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Anorexia Nervos Is It Necessary?

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Insurance companies most often do not initially cover eating disorder treatment; however, there is a higher recognition of the implications by insurance companies of anorexia nervosa than any other eating disorder. Anorexia nervosa has been consistently associated with increased mortality, but mortality rates of other types of eating disorders are more ambiguous. It is important to recognize that EVERY eating disorder is a serious mental and physical illness that attributes to severe health implications and death—not just those eating disorders classified as anorexia nervosa. Our health system and insurance companies need to understand the seriousness of this disorder to provide better and more comprehensive coverage for …show more content…

The mortality from eating disorders is known to be elevated—this is true for all-cause mortality and suicide, with evidence pointing to suicide mortality being higher in eating disorders than in any other psychiatric illness. However, most mortality research concerning eating disorders directs attention to anorexia nervosa. Limited evidence to date suggests that the mortality risk is low for bulimia nervosa and ‘eating disorder not otherwise specified’ in comparison to anorexia nervosa. I was surprised given the medical problems related with laxative abuse and purging behaviors such as vomiting. Additionally, given the association with impulsivity, the intense mood swings, and the anxiety seen in bulimia nervosa patients, it is bewildering that the detected suicide rates in bulimia nervosa have not been higher. Furthermore, EDNOS, which is a catch-all diagnose for patients with significant features of eating disorders not meeting the criteria for just AN or BN, is the most common eating disorder diagnosis in nearly all community and clinic-based studies; and still, virtually nothing is known about the complications associated with EDNOS, specifically mortality.

The literature on mortality in eating disorders has some limitations, including restricted numbers of study participants with bulimia nervosa or EDNOS, the use of clinical follow-up to ascertain vital status,

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