ANOREXIA NERVOSA WHAT IS ANOREXIA NERVOSA? Anorexia nervosa is a psychiatric illness that describes an eating disorder characterized by extremely low body weight and body image distortion with an obsessive fear of gaining weight. The term anorexia is of Greek origin: OREXIS meaning a lack of desire to eat. Anorexia nervosa is frequently shortened to "anorexia" in the popular media. This is technically incorrect, as the term "anorexia" used separately refers to the medical symptom of reduced appetite (which therefore is distinguishable from anorexia nervosa in being nonpsychiatric). CAUSES Social influences Occupational goals Genetic or family history Psychological factor Categories of anorectics There are two categories of anorectics: Anorexics Anorexic people starve themselves and eat very little. Example :Eating simply half a cracker for their meals. Bulimics Bulimic people overeat but they then force themselves to throw up what they have eaten. They can eat almost everything in their cabinets and then force themselves to throw up so they do not gain weight. Some bulimics eat very normally but after each time they eat, they will go to the toilets and throw up. Behaviors and Symptoms of Anorexic's Self Starvation Restricting and dieting Obsession with body weight, physical appearance, and body image Refusal to eat Fear of Food Excessive facial and body hair (growing hair in weird places ie: on the lower back, knuckles etc…) Compulsive exercise Abnormal weight loss Gaunt-like features (example: cheeks sinking in due to weight loss) Sensitivity to the cold Absent or irregular menstruation Loss of consciousness (fainting) Hair loss Behaviors and Symptoms of Bulimic's Preoccupation with food Obsession with body weight, physical appearance, and body image Bingeing on large amounts of food- consuming sometimes 3000 calories or more in one sitting (usually in secret) Frequent trips to the bathroom after meals Vomiting after bingeing Abuse of laxatives, diuretics, diet pills Ingesting drugs to induce vomiting (ex: using Ipecac) Absent or irregular menstruation Compulsive exercise Vomit smell on breath Swollen salivary glands Swollen Cheeks Broken blood vessels in the eyes Treatments Anorexia The treatment of anorexia has three main phases: Restore weight loss Treat psychological issues such as depression, self-esteem, and interpersonal conflicts Achieve long-term recovery and remission The use of anti-depressants for treating anorexia should be considered only after weight gain has been established. Bulimia The main goal in the treatment of bulimia is to eliminate binging and purging Establish healthy and consistent eating habits, i.e. three meals a day at regular times Encourage healthy, not excessive, exercise Treat psychological issues such as mood or anxiety disorders