Most people having problem about their appearance; their weight, shape and the food that they eat. It is common for young females who become obsessed about their weight. The common eating disorders are anorexia nervosa, bulimia nervosa and binge-eating disorder. People with anorexia nervosa typically weigh themselves repeatedly and this has the highest mortality rate of any mental disorder.
Anorexia Nervosa- refusal to maintain body weight. Disturbance in a way in which one’s body weight or shape is experienced, denial of the seriousness of the current low body weight.
- Extremely restricted eating
- Intense fear of gaining weight(even if they are skinny)
- Thinning of the bones(osteopenia or osteoporosis)
- Distorted body image
- Lethargy, sluggishness
- feeling tired all the time
- Disturbances in Menstrual cycles
- Feeling cold
- Low blood pressure.
Bulimia Nervosa- eating a large amount of food, rapidly and discretelyin a given time. Compensatory behavior to prevent weight gain (Purging).
- Binge eating followed by purging
- Reddened knuckles
- Callouses on dorsum of fingers/hands due to self-induced vomiting
- Enlarge parotid gland
- Chronically inflamed and sore throat
- Severe dehydration from purging
- Rectal bleeding
Binge-eating Disorder- lose control over his/her eating. People commonly are obese and overweight. Unlike bulimia nervosa, binge-eating are not followed by purging/fasting.
- Eating unusually large amounts of food
- Frequently on diet but no weight loss
- Eating even not hungry
- Feeling distressed, ashamed, or guilty about eating
- Eating disorders frequently appear during teen years or young adulthood and affects both sexes although the women have a greater chances to have eating disorder than men.
- Genetic, biological, behavioral, psychological, and social factors.
- Lack of self-esteem
- Having obsessional behavior
- Sensitive/anxious individuals
- Psychotherapy playsimportant role in the treatment of eating disorder. Psychotherapy may use Cognitive Behavioral Therapy or Family-Based Therapy. Psychotherapy will help you understand your illness and guide you into coping with the symptoms. It aims at modifying your thinking process and provides techniques that help you control your behaviors and emotional responses.
- It typically includes a combination of psychological therapy and nutrition education plus medical monitoring in terms of physiological such as routine laboratory examination (ex. cbc, ecg etc.)
- At LWHCC, we will provide you with free triage service with a professional mental health nurse who will carry on a brief mental health assessment, either over the phone or during a face-to-face interview, and guide you to the appropriate service based on your mental health status and individual needs.
- Small frequent feedings
- Monitor weight and laboratory result (electrolytes, urine, BUN)
- Encourage expression of feelings
- Set realistic expectation of self
- Encourage participation in activities
- Ask the companion to stay with the client during meal time, and at least one hour after eating (Bulimia)
- Accompany to bathroom (If self-induced vomiting is expected)
- Learn about eating disorder. You may want to discuss your concerns with the patient’s mental health team. Please do not hesitate to contact us any time you have a question.
- Empathize with your spouse/ relative
- Do not indicate feelings of shock, disbelief or disgust at eating disorders
- Encourage treatment
- Don’t confront and judge hostilities and anger, should they occur
- Ask how you can help
- Don’t compare client s behavior and appearance with other
- Do not allow long meal times (set 30-minutes mealtime)
- Measure your close one’s progress based on their own improvement rather than absolute standards.
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