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Eating Disorders

Chapter 11

Eating Disorders

Eating Disorders

Anorexia Nervosa

Anorexia Nervosa

Anorexia Nervosa

Anorexia Nervosa

Other psychological symptoms: depression, anxiety, sleep disturbance, substance abuse

Anorexia Nervosa

Other psychological symptoms: depression, anxiety, sleep disturbance, substance abuse

Other physical symptoms: lower body temperature, low blood pressure, slow heart rate, swelling, problems with dry skin and brittle nails, poor circulation, loss of hair or growth of lanugo

Bulimia Nervosa

Bulimia Nervosa

Bulimia Nervosa

Other psychological symptoms: depression, anxiety, sleep disturbance, substance abuse

Bulimia Nervosa

Other psychological symptoms: depression, anxiety, sleep disturbance, substance abuse

Other physical symptoms: increased hunger and lack of feeling full, facial swelling, erosion of esophagus and teeth, nutritional deficiencies that may cause digestive system, heart, or kidney damage

Binge Eating Disorder

Binge Eating Disorder

Bulimia Nervosa

Eating Disorders

Differential diagnosis

Eating Disorders

Etiology

Eating Disorders

Etiology

Psychodynamic view: disturbed mother-child relationship does not allow for development of accurately identifying and regulating own needs

Eating Disorders

Etiology

Psychodynamic view: disturbed mother-child relationship does not allow for development of accurately identifying and regulating own needs

Cognitive view: cognitive distortion leads some to judge themselves exclusively on shape or weight

Eating Disorders

Etiology

Psychodynamic view: disturbed mother-child relationship does not allow for development of accurately identifying and regulating own needs

Cognitive view: cognitive distortion leads some to judge themselves exclusively on shape or weight

Biological view: inherited predisposition; low serotonin; weight set point

Eating Disorders

Etiology

Psychodynamic view: disturbed mother-child relationship does not allow for development of accurately identifying and regulating own needs

Cognitive view: cognitive distortion leads some to judge themselves exclusively on shape or weight

Biological view: inherited predisposition; low serotonin; weight set point

Sociocultural view: societal pressures regarding standards of beauty; family environment that emphasizes weight/appearance or is enmeshed; multicultural issues involving rise of eating disorders in minority groups and men

Eating Disorders

Eating Disorders

Eating Disorders

Eating Disorders

Treatment

Eating Disorders

Treatment

Anorexia

Gain weight back and eat normally again: IV feedings, reward programs, nursing care

Eating Disorders

Treatment

Anorexia

Gain weight back and eat normally again: IV feedings, reward programs, nursing care

Address maintaining factors: find connections between feelings and eating; identify and challenge distorted beliefs; change dysfunctional family patterns

Eating Disorders

Treatment

Anorexia

Gain weight back and eat normally again: IV feedings, reward programs, nursing care

Address maintaining factors: find connections between feelings and eating; identify and challenge distorted beliefs; change dysfunctional family patterns

Effectiveness?

Eating Disorders

Treatment

Anorexia

Gain weight back and eat normally again: IV feedings, reward programs, nursing care

Address maintaining factors: find connections between feelings and eating; identify and challenge distorted beliefs; change dysfunctional family patterns

Effectiveness?

Bulimia

Eliminate bingeing and purging, establish good eating habits

Eating Disorders

Treatment

Anorexia

Gain weight back and eat normally again: IV feedings, reward programs, nursing care

Address maintaining factors: find connections between feelings and eating; identify and challenge distorted beliefs; change dysfunctional family patterns

Effectiveness?

Bulimia

Eliminate bingeing and purging, establish good eating habits

Address maintaining factors: identify binge triggers; exposure and response prevention; interpersonal therapy; psychodynamic therapy; family therapy; group therapy; antidepressants

Eating Disorders

Treatment

Anorexia

Gain weight back and eat normally again: IV feedings, reward programs, nursing care

Address maintaining factors: find connections between feelings and eating; identify and challenge distorted beliefs; change dysfunctional family patterns

Effectiveness?

Bulimia

Eliminate bingeing and purging, establish good eating habits

Address maintaining factors: identify binge triggers; exposure and response prevention; interpersonal therapy; psychodynamic therapy; family therapy; group therapy; antidepressants

Effectiveness?

Conclusions

Conclusions

Many factors likely contribute to eating disorders

Conclusions

Many factors likely contribute to eating disorders

Best treatment is a combination of methods and models

Quiz