progressive disorder in which more and more of a person's daily activities and thoughts are oriented around food.

Treatment for Anorexia Nervosa                                                    

    Treatment for anorexia nervosa should be individualized and may include: hospital inpatient programs, outpatient day programs, medication, in particular antidepressants to alleviate symptoms of depression, individual or group psychotherapy.  Therapists often use different approaches and some of the more common ways to treat anorexia nervosa include behaviour therapy, cognitive therapy, cognitive-behaviour therapy, family therapy, psycho-dynamic or expressive art therapies.

 Treatment for Bulimia Nervosa

    Treatment for bulimia nervosa is similar to that of anorexia nervosa and should be specific to the needs of the individual.   Treatment may occur in an inpatient program, an outpatient day program and in individual or group psychotherapy.  Medication, such as, Prozac, has been shown to lessen the number of binge episodes and reduce depression associated with bulimia. Therapists often use different approaches and some of the more common ways to treat anorexia nervosa include behaviour therapy, cognitive therapy, cognitive-behaviour therapy, family therapy, psycho-dynamic or expressive art therapies.  

Behaviours Associated with Anorexia Nervosa

  • dietary restriction
  • hoarding, concealing, picking at, crumbling or throwing away food
  • engaging in compulsive or ritualistic behaviour such as cutting food into small pieces or rearranging food
  • behaviours associated with anxiety if a person has to handle certain foods (measuring, weighing food)
  • preoccupation with food, reading recipes, preparing food only for others
  • wearing baggy or layered clothing to conceal weight loss
  • compulsive activity and exercise
  • social withdrawal, secretiveness

Behaviours Associated with Bulimia Nervosa                                        

  • preoccupation with and constant concern about food and or weight
  • severe self criticism
  • self worth determined by weight
  • frequent bathroom visits after meals
  • dietary restriction when eating in public
  • impulsive actions (with alcohol, spending, decision making, relationships)

  Physical consequences of Anorexia Nervosa

  • difficulty concentrating, thinking clearly
  • sensitivity to cold
  • lowered blood pressure which may result in fainting, dizziness, passing out
  • general weakness
  • shrinking of muscles and other organs such as the heart and brain
  • thinning of hair and hair loss
  • pale (anemic) skin tone
  • dehydration that may result in constipation and dry cracked skin
  • osteoporosis
  • develop lanuga (downy hair) on face and arms

Physical consequences of Bulimia Nervosa                                 

  • electrolyte imbalance with cardiac and kidney dysfunction which may result from purging (vomiting, laxatives)
  • difficulty concentrating on tasks, mood swings due to chemical imbalance
  • swollen glands, puffiness in the cheeks or broken blood vessels under the eyes
  • unexplained tooth decay and gum problems
  • complaints of sore throat
  • scarring or red abrasions on top of hands or knuckles
  • chest pain, muscle cramps, fatigue

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Last modified: August 01, 2007