Helpline 8009312237 Business Line 2125756200 What Are Eating Disorders Real lifethreatening illnesses with potentially fatal consequences Involve extreme emotions attitudes and behaviors surrounding weight food and size ID: 807950
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Slide1
Eating Disorders 101
www.NationalEatingDisorders.org
Helpline:
800-931-2237
Business Line: 212-575-6200
Slide2What Are Eating Disorders?
Real
,
life-threatening
illnesses with potentially fatal
consequences.
Involve
extreme emotions, attitudes, and behaviors surrounding weight, food, and size
.
Caused by a range
of biological, psychological, and sociocultural factors
Slide3Who Do Eating Disorders Affect?
Everyone.
People
of all genders, ages, races, religions, ethnicities, and sexual
orientations
can be affected.
As many as
20 million
women
and
10
million men
will struggle with an eating disorder at some point in their lives.
Slide4Biological Factors
:
Family history
History of dieting
Type
One (Insulin-dependent)
DiabetesGenetic predisposition
Psychological Factors:Low self esteemRelationship with selfFeelings of inadequacyDepression, anxiety, fear, or loneliness
Social Factors:Cultural norms that overvalue appearanceBody dissatisfactionDrive for perceived ideal body typeHistorical traumaWeight stigma/bullying
Biopsychosocial Disorders
Slide5The 9 Truths About
Eating Disorders
1.
Many people with eating disorders look healthy, yet may be extremely ill.
2.
Families are not to blame, and can be the patients’ and providers’ best allies in treatment.3. An eating disorder diagnosis is a health crisis that disrupts personal and family functioning
.
Slide6The 9 Truths About Eating Disorders
4.
Eating disorders are not choices, but serious biologically influenced illnesses.
5.
Eating disorders affect people of all genders, ages, races, ethnicities, body shapes
and weights
, sexual orientations, and socioeconomic statuses.
6. Eating disorders carry an increased risk for both suicide and medical complications.
Slide7The 9 Truths About Eating Disorders
7.
Genes and environment play important roles in the development of eating disorders.
8.
Genes alone do not predict who will develop eating disorders.
9.
Full recovery from an eating disorder is possible. Early detection and intervention
are important.
Slide8Warning signs, symptoms,
& health
consequences
An Overview to Eating Disorders
Slide9Common Warning Signs
EMOTIONAL/BEHAVIORAL
Weight
loss, dieting, and control of food are
primary concerns
Food rituals
Social withdrawal
Frequent dieting, body checkingExtreme mood swingsPHYSICAL
Noticeable weight fluctuations Gastrointestinal complaintsDizziness upon standingDifficulty concentrating, sleepingIssues with dental, skin, hair, and nail health
Slide10Warning Signs & Symptoms
https://www.youtube.com/watch?time_continue=133&v=nJMtReAg1DI
Slide11DSM-5 Diagnoses
Anorexia Nervosa (AN
)
Bulimia Nervosa (BN
)
Binge Eating Disorder (BED)
Avoidant-Restrictive Food Intake Disorder (ARFID)
Other Specified Feeding or Eating Disorder (OSFED
)Eating disorders are complex and some eating issues will not meet diagnostic criteria. All must be taken seriously.
Slide12Anorexia Nervosa (AN)
Characterized primarily by self-starvation and excessive weight loss
Symptoms include:
Inadequate food intake leading to a weight that is clearly too low
Disturbance in the experience of body weight or shape
Intense fear of weight gain, obsession with weight, and persistent behavior to prevent weight gain
Inability to appreciate the severity of the situation
Slide13Bulimia Nervosa (BN)Characterized by
binge eating
and
compensatory behaviors
, such as self-induced vomiting, in an attempt to undo the effects of binge eating.
Symptoms include:
Frequent episodes of consuming very large amounts of food followed by behaviors to prevent weight gain, such as vomiting, laxative abuse, and excessive exerciseFeeling of being out of control during the binge-eating episodesExtreme concern with body weight and shape
Most people are of a normal weight
Slide14Binge Eating Disorder (BED)
Characterized by recurrent binge eating without the regular use of compensatory measures to counter the binge eating.
Symptoms include:
Indications that the binge eating is out of control, such as eating when not hungry, eating to the point of discomfort, or eating alone because of shame about the behavior
Feelings of strong shame or guilt regarding the binge eating
Slide15Avoidant-Restrictive Food Intake Disorder (ARFID)
Characterized by
lack of interest in food, fears of negative consequences of eating, and selective or picky eating.
Symptoms include:
Reduced food intake and frequent complaints of bodily discomfort with no apparent cause
Lack of appetite or interest in food, with a range of preferred foods narrowing over
time
Slide16Other Specified Feeding or
Eating Disorder (OSFED)
A feeding or eating disorder that causes significant distress or impairment, but does not meet the criteria for another feeding or eating disorder
.
Atypical Anorexia Nervosa
: criteria for AN met but weight is not below normal
Subthreshold Bulimia Nervosa
: criteria for BN met but with less frequent occurrences
Subthreshold Binge Eating Disorder: criteria for BED met but occurs at a lower frequency Purging Disorder: purging without binge eatingNight Eating Syndrome: excessive nighttime food consumption
Slide17Co-Occurring Disorders
High prevalence rates
Can intensify eating disorders symptoms and impact treatment (recovery, level of care, drop-out)
Most
common comorbidities:
Mood disorders
Anxiety disorders
Substance abuseTreatment should address co-existing conditions and eating disorders
Slide18Health Consequences
Cardiovascular (muscle loss, low or irregular heartbeat)
Gastrointestinal (bloating, nausea, constipation)
Neurological (difficulty concentrating, sleep apnea)
Endocrine (hormonal changes – estrogen, testosterone, thyroid)
Slide19Serious, Potentially
Fatal Illnesses
A review of nearly fifty years of research confirms that
AN has
the highest mortality rate of any psychiatric disorder.
Risk of death from suicide or medical complications is markedly increased for individuals with eating disorders.
A study on BN and EDNOS found elevated mortality risks similar to those for AN.
Slide20Seeking treatment
Help is Available!
Slide21Serious, Life-Threatening, & Treatable
Eating disorders are
not fads or phases
, and they have the
highest mortality rate
of any psychiatric disorder.
Serious effects on health, productivity, and relationshipsEarly intervention increases likelihood of a full recovery.
Slide22Eating Disorders Treatment
Slide23Individualized Care
TREATMENT PROCESS
Initial assessment/diagnosis
Interview providers
Communicate with all involved
Develop a maintenance plan
Slide24Levels of Care
Inpatient
Residential
Partial hospitalization
Intensive outpatient
Outpatient
Slide25Support & Resources
Where to Find Help
Slide26Contact the NEDA Helpline by phone or click-chat
Mon-Thurs
9-9,
Fri
9-5
EST
24/7 crisis support: text “NEDA” to 741741
Slide27Eating Disorder Screening Tool
96% of participants identified as at-risk
100,000 screenings taken since February 2017
Quick access to help
Slide28NEDA Toolkits
Slide29How to
Help
DO:
Learn
as much as you can about eating disorders
Be honest
and
vocal about your concernsBe caring and firmSuggest they seek help from a physician an/or therapistBe a good role model, practice what you preachDON’T:Place shame, blame, or guiltMake rules or promises that you cannot or will not uphold
Give simple solutions
Invalidate
their experience or try to
convince
Give
advice
about weight, exercise, or appearance
Ignore or avoid
the situation until it is severe or
life-threatening
Slide30How to Help a Loved One
https://www.youtube.com/watch?v=fX1CFDtdgbY
Slide31Talking about Eating Disorders
KEEP IN MIND:
Don’t provide tips or play the numbers game.
Emphasize the seriousness of eating disorders without portraying them as
hopeless.
Watch out for the appearance ideal.
Don't focus on images or descriptions of the body at its unhealthiest point.
Slide32The Body ProjectTrain-the-trainer model
300+ trained in 27 states
Repeatedly
shown
to effectively reduce body dissatisfaction, negative mood, unhealthy
dieting,
and disordered
eating
Slide33The Body Project“Now that I have done the Body
Project,
I have noticed that I see my body more positively now and I stay away from negative comments. I am also doing this with my family members and staff around me.”
Slide34Get Involved With NEDA!
To learn more, contact:
Business: (
212) 575-6200
NEDA Helpline: (800)
931-2237
www.myneda.org/helplinechatEmail: info@myneda.org