Difference Of Initial Treatment Options For Anorexia Nervosa

Incidences of Anorexia Nervosa have appeared to increase sharply in the USA, UK and western European countries since the beginning of the 60s (Gordon, 2001). The increasing prevalence of the disease has led the World Health Organisation to declare eating disorders a global priority area within adolescent mental health (Becker et al. 2011). Anorexia has in many ways become a modern epidemic (Gordon, 2000) and with a mortality rate of 10% per decade (Gorwood et al. 2003), the highest of any mental disorder (Bulik et al. 2006), it is an epidemic that social and biological scientists have been working tirelessly to understand.

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,

It was very interesting to find that those with anorexia nervosa find more positives about their disorder rather than more negatives. Serpell (1999) states that, “One of the most interesting features of anorexia nervosas which sets it apart from many other conditions is the highly valued nature of anorexic symptoms. This is expressed in patients’ generally positive beliefs about their condition and contributes to their ambivalence about treatment (pg. 177). I think that with this article, it makes it more difficult for researchers to really find an effective treatment plan for those with anorexia nervosa partly because they find so many positive beliefs about their disorder and partly because maybe those with the disorder may not take treatment seriously or it may be more difficult to treat because they think so highly of their

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.

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 three nationally recognized eating disorders are identified as Bulimia Nervosa, Anorexia Nervosa, and Binge-Eating Disorder. Eating disorders, although stereotypically viewed as a lifestyle choice, is a serious and often fatal illness that not only cause severe eating disturbances, but adverse psychological and physiological environments for the individual (National Institute of Mental Health, 2006). These disorders typically develop in the mid-to-late teen years and often carry out into early adulthood albeit also existing in late adulthood (Butcher, Mineka, & Hooley, 2004). Treatment for this class of disorder can range from various perspectives, current methodologies for binge-eating disorder point to cognitive therapies and pharmacotherapy (Reas & Grilo, 2014).

Anorexia nervosa is an eating disorder that affects about 0.5 to 1 percent of women in the United States today. ("Anorexia Nervosa | National Eating Disorders Association") While, that may not seem like a lot of people are suffering from Anorexia nervosa it has received a significant amount of attention due to the consequences of developing this disorder. For example, it is reported that five to twenty percent of people who have Anorexia Nervosa will eventually succumb to their condition and die prematurely. ("Anorexia Nervosa | National Eating Disorders Association") Even those who do recover from Anorexia can develop other consequences as a result of this eating disorder. Muscle loss, amenorrhea, reduced bone density, and abnormally slow heart rate and low blood pressure. The abnormally slow heart rate and low blood pressure tend to show that this means that the heart is changing which puts the person at an increased risk for heart failure. ("Anorexia Nervosa | National Eating Disorders Association")

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

Anorexia usually begins in adolescence but can start anytime during pre-teen years or early into adulthood (Medline Plus, 2013). Some individuals have only a single episode while others suffer a long-term battle with the disorder. A recent study (Mehler, 2001) indicates that 16 percent of individuals diagnosed continued to show criteria of anorexia over a decade later after their initial diagnosis. Additionally, the longer duration of illness, the less favorable outcomes tend to be. Intervention early on in the illness has been associated with the best outcomes (Attia, & Walsh, 2007). With serious medical complications such as decreased thyroid function, irregular heart rhythm, low blood pressure, brittle bones, dehydration, and reduced muscle mass (Straub, 2007; Whitbourne, 2013; Attia, 2007), there is a large concern surrounding prognosis and outcomes in individuals that go undiagnosed. Research shows that early detection and treatment improve prognosis and outcome, but clinical diagnosis of anorexia can often times be obscured making it hard to give a proper diagnosis (Mehler, 2001).

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.

Maintenance treatment for anorexia nervosa: A comparison of cognitive behavior therapy and treatment as usual. By: Jacqueline C. Carter, Traci L. McFarlane, Carmen Bewell, Marion P. Olmstead, D. Blake Woodside, Allan S. Kaplan, and Ross D. Crosby.

It was not until the 1930s that physicians for the first time gave value to the importance of psychotherapy in treating anorexia nervosa patients. From here on, physicians continued their research; further increasing society’s knowledge on the physical and emotional harm the condition causes, and finding more ways to effectively treat patients.

Anorexia nervosa and bulimia are eating disorders that severely affect both men and women around the world. The cause of the eating disorder usually derives from psychological, biological and social forces. Eating disorders have become an epidemic in American society, twenty-four million people of all ages and genders suffer from an eating disorder in the U.S. (National Association of Anorexia Nervosa and Associated Disorders.\, 2011). There are many ways to address and treat an eating disorder. There have been multiple studies conducted to test the effectiveness of different types of treatment. My central research question analyzes the relationship between the continuation of the eating disorder with the presence of intervention or some

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 a psychological disorder in which a person has an abnormal eating behavior, to be able to lose weight. The word anorexia nervosa was first used in 1873, by one of Queen Victoria’s physicians known as Sir William Gull. There are two types of anorexia which are the restricting type and the binge-purge type. According to the medical term, this disorder is said to be lack of appetite (Kaye, 2009, p.450). A person who is suffering from anorexia has a fear of gaining weight. This prompts them to do whatever it takes to lose weight. Anorexia is mostly experienced among girls and some men. In general, adolescent girls usually look at their figure more and that is why they are the ones who are mostly affected. By