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and BULIMIA NERVOSA Ayşe Betül KILIÇ

Anorexia Nervosa and Bulimia Nervosa

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2. The SubjecT headingS:1. What is Anorexia Nervosa and Blumia?2. Anorexia Nervosa and Blumia facts3. Who is at risk for AN and BN?4. What causes AN and BN?5. How is AN and BN diagnosed?6. What are AN and BN symptoms and signs (psychological and behavioral)?7. What is the treatment for AN and BN? 3. WhaT iS anorexia and bulimia? Anorexia Nervosa: Anorexia nervosa is one type of eating disorder. Moreimportantly, it is also a psychological disorder.Anorexia is a condition that goes beyond concernabout obesity or out-of-control dieting. People with anorexia have a real fear of weightinggain and a distorted view of their body size and shape.As a result, they cant maintain a normal bodyweight. 4. WhaT iS anorexia and bulimia?Bulimia Nervosa: Bulimia is similar to anorexia. With bulimia,someone might binge eat (eat to excess) andthen try to compensate in extreme ways, such asforced vomiting or excessive exercise, to preventweight gain, or using laxatives.. Although anorexia and bulimia are verysimilar, people with anorexia are usually verythin and underweight but those with bulimiamay be a normal weight or can be overweight. 5. WhY Would a PerSon binge? To fill a void inside To hide negative emotions To cope with daily stresses and problemsWhY Would a PerSon Purge? Because of guilt and depression of having binged. 6. anorexia and bulimia facTS The cause of AN and BN have not been definitivelyestablished, but self-esteem and self-image issues,societal pressures, and genetic factors likely each playa role. AN and BN affect females far more often thanmales and is most common in adolescent females. People with AN and BN tend to show compulsivebehaviors, may become obsessed with food. About 1000 people are dying every year because ofan eating disorder 7. Who iS aT riSk for an and bn? Approximately 95% of those affected by anorexia arefemale, most often teenage girls, but males candevelop the disorder as well. While anorexia typicallybegins to manifest itself during early adolescence, it isalso seen in young children and adults. Many experts consider people for whom thinness isespecially desirable, or a professional requirement(such as athletes, models, dancers, and actors), to beat risk for eating disorders such as anorexia nervosaand blumia nervosa. 8. WhaT cauSeS anorexia andbulimia? 9. WhaT cauSeS anorexia and bulimia? At this time, no definite cause of anorexia nervosa has been determined. However, research within the medical and psychological fields continues to explore possible causes. Many people who develop an eating disorder are between 13 and 17 years old. This is a time of emotional and physical changes, academic pressures, and a greater degree of peer pressure. Enviromental Reasons: ex. Hollywood ideal girls, celebrity teens and athletes Thinspiration as lifestyle 10. WhaT cauSeS anorexia and bulimia? Studies suggest that a genetic (inherited) componentmay play a more significant role to develop thesedisorders : eating disorders may run in families.Although part of this may be genetics, its also becausewe learn our values and behaviors from our families. A dysfunction in the part of the brain, thehypothalamus (which regulates certain metabolicprocesses) Childhood Abuse: People who suffer from any eatingdisorder are more likely to have been the victim ofchildhood abuse. 11. WhaT cauSeS anorexia and bulimia? Media /social pressures Anxiety and/ or stress Low self-esteem and unhappiness Controlling by family members Family emphasis on physical appearance Mother had an eating disorder Perfectionism 12. hoW anorexia and bulimiadagnoSed? Anorexia and bulimia can be a difficult disorder todiagnose, since individuals with anorexia or bulimiaoften attempt to hide the disorder. Denial and secrecy frequently accompany othersymptoms. It is unusual for an individual with anorexia to seekprofessional help because the individual typically doesnot accept that she or he has a problem. In many cases, the actual diagnosis is not madeuntil medical complications have developed 13. hoW anorexia and bulimia dagnoSed? The individual is often brought to the attention of aprofessional by family members only aftermarked weight loss has occurred. They often lack insight into their problem despite beingseverely malnourished and may be unreliable in termsof providing accurate information. Therefore, it is often necessary to obtain informationfrom parents, a spouse, or other family members inorder to evaluate the degree of weight loss and extent ofthe disorder 14. hoW anorexia and blumia dagnoSedThere are 4 basic criteria for the diagnosis of AN and BA:1. The refusal to maintain body weight at or above a minimally normal weight for age and height (maintaining a body weight less than 85% of the expected weight)2. An intense fear of gaining weight or becoming fat, even though the person is underweight3. Self-perception that is grossly distorted, excessive emphasis on body weight in self-assessment4. In women who have already begun their menstrual cycle, at least three consecutive periods are missed 15. WhaT are an and bn SYmTomPS andSgnS(PSYchological andbehaVioral)? Someone with anorexia might: become very thin, frail, or emaciated be obsessed with eating, food, and weight control weigh herself or himself repeatedly deliberately "water load" when going to see a healthprofessional to get weighed count or portion food carefully only eat certain foods, avoiding foods like dairy, meat,wheat, etc. exercise excessively 16. WhaT are an and bn SYmTomPS andSgnS(PSYchological andbehaVioral)? Someone with anorexia might: feel fat withdraw from social activities, especially meals andcelebrations involving food be depressed, lethargic (lacking in energy), and feel cold alot Denial of hunger Not eating in front of others Skips meals by making up excuses 17. WhaT are an and bn SYmTomPS and SgnS(PSYchological and behaVioral)? Someone with bulimia might: fear weight gain be intensely unhappy with body size, shape, andweight make excuses to go to the bathroom immediately aftermeals only eat diet or low-fat foods (except during binges) regularly buy laxatives, diuretics, or enemas spend most of his or her time working out or trying towork off calories 18. WhaT iS The ThreaTmenT for an and bn? 19. WhaT iS The ThreaTmenT for an andbn? Treatment options depend on each person and theirfamilies, but many treatments incorporate journaling,talking to therapists, and working with dietitians andother professionals. It is common to engage a multidisciplinary treatmentteam consisting of a medical-care provider, a dietician ornutritionist, and a mental-health-care provider. Weight gain can be achieved using schedules for eating,decreased physical activity, and increased social activity Hospital treatment must initially focus on correction ofmalnutrition 20. WhaT iS The ThreaTmenT for an & bn? Therapy or counseling is a very important part of getting better in many cases, family therapy is one of the keys to eatinghealthily again. Different kinds of psychological therapy have been employed totreat people with an&bn. Individual therapy, cognitive behaviortherapy, group therapy, and family therapy etc. No medications have been identified that can treat. Medications -as mood stabilizers and to treat schizophrenia thatmay be useful in treating anorexia. These medications may alsohelp increase weight and to manage some of the emotionalsymptoms like anxiety and depression that can accompanyanorexia. 21. http://www.youtube.com/watch?v=J_ax0h9FNag 22. Thank you for yourattention... Ay eBetl Kl