Klinische Lessen Lecture 6 – Eating Disorders
Types of eating disorders
Anorexia nervosa
Bulimia nervosa
Binge eating disorder
Otherwise specified feeding or eating disorder OSFED
Avoidant-restrictive food intake disorder ARFID
Unspecified feeding or eating disorder
Pica
Rumination disorder
Recognizing an eating disorder
What is binge eating?
Eating a large amount of food in a short period
Feeling a lack of control during the episode (e.g. you can not stop eating or you
can not control how much you are eating)
Associated with eating:
o Much more rapidly than normal
o Until feeling uncomfortable full
o Large amounts of food when not feeling physically hungry
o Alone because of feeling embarrassed by how much one is eating
o Feeling disgusted with oneself, depressed, or very guilty afterward
Marked distress around bingeing is present
DSM-V criteria for binge eating disorder
Recurrent episodes of binge eating
Self-evaluation is unduly influenced by body shape and weight
binge eating occurs 1 time per week for 3 months
No compensatory behaviors after binge eating
Severity based on frequency: 1-3 mild. > 15 extremes.
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, Bulimia also involves binge eating but there is compensation behavior. Binge eating
disorder does not have compensation behavior.
DSM-5 criteria for bulimia nervosa
Recurrent episodes of binge eating
Recurrent compensatory behavior such as self induced vomiting, laxatives misuse,
diuretics, fat burners/diet pills, fasting, or excessive esercise
The binge eating and inappropriate compensatory behavior occur 1 time per week
for 3 months.
Self-evaluation is unduly influenced by body shape and weight.
Binge eating or purging does not occur exclusively during episodes of behavior
that would be common in those with anorexia nervosa
o Severity based on B/P frequency: 1-3 mild, > 14 extreme
DSM-5 Criteria for anoresia nervosa
Severe restriction of energy (food) intake leading to a significantly low body
weight
Intese fear of gaining weight or becoming fat, even when significantly
underweight
Disturbance about body weight, or shape, over-evaluation, or denial of the
seriousness of current low body weight
o Subtypes: restrictive (there is no binging) or Binge / Purge
o Severity based on BMI > 17 mild. <15 Extreme
Otherwise, specified feeding or eating disorder OSFED
Symptoms of an eating causing clinically significant distress or impairment in social,
occupational, or other important areas of life, but the presentation does not meet the
criteria for any specific feeding and eating disorder
Example: other specified feeding or eating disorders, most like anorexia nervosa.
Avoidant restrictive food intake disorder ARFID
Inability to meet nutritional and/or energy needs associated with weight loss, nutritional
deficiency, dependency on external feeding or dietary supplements, interference with
psychosocial functioning
No evidence of body weight or shape concern
Characterized by:
Lack of interest in eating or food
Avoidance due to sensory sensitivity to food
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Types of eating disorders
Anorexia nervosa
Bulimia nervosa
Binge eating disorder
Otherwise specified feeding or eating disorder OSFED
Avoidant-restrictive food intake disorder ARFID
Unspecified feeding or eating disorder
Pica
Rumination disorder
Recognizing an eating disorder
What is binge eating?
Eating a large amount of food in a short period
Feeling a lack of control during the episode (e.g. you can not stop eating or you
can not control how much you are eating)
Associated with eating:
o Much more rapidly than normal
o Until feeling uncomfortable full
o Large amounts of food when not feeling physically hungry
o Alone because of feeling embarrassed by how much one is eating
o Feeling disgusted with oneself, depressed, or very guilty afterward
Marked distress around bingeing is present
DSM-V criteria for binge eating disorder
Recurrent episodes of binge eating
Self-evaluation is unduly influenced by body shape and weight
binge eating occurs 1 time per week for 3 months
No compensatory behaviors after binge eating
Severity based on frequency: 1-3 mild. > 15 extremes.
1
, Bulimia also involves binge eating but there is compensation behavior. Binge eating
disorder does not have compensation behavior.
DSM-5 criteria for bulimia nervosa
Recurrent episodes of binge eating
Recurrent compensatory behavior such as self induced vomiting, laxatives misuse,
diuretics, fat burners/diet pills, fasting, or excessive esercise
The binge eating and inappropriate compensatory behavior occur 1 time per week
for 3 months.
Self-evaluation is unduly influenced by body shape and weight.
Binge eating or purging does not occur exclusively during episodes of behavior
that would be common in those with anorexia nervosa
o Severity based on B/P frequency: 1-3 mild, > 14 extreme
DSM-5 Criteria for anoresia nervosa
Severe restriction of energy (food) intake leading to a significantly low body
weight
Intese fear of gaining weight or becoming fat, even when significantly
underweight
Disturbance about body weight, or shape, over-evaluation, or denial of the
seriousness of current low body weight
o Subtypes: restrictive (there is no binging) or Binge / Purge
o Severity based on BMI > 17 mild. <15 Extreme
Otherwise, specified feeding or eating disorder OSFED
Symptoms of an eating causing clinically significant distress or impairment in social,
occupational, or other important areas of life, but the presentation does not meet the
criteria for any specific feeding and eating disorder
Example: other specified feeding or eating disorders, most like anorexia nervosa.
Avoidant restrictive food intake disorder ARFID
Inability to meet nutritional and/or energy needs associated with weight loss, nutritional
deficiency, dependency on external feeding or dietary supplements, interference with
psychosocial functioning
No evidence of body weight or shape concern
Characterized by:
Lack of interest in eating or food
Avoidance due to sensory sensitivity to food
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