Anorexia vs. Bulimia Essay

There are several bio-medical definitions of anorexia; The NHS refers to an anorexic as someone who tries to keep their weight as low as possible, by restricting diet, often over exercising and in some cases through the use of laxatives and diuretics (NHS, 2014). The DSM-V definition similarly suggests that anorexia is characterised by a refusal to maintain body weight at or above the minimally normal weight for age and height (DSM-V, 2014). Both definitions highlight an intense fear of gaining weight and a hugely distorted perception

In severe cases, brain damage can be noticed in anorexic people, with excessive weight loss the brain shrinks and loses mass. This can lead to slow thinking, confusion, slow memory and poor judgement. Another symptom in anorexia is, thinning of bones also known as osteopenia or osteoporosis. This is one of the most serious symptoms of anorexia because it can lead to bone fractures, loss of stature, chronic pain and disabilities. Other symptoms of anorexia include: dry yellowish skin, dry nails and hair, thinning of hair, severe constipation, drop of internal body temperature, lethargy and damage to the structure and function of the heart (“Eating Disorders”)

Characteristics of anorexia are dieting despite being thin and having an obsession with caloric intake as well as fat grams. An anorexic person often pretends to eat or will lie about their intake of meals because of their belief of being overweight. With all of the food restrictions many problems occur in the body and outside of the body. Some of these risks include the drastic change in brain chemistry that makes it difficult for them to think correctly, decrease in memory, fainting, or they may become sad, moody, irritable, or depressed. Other changes would include, hair may become thin and brittle, skin is dry and easily bruises, they get cold easily, and nails often get brittle. However those are not the most dangerous risks. If one is anorexic,

With Anorexia Nervosa, there is a strong fear of weight gain and a preoccupation with body image. Those diagnosed may show a resistance in maintaining body weight or denial of their illness. Additionally, anorexics may deny their hunger, have eating rituals such as excessive chewing and arranging food on a plate, and seek privacy when they are eating. For women, they go through immediate body changes from abnormal to no menstruation periods and develop lanugo all over their bodies. Characteristics of an anorexic individual also consist of extreme exercise patterns, loosely worn clothing, and maintain very private lives. Socially, to avoid criticism or concern from others, they may distant themselves from friends and activities they once enjoyed. Instead, their primary concerns revolve around weight loss, calorie intake, and dieting. In regards to health, many will have an abnormal slow heart rate and low blood pressure, some can develop osteoporosis, severe dehydration which can result in kidney failure, and overall feel weak (Robbins, 27-29). It has been reported that Anorexia Nervosa has one of the highest death rates in any mental health condition in America (www.NationalEatingDisorders.org).

I will now go on to the psychodynamic approach which was developed by Sigmund Freud.

Anorexia is a serious mental health condition. It is an eating disorder where people try to keep their body weight as low as possible. DSM5 outlines the key diagnostic features for anorexia. Firstly, people with anorexia will restrict behaviours that promote healthy body weight. This could mean that they are consequentially underweight and this can be due to dieting, exercising and purging. There will also be a significant fear of weight gain, but this fear will not be relieved by weight loss. There will be a persistent fear that interferes with weight gain. Lastly, there will be a disturbed perception of ones weight and/or shape and denial of underweight status and its seriousness. Anorexia accounts for 10% of eating disorders in the UK and has

This article explored the topic of identifying symptoms in patients with anorexia nervosa (AN). The Eating Disorder Inventory led a study, conducted by D. Garner, that studied females with AN to classify behavior exclusive to the psychological disorder. The researchers recognized the problem of trying to identify any restrictive manners or detrimental behaviors that could identify a person with AN. The purpose of the research was to find tell-tale symptoms or psychological indicators of AN in patients.

A Look Into the Life of an Anorexic and the Health Risk That Come With It

Anorexia Nervosa is the condition when an individual abstains from food in order to lose weight or prevent more weight gain. In the Diagnostic and Statistical Manual of Mental Disorders IV(DSM-IV) there are four aspects of criteria to be diagnosed with anorexia: a refusal to maintain weight above what is minimally normal for one’s age and height, and extreme fear of weight gain, distorted body image, and (in females) having amenorrhea(missing three or more consecutive menstrual cycles.)(DSM-IV, 2000:589) Anorexia not only affects weight, but also alters bone growth, neurotransmitters and hormones in the brain, and electrolytes.

Anorexics put other people’s feelings in front of theirs. They also feel that the only thing in their lives is food and their weight and this shows that they have low self-esteem for themselves. “Signs and symptoms are noticeable weight loss, becoming withdrawn, excessive exercise, fatigue, always being cold, and muscle weakness” (www.mirror-mirror.org 1). There are many more signs and symptoms for this illness. “An estimated 10

A patient with anorexia at a normal weight considers himself fat and wants to lose weight. He can not and does not want to stop weight loss, and his weight in relation to the decline is reduced to dangerous limits. Low weight is maintained by malnutrition or excessive movement. Diagnostic criteria for anorexia are, among others, a strong fear of weight gain, weight loss below 85% of the norm, a persistent refusal to increase weight and stop menstruation in women.

The Diagnostic and Statistical Manuel of Mental Disorders 5th edition defines anorexia nervosa as an eating disorder characterized by self-starvation and excessive weight loss; it is a serious and potentially life-threatening disorder. According to the DSM 5, the typical diagnostic symptoms of anorexia nervosa are: dramatic weight loss leading to significant low body weight for the individuals age, sex, and health; preoccupation with weight; restriction of food, calories and fat; constant dieting; feeling “fat” or overweight despite weight loss and fear about gaining weight or being “fat.” Many individuals with anorexia nervosa deny feeling hungry and often avoid eating meals with others, resulting in withdrawal from usual friends and activities

“Anorexia Nervosa is characterized by self-starvation to avoid obesity. People with this disorder believe they are overweight, even when their bodies become grotesquely distorted by malnourishment.” (Columbia Electronic Encyclopedia)

In-patients with anorexia, starvation can damage vital organs such as the heart and brain. To protect itself, the body shifts into " slow gear ": monthly menstrual periods stop, breathing, pulse and, blood pressure rates drop, and thyroid function slows. Nails and hair become brittle, the skin dries, yellows, and becomes covered with soft hair called lanugo. Excessive thirst and frequent urination may occur. Dehydration contributes to constipation, and reduced body fat leads to lowered body temperature and inability to with stand cold. Mild anemia, swollen joints, reduced muscles mass, and light headedness also commonly occur in anorexia. If the disorder becomes severe, patients may lose calcium from their bones, making them brittle and prone to breakage. Scientists from the National Institute of Mental Health (NIMH) have also found that patients suffer from other psychiatric illnesses. They may suffer from anxiety, personality or substance abuse disorders, and many are at a risk for suicide. Obsessive compulsive disorder, an illness characterized by repetitive thoughts and behaviors, can also accompany anorexia.

In a society that discriminates against people, particularly women, who do not look slender, many people find they cannot - or think they cannot - meet society's standards through normal, healthy eating habits and often fall victim to eating disorders. Bulimia Nervosa, an example of an eating disorder that is characterized by a cycle of binge eating and purging, has become very common in our society. Although it generally affects women, men too are now coming to clinics with this kind of disease. This is not a new disorder. It can be brought on by a complex interplay of factors, which may include emotional, and personality disorders, family pressures, a possible genetic or biologic susceptibility, and a culture in which there is an