Eating Disorders Such As Bulimia, Binge Eating, And Anorexia

Eating disorder, Bulimia is an Axis I clinical disorder according to the Diagnostic and Statistical Manual of Mental Disorder also written as DSM-IV-TR. The story on this case analysis was performed on Wanda Hoffman a 24 year old woman who presented with the behavior since age 18 after she became a college student. She was overeating in the context of new academic and social demand then inducing vomiting and often skipping lunch meal. The behaviors she exhibited meet most criteria for a diagnosis of eating disorder, Bulimia. Because Wanda exhibits behaviors in each of the diagnostic criteria for eating, disorder, Bulimia it assists us in ruling out other diagnosis.

Anorexia nervosa is starving oneself, sometimes even to death, because of a personal believe that one is unattractive or unlovable. People with anorexia have a six fold increase in mortality rates compared to people who aren’t. And many of the deaths are sudden due to irregular heartbeats or coma induced by low blood sugar. Bulimia nervosa is eating and then Vomiting soon afterward or using a laxative to get rid of food in order to avoid weight gain. About 1 to 3 percent of adolescents and college aged women have bulimia. Binge eating disorder involves binge eating but not purging afterwords. About 3.5 percent of all women have this disorder, and it is more common in obese people.

According to the Mayo Clinic (2016), eating disorders are “conditions related to persistent eating behaviors that negatively impact your health, your emotions, and your ability to function in important areas of life.” One such eating disorder is anorexia nervosa. Not to be confused with anorexia, which is simply a general loss of appetite that can be attributed to many medical ailments, anorexia nervosa is a serious eating disorder and mental illness (Nordqvist, 2015). Anorexia nervosa is estimated to affect about .9% of women and .3% of men in their lifetime (“Eating Disorder Statistics & Research,” n.d.). In general, the disorder is commonly characterized by a distorted body image or self-concept, critically low weight (with respect to the patient’s height and age), and an irrational fear of becoming fat or an intense desire to be thin. There are two subtypes to this eating disorder: restrictive and binge/purge. In the restrictive type, the individual limits caloric intake and may compulsively over-exercise. In the binge/purge type, the individual consumes a considerable amount of food in a short period of time (binging) and then deliberately vomits (purging), takes laxatives, or fasts intensely in order to compensate for the food eaten (“General Information: Anorexia Nervosa,” n.d.). In either case, anorexia nervosa is undoubtedly a dangerous and alarming illness.

There is a broad spectrum of eating disorders. Bulimia nervosa (BN), anorexia nervosa (AN) (two basic types, restrictive (ANR) and binge-purge (ANBP)), and binge eating disorder (BED). People with eating disorders often have a morphed perception of their body. Often they feel the need to be perfect, and when they do not look perfect to themselves they feel great shame. Which in effect causes suicide ideation, because they feel they do not deserve to live. It appears that eating disorders may carry the highest suicide risk of any psychiatric disorder.

“Up to 30 million people of all ages and genders suffer from an eating disorder” (Wade, Keski- Rahkonen, & Hudson, 1995). There are many factors which contribute to the development of eating disorders including “biology, emotional health, and societal expectation, and other issues” (“Diseases and Conditions Bulimia nervosa”). One of the most prominent eating disorders in America and around the globe has been around since the Middle Ages: “Bulimia is first reliably described among the some of the wealthy in the Middle Ages who would vomit during meals so they could consume more” (“A History of Eating Disorders”). Today bulimia is more prevalent and is predicted to affect around “4% of women in the United States” (“Eating Disorder Statistics and Research”). In 1979, Gerald Russell published a description of bulimia nervosa. It was the first description of bulimia ever published. Only a year later in 1980 bulimia appeared for the first time in the Diagnostic and Statistical Manual of Mental Disorders-III.

Eating disorders can be generally characterized by any range of abnormal or disturbed eating habits. The DSM IV has expanded from two categories of eating disorders; Anorexia Nervosa and Bulimia Nervosa, to three categories; now including Binge Eating Disorder.

It is highly likely that you personally know or know of someone who has been affected by this disorder. The specific disorder that is being referred to in this paper, an eating disorder, is Anorexia Nervosa, the restricting type. An eating disorder “involve[s] disordered eating behaviors and maladaptive ways of controlling body weight” (Nevid, Rathus, & Greene, 2014, p. 335). Another well-known eating disorder is Bulimia Nervosa which is characterized by binging and purging (Nevid, Rathus, & Greene, 2014, p. 338). Bulimia is different than anorexia since victims of bulimia are often normal weight while anorexia victims are well below the average weight.

Anorexia Nervosa is currently viewed by society as an extremely complicated disorder, misunderstood, over looked, and misjudged based on the stigmas of society. People who suffer from eating disorders like Anorexia do not always report the fact they are in living with the disorder because they are ashamed or scared of what might happen to them or what people will say. An individual may also feel that they do not met the exact criteria of Anorexia Nervosa in the DSM 5. An example of the DSM 5 criteria for Anorexia Nervosa is an individual purposely takes too little nourishment, has below average body weight, fearful of gaining weight, refusal to keep a normal weight, distorted body perception

For this paper, I chose to focus on eating disorders looking mainly at their causes. Based on personal experience, I feel that these disorders are stereotyped very heavily in our society, and that public awareness of their causes lacking. Growing up I was always very thin, due to a high metabolism and a small bone structure; traits which ran in my family. Many times, people would make fun of me and even call me anorexic. However, I was not anorexic or bulimic, I was just a thin child, and am still a thin young woman. These trials taught me a very valuable lesson about labeling people, and how much that can hurt them. This is one of the reasons I chose to write about this topic. I also chose to focus on the causes of these disorders because

Anorexia nervosa is an eating disorder in which the individual has a distorted body self-image and an intense fear of weight gain. The individual intentionally restricts daily food intake, which causes alarming weight loss and results in self-imposed starvation. Internal medicine physicians, Brown and Mehler (2015) from Denver Health Medical Center warned, “Starvation induces protein and fat catabolism that leads to loss of cellular volume and function, resulting in adverse effects on, and atrophy of, the heart, brain, liver, intestines, kidneys, and muscles” (p. 11). Medical complications resulting from starvation affect nearly every major organ system in the adolescent body, some more severely than others. While there are 11 major organ systems

The three major eating disorders are Anorexia Nervosa, Bulimia Nervosa, and Binge-Eating Disorder. All of these involve disturbed eating patterns and their own ways of maintaining body weight. The first is Bulimia Nervosa. The person is obsessed with their weight and body shape. They binge eat large amounts of food, then purge themselves, so they do know gain weight. The common way of purging is by gagging themselves, until they vomit. Many that suffer with this are secretive, and it comes as a shock when others find out. Treatment is very hard for all eating disorders. The most common is this disorder is CBT. It helps the patient change their thoughts about food and themselves. It offers alternatives, such as purging the food out, they can exercise, or find healthy food choices.

Many individuals nowadays suffer from many illnesses, one in particular is eating disorders. There are many types of eating disorders, but there are three common ones that are known today, which are anorexia nervosa, bulimia nervosa, and binge-eating disorder. Eating disorders are not healthy, this type of disease can be very fatal and crucial to one 's health  mentally, physically, and socially. The purpose of this report is to provide background information about eating disorders, strategies to prevent this illness from occurring, and lastly potential cures and treatments that can be attained to an individual if the illness is caught early. Using this  information outsiders who are not familiar to this topic can be more aware.

2a. Eating disorders involve self-critical, negative thoughts and feelings about body weight and food, and eating habits that disrupt normal body function and daily activities. A few disorders are anorexia nervosa and bulimia nervosa.

Another issue that seems to be prevalent is the distinction between an eating disorder and disordered eating. These two are frequently misunderstood and used out of context. Disordered eating is almost the same thing as an eating disorder with a few differences. Someone who suffers from disordered eating is someone who does the same things as someone who suffers from an actual diagnosed eating disorder but with less frequently. An example of this would be purging after eating an excessive amount of food. Those who suffer from disordered eating often times have a history of depression or anxiety.

The major eating disorders include anorexia, bulimia, and binge eating disorder. There are also many other eating disorders that are not always specified for people that do not fall into the other categories. When treating these illnesses along with any other, medical staff work to protect a patient’s autonomy which is their right to make decisions about their own care. The problem is that eating disorders are one of the hardest conditions to treat (Treasure, 2015). It has also been shown that over half of all cases develop into severe illness for the patient and profoundly impact their physical and mental health (Treasure, 2015).