EATING DISORDERS IN ADOLESCENTS

OBJECTIVES Review the history of eating disorders

Identify the main characteristics of anorexia

Identify the main characteristics of bulimia

Identify the main characteristics of Binge Eating Disorder

What can teachers do to assist in these situations?

HISTORY OF EATING DISORDERS Foot binding in China Lotus shoes

HISTORY OF EATING DISORDERS Holy anorexia

DSM-IV: ANOREXIARefusal to maintain body weight at normal weight for age and height

Intense fear of gaining weightDisturbance on body evaluationAmenhorrea / lost sexual interest

DSM-IV: ANOREXIA

Restrictive type

Binge-eating / Purging

CONTROL BODY WEIGHT BY

StarvationPurging / vomitingExcessive exerciseDiet pills / diuretics

CONTROL BODY WEIGHT BY

StarvationPurging / vomitingExcessive exerciseDiet pills / diuretics

SYMPTOMS

MAIN PSYCHOLOGICAL, EMOTIONAL, INTERPERSONAL, PHYSICAL AND BEHAVIOURAL

SYMPTOMS

PSYCHOLOGICAL SYMPTOMSDistorted body imagePoor insightSelf-evaluation largely, or even

exclusively, in terms of their shape and weight

OCD (obsessive compulsive disorder)belief that control over food is

synonymous with being in control of one's life

EMOTIONAL SYMPTOMSLow self-esteem and self-efficacy

Clinical depression or chronically low mood

Intense fear about becoming overweight

Moodiness or 'mood swings'

INTERPERSONAL SYMPTOMSWithdrawal from previous friendships and other peer-relationships

Deterioration in relationships with the family

Denial of Basic needs, such as food

PHYSICAL SYMPTOMSExtreme weight lossGrowth of lanugo hair over the body

Possibly with pallid complexion and sunken eyes

Creaking joints and bonesTooth decay

YOU CAN NEVER BE…

PHYSICAL SYMPTOMSVery dry/chapped lips due to malnutrition

Headaches, due to malnutrition Thinning of the hair Nails become more brittle Constantly feeling "cold" Dry skin

BEHAVIOURAL SYMPTOMSExcessive exercise, food restrictionFaintingSecretive about eating or exercise behaviourPossible self-harm, substance abuse or

suicide attemptsVery sensitive to references about body

weightBecome very aggressive when forced to eat

"forbidden" foods

STUDENTS VOICES