Binge-Eating Disorder: Anorexia Nervosa

To be diagnosed with eating disorder, someone must meet certain criteria. The criterion for diagnosis slightly varies depending on if you are referring to people who (A) fear gaining weight, and have significant weight loss,(B) eating a huge amount of food , then use laxative to remove the binged food, (C) the use of excessive exercise and fasting in order to remove or to reduce the amount of calories consumed, and (D) distorted body image, no matter how thin they become, they still see themselves as fat, or not thin enough. The onset of of symptoms begins usually in early adolescence with the diagnostic of disturbed Body image.

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.

Binge Eating Disorder is known as eating too much or consuming major amounts of food and not being able to stop or feeling out of control. Binge eating is comforting for a brief moment, but then the feeling of guilt and self-loathing flood in. Generally, it takes a combination of things to develop a binge eating disorder. It usually begins in late adolescence or early adulthood, and it often occurs more in women than in men. People who have binge eating disorder usually have trouble handling their emotions and often feel out of control in their everyday life. Binge eating disorders often stem in people who are overweight, but it can occur in people of normal weight also. Although many people know that binge eating disorder is caused by psychological issues, they often do not know that it is also caused by behavioral and environmental issues as well.

For this scenario, the term anorexia nervosa is an eating disorder characterized by an overwhelming, irrational fear of gaining weight or becoming fat, compulsive dieting to the point of self-starvation, and excessive weight loss (Wood, Wood & Boyd, 2012 pg. 343). Tiffany is one of the best gymnast on her gymnastics team. Tiffany knows she is the best but is constantly wishing she were thinner like her favorite Olympic gymnasts. Lately, Tiffany’s friends have noticed a drastic change in her behavior and appearance. She constantly complains that she is too fat and ugly. Tiffany has begun a stringent set of routines, which involves more than two hours of rigorous training. Her friends have noticed she is always tired and that she fainted on

One kind of binge eating disorder is a subtype of anorexia nervosa. Anorexia nervosa is a disorder where a person does not eat hardly any food, causing them to lose a significant amount of weight, usually because of a fear of gaining weight or because they feel they are overweight when they are actually unusually thin (Comer, 2014). This can be extremely dangerous because if one does not eat food, then how are they expected to stay alive? Anorexia nervosa is one of the most dangerous of the eating disorders since people who have this disorder never eat, they often starve to death or die from malnutrition One of the subtypes of anorexia nervosa is binge eating and purging, where one consumes large amounts of food and then finds a way to get rid of the

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.

I have always been intrigued with eating disorders, particularly Anorexia Nervosa. When I was 18 years of age, my mother questioned whether or not I was Anorexic and she took me to the family practitioner, who then informed me that I was three pounds shy from being considered underweight. I knew I was thin, but I was really thin, but also really proud of my size. In an African American urban environment being thin was related to illness and drug abuse. I was often teased about how thin and fragile I looked. I embraced the attention I received from being thin, and did little to change my restrictive eating habit. I wouldn’t consider myself Anorexic, but I was accustomed to eating unhealthy high calorie snacks as a meal replacement. My family practitioner recommended that I see a psychiatrist; I refused and reminded my mother how thin she was in her youth. My mother agreed that she was thin, and decided that she may have been over reacting. I never saw a psychiatrist and remained extremely thin for several years thereafter afraid to ever “get fat”. I do wonder if a psychiatrist would have diagnosed me with Anorexia Nervosa Restrictive type NOS, below is my teen profile.

According to ANAD Eating Disorder Statistics about thirty million people in America of all ages and genders suffer from one of the three main eating disorders. Many people suffer from more than one of the eating disorders. Only 1 in 10 individuals receive the treatment that is needed to recover(ANDA). Often eating disorders are known to be triggered by outside factors in their life, but studies show that it is more likely to be a part of their genetics.

The eating disorder anorexia nervosa is one of complex nature that is caused and sustained by many interconnected factors of life. Characterized by strict dieting, an unrealistic perception of body image, excessive exercise, depression, and OCD, this disorder has the ability to boycott the lives of many individuals (Pinel, 2014). In order to understand the effects that this disorder has, it is essential to look at the socio-cultural, psychological, and physiological factors this disorder can entail. In addition, gender discrepancy is evident in relation to anorexia nervosa, with females presenting anorexia nervosa more often than males due to the differing “ideal” body types of both sexes.

An eating disorder is a disorder that specifically focuses on the person’s weight and these behaviors are so detrimental not only to their performance in their everyday life but to their physical health. According to Hoeksema (2014) eating disorders can be characterized in three ways which include anorexia nervosa, bulimia nervosa, and binge-eating disorder. Anorexia nervosa can be further broken down into two types which are anorexia nervosa restricting type, and anorexia nervosa binge/purge type. Eating disorders if approached early enough can be reversed with no damage or very minimal damage to the person.

Eating disorders are characterized by a high preoccupation with weight and an intense dissatisfaction with one’s body image (Institute of Psychiatry, 2015). Some of the most common Eating Disorders (EDs) include Anorexia Nervosa, Bulimia, and Binge Eating Disorder, however it is important to note that not everyone fits neatly into any of these categories and could display symptoms and behaviors interchangeably. People who suffer from Anorexia Nervosa can be characterized as having very low body weight and being involved in various weight loss activities including being highly food-restrictive and possibly over-exercising (Mascolo et al., 2012). Anorexia also has the highest mortality rate among all the mental illnesses, which includes

Eating disorders such as anorexia nervosa, bulimia nervosa, and binge eating disorder consist of emotions, attitudes, and behaviors surrounding weight and food issues. Up to 24 million people of all ages and genders suffer from an eating disorder in the U.S (ANAD, n.d.) bulimia nervosa as well as the other eating disorders are considered to be a female eating disorder, a disorder that only affects women which limits males to seek treatment let alone make aware to other that they suffer from bulimia nervosa. Individuals who suffer from bulimia nervosa tend to eat big amounts of food which experience a lack of control of over eating. They tend to undertake improper purging behaviors such as vomiting, laxative use, excessive exercise and/or starvation. Individuals with bulimia nervosa display their unsuitable adaptive eating patterns a minimum of two times per week for three months and are excessively sensitive to weight gain (Ray, 2004).

Anorexia Nervosa is one of several subtypes descending from feeding and eating disorders. It is a crippling life-threatening condition marked by a patient placing restriction on energy intake relative to needed energy requirements, resulting in a relentless pursuit of low body weight in the context of age, sex, development and physical health. According to American Psychiatric Publishing of diagnostic and statistical manual of mental disorders (DSM-5) “Anorexia Nervosa, often times have an early-onset which primarily affects adolescent girls and young women, is characterized by distorted body image and excessive dieting that leads to severe weight loss with a pathological fear of becoming fat” (APA). Anorexia is a condition more common amongst younger patients that causes a disruption in the normal growth process, because they fail to achieve ideal weight and height expectancy. Psychologist are able to determine if an individual meets anorexia weight cutoff requirement by measuring how thin their patients are by calculating body mass index (BMI)

Another long-term study was performed in which 84 patients were monitored after their first time being hospitalized due to them having Anorexia Nervosa. It was found that almost half of the patients reached full recovery, 10.4% met the same criteria for Anorexia Nervosa, and that 15.6% had died from anorexia reasons.(8) The part of the study that is of main interest is in regards to those who died from anorexia causes, as many of the causes of deaths were biologically and psychologically related. The causes of death for the 12 patients included bronchial pneumonia (infection of the bronchioles), sepsis, dehydration, electrolyte imbalance, and suicide.(8) Many people would expect that those who suffer from Anorexia Nervosa would typically

As mentioned previously, I believe my family member is suffering from depression and the stress of his illness has taken a toll on him mentally. The added pressure from family and his doctor to lose weight along with his diet, can be stressful in itself. Binge eating is also encountered in overweight patients with type 2 diabetes. (Fabricatore et al). Furthermore, his diabetic treatment is pretty intensive to keep it under control and to keep his A1C under a 7. Currently, he has to take insulin twice a day, plus oral medication for his kidneys, blood pressure and cholesterol. This kind of self-management for him is hard to keep up as he is always making up some kind of excuse to not taking his meds, especially since he has a fear of needles which is a hindrance to insulin therapy that he desperately needs to be taking right