2) What are the main diagnostic components of anorexia nervosa? What are the two types in the coding notes? How is severity evaluated?
In order to be diagnosed AN, there are several components to be considered in a person. A person suffering from AN refuses to maintain a body weight at or above a minimally normal weight for their age and height. In addition, they also have an intense fear of gaining weight or becoming fat even though they may be underweight. Another factor is a distorted perception of how one experiences, their body’s weight, and shape. There is also an undue influence of their body weight/shape upon their own self-evaluation, which may potentially deny the seriousness of the current low body weight. Although males can suffer from AN, the last indication of an AN is based on an absence of at least three consecutive menstrual cycles among females.
However, there are two types of AN which are coded and evaluated differently among the mental health community. These two different types are identified as a restricted type and a binge eating/purging type of anorexia nervosa. As each are coded different among the notes, the restricted type of AN is considered when self-starvation is not associated with concurrent purging such as self-inducing vomiting or the use of laxatives. On the other hand, the binge eating/purging type of AN is when a person regularly engages in purging activities to help control their weight gain.
As a person struggles with AN, it is
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
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 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
According to the DSM-IV-TR the Diagnostic criteria for eating disorder are broken into two major disorders. The first disorder, Anorexia
Diagnosing potential Anorexia nervosa is not always easy, and Alicia’s case, based on information given and her representation, is not clear cut. Researchers argue that the diagnosis has to be done carefully and potential ambiguities have to be resolved (Baer & Blais, 2010). For example, some researchers have argued that one criterion, such as a fear of being fat, can decrease significantly when the person actually loses some weight (Surgenor & Maguire, 2013). For reasons like this, selecting the primary question, namely whether or not the patient has Anorexia
Anorexia nervosa is an eating disorder that involves extreme weight loss, restricted food intake, and an intense fear of becoming fat. The American Psychiatric Association outlines four diagnostic criteria for anorexia. The first is refusal to maintain body weight. The second is intense fear of gaining weight or becoming fat, even though underweight. The third is denial of the seriousness of low body weight. The
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.
Another aspect of anorexia nervosa suffers that can halt treatment is the personality traits that have been found to put children at higher risk of eating disorders. The traits are being anxious, perfectionistic, obsessive personality and negative self-evaluation that are displayed before the onset of the disorder (Kaplan). Research has shown that these traits are still persist after treatment and
The study conducted had a sample size of 90 Polish women with AN and the control group was 120 females without any signs of an eating disorder. These females were studied to identify any substantial differences in behavior. The result of the study was that females with AN exhibited less control over cognitive function and emotional behavior. The conclusion reached was that being able to identify the symptoms typical of an eating disorder in females could help in improving treatments and could also prevent any dangerous habits developed by those with
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.
The four key features that define anorexia nervosa are all based on the way we look at our bodies.1.The person refuses to maintain a minimally normal body weight. 2. The person being dangerously underweight is intensely afraid of gaining weight or becoming fat. 3. The person has a distorted perception about the size of their body, looking at themselves and seeing themselves as obese or fat but actually not. 4. Denial of the seriousness of the actual weight they are. All of which are how one like at their body and what they think about
Anorexia nervosa is a disorder which heightens the ideas of fear in an individual, particularly the phobia of gaining weight. People with the disorder pine to achieve a body that is unattainable, leading to obsessions about food. Fear is a driving emotion for the disorder, and often it is this emotion which causes prolonged suffering. This paper will go over the DSM-5’s diagnostic criteria, the prevalence of the disorder, the circumstances of onset, etiology, and finally a case example. The case example will illustrate how the disorder can be long-lived and affect relationships. Having a clinical understanding of anorexia nervosa allows for persons outside of the disorder the ability to relate to the victims.
With up to 24 million people suffering from a feeding and eating disorder in the United States (Renfrew Center Foundation for Eating Disorders, 2003), it is vital that these disorders be fully understood and recognized by mental health counselors in order for them to accurately assess, diagnose, and treat feeding and eating disordered individuals. Due to the prevalence of disordered eating amongst young females, Anorexia Nervosa or NA in particular, this paper aims to provide a better understanding of the development, evaluation, and diagnosis of this disorder as well as highlight the criteria for diagnosis as described by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM- 5,
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 the deadliest of all psychiatric disorders.” says Dr. Michelle Jorgensen. Jorgensen, M (2011, March 11). This is a disorder where the person is obsessed with the fear of becoming overweight and their appearance. Even though they are severely underweight they engage in self starving to try to prevent themselves from gaining weight. There are two forms of Anorexia Nervosa, the restricting type and purging/binging type. The restricting type is where the person reduces the amount of food they eat or they do not eating at all. The purging/binging type is where a person eats a large sum of food and after purges everything out by forcing themselves to vomit. With the purging type the person might also use laxatives or diuretics