There seems to be confusion regarding the differences between the three main types of eating disorders. The DSM-V( Diagnostic and Statistics Manual for Mental Disorders) that will becoming out next year helps break down the differences so we can understand the three main types of eating disorders. Anorexia Nervosa, a person with this eating disorders has a large fear of gaining weight and or becoming fat.
A person with this mind set will do drastic things to make sure that they do not put on weight, for example limiting caloric intake and exercise more then need they to do because they have not eaten enough to burn the calories that they are using while exercising. A person who has Bulimia Nervosa may feel like a person with Anorexia but someone who is bulimic eats large amounts of food at one time and then goes and makes themselves sick and vomits the food up, the person may also choose to use supplements like laxatives or diet pills to help them lose the weight that they have put on by eating these large amounts of food.
The last of the three main eating disorders is Binge Eating Disorder- or BED, a person with BED will eat large amounts of food, in a short of amount of time, after they eat all this food the person will feel fill and can also feel ill because of the amount of food they have just consumed. A person just does not do this once, but does this frequently and they feel that they have no control over what they are doing (American Psychological Association, 2011). With this eating disorder the people do not lose the weight they they put weight on, they tend to be overweight and or obese.
After one eats the way a binge eater eats they suffer from guilt, shame and the become upset which can trigger another binging episode (National Institute of Mental Health, 2011). Another eating disorder that is nationwide is Obesity. Obesity is when a person has an excessive amount of body fat on them. When thinking about eating disorders there are a lot of misconceptions on who has them, why they have developed them. The usually suffers of an eating disorder are young girls and women. Boys and men suffer as well with eating disorders but we do not see that in society.
Girls and women are usually the only ones that are shown to have such disorder but binge eating disorder can happen to anyone(American Psychological Association, 2011). Eating disorders can begin anywhere from puberty to adulthood. Growing up with thinking that we are fat, ugly and no one will like us really takes a toll on someone mind and body. If people grow up in houses were they are always teased about how they look, dress and a daily reminder that they in other peoples are eyes are fat can lead the person to develop an eating disorder.
Even when people have eating disorders they never look good to themselves even when others tell them they look great. The person tends to have very low self esteem(American Psychological Association, 2011). Not only are the people hearing that they do not look good at home but they my also be hearing it at school when they are in the locker room, they maybe hearing it from a coach because they are playing in a sport or activity that really only has smaller people in it (American Psychological Association, 2011).
Another thing to look at when someone is suffering from an eating disorder is to wonder if they also have a mental disorder. One someone who is not happy with the way they look, how people think of them and how they think of themselves it can lead them to developing serious mental diseases like depression, an anxiety disorder and in some cases a substance abuse problem (American Psychological Association, 2011). There are many ways that are fit to treat someone with an eating disorder. The Harvard Medical Journal states that
The goal of treating an eating disorder is to help a patient achieve a healthy weight, exercise level and eating pattern; to eliminate binge eating and purging; and to address any contributing emotional problems or distorted thinking ( p. 3). There are many ways one can get treated for eating disorders, most patient’s are treated as an outpatient but there are cases where the patient would need to be admitted for inpatient treatment. The reason they would need to be placed inpatient is because their weight is very low, they have stopped eating, or are unable to eat, depressed and suicidal (“Eating disorders in adult women, 2012).
When a patient is diagnosed with anorexia the goal of that treatment is to get the patient back to a healthy weight, to treat the psychological issues related to anorexia and to help eliminate the behavior (National Institute of Mental Health). When a patient is diagnosed with bulimia there are a few treatments that go on to help the person. Cognitive behavioral therapy or CBT, is used to help the patient learn how to recognize the unhealthy ways of thinking and to turn those negative ways into positive ways of thinking (National Institute of Mental Health).
Along with CBT some medication can be prescribed to help the patient with their treatment, Prozac is the only drug approved by the FDA( U. S Food and Drug Administration) (National Institute of Mental Health). The patient is getting treated at a facility where there are doctors, nurses and other people that can help them get better. These treatment facilities are very expensive sometimes ranging from $500 to $1500 per day. If a patient where to have inpatient treatment that requires a lot more money up to $2000 per day.
The patient needs to be evaluated before hand to see what situation would be best for them, but looking at cost, residential is the way most people are going. The average length of stay is 83 days, with an average of $956 per day (Frisch, Herzog ad Franko, 2006). There is another treatment that has been around for almost 30 years, Bodywise, which is in Ann Arbor Michigan, this program using an approach that helps people accept their body as is and helps people develop new ways of eating and exercising (DeAngelis, 2009, p 52).
As of today to 24 million people of all ages and genders suffer from an eating disorder. Anorexia is the third most common chronic illness among adolescents. Estimated 0. 5 to 3. 7 percent of women suffer from anorexia nervosa in their lifetime. Eating disorders have the highest mortality rate of any mental disorder (National Association of Anorexia Nervosa and Associated Disorders). Eating disorders do not just happen to the young they can happen or reappear in middle to late adulthood.
As we grow up we can receive treatment and be cured from our eating disorder but then can go through many obstacles that can cause the person to go back to how they once acted before. A person in middle to late adulthood can experience grief, the lose of someone that they love, spouse, child and or job. With this grief the lose of appetite, purging and or restricting the food intake can help the person deal with their grief.
Something else that is terrible for people as they get older is the possibility of divorce, for women they can feel that their husband left them because of their image and that can cause them to go back to eating habits that are not helpful to them. Also as one gets older we can feel older and we are realizing that we are getting older. For some women who have been a stay of home mom and returning to work for the first time and or school, these women are with a very new and young crowd which again can take toll on the person.
Not just returning to work but leaving work because it is time to retire or we want to retire but can not. The last thing that can start an older adult with an eating disorder is when the person loses weight from a medical illness but she has received many compliments on the new weight loss and being to restrict her food intake so she does not go back to the way she was before. When a person develops an eating disorder in late adulthood it can cause a lot of problems. There are dental problems, irregular heartbeats and osteoporosis.
Also as people get older when they are trying to vomit it can result in a stomach rupture or a tear in the esophagus. (Eating disorders in adults, 2012). Why people develop eating disorders is beyond my imagination but what I do know is that it effects not only the person with the disorder but the people around them also because they feel helpless for not know that something was going on.. When I was in high school I found out that a person I just thought was gorgeous was suffering from an eating disorder and she was hiding it from everyone.
Once she came forward and asked for help it was in her best interest to leave school for sometime and go out of state to a treatment place. There she was away from the pressures of being 17 and 18 years old in high school surrounded by girls who you think are beautiful and want to look like them. The girl in my high school who came forward helped others come forward too and as of today all those girls are doing well and are still coping with the effects of their eating disorder but are leading normal lives with the support of their family and friends.
Eating disorders are very scary for anyone at any age. There are common ones that people hear about day in and day out, anorexia, bulimia and binge eating disorder. The treatments for eating disorders are either outpatient or inpatient facilities that offer therapy, some medication use and monitoring to help the person understand what is going on and to help them get back to a normal healthy life.
If not treated eating disorders can cause serious damage to the persons body and mind and can lead them to develop depression, anxiety and have that to deal with along with their eating disorder. Once the habits are treated and go away some people can have them reoccur because of trauma in ones life. There needs to be an awareness brought out that eating disorders can be prevented in some cases if people just watch for signs and stresses in ones life.