The Effects of Pharmacological Treatment on Anorexia Nervosa

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).

Anorexia nervosa, otherwise stated as anorexia, is an eating disorder that occurs when an individual restricts themselves from necessary energy intake which leads to significantly low body weight. Other characteristics of this disorder include: intense fear of becoming fat or gaining weight, persistent behavior that interferes with weight gain, and disturbances of perception and experience of their own body weight and shape (DSM V, 2013). Effective treatments are still trying to be researched for this disorder, as there is not a “one size fits all” for people of all age groups, living situations, etc. Since adolescents with anorexia are such a vulnerable population,

Bailer et al (1970) compared serotonin activity in recovering anorexia suffers and healthy controls. They found significantly higher activity in the women that were recovering from anorexia, the highest levels found in those women with the highest anxiety levels. This also provides support for AN having a biological cause, in this case an imbalance of neurotransmitters.

Prescription antidepressants and antipsychotics have not had much success in the treatment of anorexia nervosa. Eating disorder expert Walter Kaye, MD said, “we have not understood the pathogenesis and physiology of these illnesses (anorexia nervosa and bulimia nervosa). Until we do that, it is hard to come up with effective treatments.” He said this in regards to finding more effective treatment options (Kaplan).

Some types of medications may help reduce symptoms of binge eating disorder, but are not designed

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.

Anorexia nervosa is an eating disorder that consists of self-regulated food restriction in which the person strives for thinness and also involves distortion of the way the person sees his or her own body. An anorexic person weighs less than 85% of their ideal body weight. The prevalence of eating disorders is between .5-1% of women aged 15-40 and about 1/20 of this number occurs in men. Anorexia affects all aspects of an affected person's life including emotional health, physical health, and relationships with others (Shekter-Wolfson et al 5-6). A study completed in 1996 showed that anorexics also tend to possess traits that are obsessive in nature and carry heavy emotional

One of the drugs main side effects is an increase in appetite, so doctors have also prescribed this medicine to anorexia or other eating disorder patients.

Anorexia Nervosa is an eating disorder often found in young adolescent women, that has been characterized by a distorted attitude towards weight and body image, a set of behaviors calculated to produce weight loss and other physiological and psychological symptoms. Physiological symptoms include (according to the DSM III- R criteria) starvation, amenorrhoea, and a refusal to maintain weight above 85% of their ideal weight. Psychological symptoms include an obsessive pursuit of thinness, along with obvious body preoccupation, and an incessant rumination about food. In addition, they are also engaged in compulsive calorie counting and excessive physical exercise. The

Eating disorders are severe disturbances in eating behaviors, such as eating too little or eating too much. “Anorexia nervosa affects nearly one in 200 Americans in their lives (three-quarters of them female)” (Treating anorexia nervosa). Anorexia, when translated into Greek means “without appetite” which is not true for all suffering from anorexia most people with this disorder have not lost their appetite they simply have to ignore it. People with anorexia have an intense fear of gaining weight and have convinced themselves that they are overweight even if they are the opposite of overweight. Since the way that they view themselves is in a negative light they starve themselves and put their lives at risk. “In the most severe

Eating disorders anorexia and bulimia have many overlapping, complex factors. Treatment often involved psychotherapy such as CBT, but bulimia can also be medicated with SRIs. However, leaving eating disorders untreated can come with consequences. Research by Steinhausen (2009) found that individuals with anorexia have a mortality rate that is 18 times higher than their peers who do not. This essay aims to compare and contrast a treatment for each disorder, beginning with DSM 5 definition of each and it’s diagnosis criteria.

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

Antidepressants influence neurotransmitter systems, including norepinephrine, serotonin and dopamine. Commonly known drug-classifications of antidepressants include selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (Brandon & McKay, 2015). Fluoxetine (FLX) is a well-known and extensively studied SSRI antidepressant. Thus, FLX’s actions include increasing the amount and duration of Serotonin availability in the brain by preventing its reuptake (Brandon & McKay, 2015). Few studies have suggested that FLX could work to stabilize weight recovery in AN patients. Klenotich et al. (2012) evaluated the efficacy of FLX in survival, weight gain and food intake in comparison with OLZ and

Self-esteem is reliant upon body shape and weight. Physical implications may include disruption of the menstrual cycle also known as amenorrhea, signs of starvation, thinning of hair or hair loss, bloated, yellowish palms/soles of feet, dry and pasty skin. The risks that people take while indulging in anorexia can also become physiologically and mentally damaging. There are several effective treatments. One of which is hospitalization, this occurs when the weight loss is greater than 30% in 3 months time. Some other effects to be taken into consideration when hospitalizing a patient are the risk of suicide and depression, severe binging and purging, and serious metabolic disturbance. Therapy and counseling is used to help the patients with depression and family complications that may have led to the state they’re in. Clinical studies have not yet identified a medication that could improve the core symptoms of anorexia.

This paper is a critical analysis of how research into pro-anorexia websites effects is insufficient for determining their influence on body dissatisfaction, dieting and anorexia nervosa (AN) disorder. These unorthodox services have received outrage in recent New Zealand (NZ) news coverage because they are seen to advocate engagement in eating disorder behaviour, and disengagement from professional treatment (Hawkes, 2017).