Eating Disorders

Study Notes

Serious and potentially life-threatening conditions that affect a person's eating habits and perception of body weight and shape.
Can have severe physical and psychological effects on individuals and may require professional intervention and treatment.

Involves an intense fear of gaining weight, resulting in severe food restriction, excessive exercise, and unhealthy behaviors to maintain a low body weight.
Example: A teenage girl becomes obsessed with losing weight, restricts her food intake, and engages in excessive exercise to maintain a low body weight.
Assessment guidelines:
- Determine whether the patient has a medical or psychiatric condition that warrants hospitalization.
- Conduct a thorough physical examination with appropriate blood work.
- Rule out other medical conditions.
- Assess the patient's willingness to receive treatment and educate them on their treatment plan.

Characterized by recurrent episodes of binge eating, followed by compensatory behaviors like purging, fasting, or excessive exercise.
Example: A young man engages in binge eating, followed by purging to compensate for the food consumed.
Assessment guidelines:
- Medical stabilization is the first priority.
- Conduct a thorough medical examination, including laboratory tests (e.g., electrolyte levels, glucose level, thyroid function tests, complete blood count, and ECG).
- Evaluate for psychiatric comorbidity.

Characterized by recurring episodes of overeating, feeling a lack of control, and significant distress, but without compensatory behaviors.
Example: A middle-aged woman experiences frequent episodes of binge eating, feeling a loss of control during these episodes, and hides evidence of her binge eating.
Assessment guidelines:
- Conduct a thorough physical examination with appropriate blood work.
- Identify other medical conditions.
- Evaluate for comorbid psychiatric diagnoses.
- Assess the patient's self-esteem and its influence on their physical appearance.

Psychotherapy:
- Cognitive-behavioral therapy (CBT) and family-based therapy (FBT) can help individuals address underlying causes and develop healthier thoughts and behaviors.
Medical Support:
- In severe cases, hospitalization may be necessary to stabilize physical health, restore a healthy weight, and manage any complications.
Nutritional Counseling:
- Registered dietitians can guide individuals toward balanced meal plans, teach intuitive eating, and help rebuild a healthy relationship with food.
Medications:
- In some cases, antidepressants or mood stabilizers may be prescribed to manage co-occurring mental health conditions.
Support Groups:
- Joining support groups or engaging in group therapy sessions can provide individuals with a sense of community and understanding.