EATING DISORDER-DR.AKIF A.B

ANOREXIA NERVOSA-Seen in adolescent females

-Appetite = normal ( hence the term anorexia is a misnomer)

-Disturbance of body image i.e the patient feels that she is fat but actually she is not

- restriction of diet leading to underweight

ANOREXIA NERVOSA-Amenorrhoea may be present secondary to starvation.

-Poor sexual development

-Low interest in sexual activities

-Peculiar food habits such as hiding foods,trying to dispose food in napkins.

TYPES OF ANOREXIA NERVOSA

1)Restricting type :50-75%

2)Binge type :25-50%

TREATMENT OF ANOREXIA NERVOSA

1)Behavioural management : Main treatment

2)SSRIs : Drug of choice

UPDATE

-DSM-4 : Amenorrhoea was a necessary symptom for diagnosis of Anorexia Nervosa

-DSM-5: Anorexia nervosa can be diagnosed without amenorrhoea.

DSM : Diagnostic and Statistical manual of mental disorder

BULIMIA NERVOSA

BULIMIA NERVOSA

BULIMIA NERVOSA-Bulimia is more common than anorexia nervosa

-.characterised by binge eating followed by self induced vomiting in fear of gaining weight

-Weight is usually normal whereas in anorexia nervosa pt. is underweight.

- due to purging patient has enamel erosion and dental caries

-Normal sexual functioning whereas in anorexia nervosa sexual functioning is impaired.

BULIMIA NERVOSATREATMENT

-COGNITIVE Behavioural therapy

BULIMIA NERVOSA

ANOREXIA BULIMIA

Appetite Normal Normal /binge eating

Sexual development Impaired Normal

Weight Underweight Normal

Treatment Behavioural therapy

Behavioural therapy

More common than anorexia.

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