Eating Disorders 101 Helpline: 800-931-2237 Business Line:

Eating Disorders 101 Helpline: 800-931-2237 Business Line:

Eating Disorders 101 Helpline: 800-931-2237 Business Line: 212-575-6200 What Are Eating Disorders? Real, life-threatening illnesses with potentially fatal consequences. Involve extreme emotions, attitudes, and behaviors surrounding weight, food, and size. Caused by a range of biological, psychological, and sociocultural factors Who Do Eating Disorders Affect? Everyone. People of all genders, ages, races, religions, ethnicities, and sexual orientations can be affected. As many as 20 million women and 10 million men will struggle with an eating disorder at some point in their lives. Biopsychosocial Disorders

Biological Factors: Family history History of dieting Type One (Insulindependent) Diabetes Genetic predisposition Psychological Factors: Low self esteem

Relationship with self Feelings of inadequacy Depression, anxiety, fear, or loneliness Social Factors: Cultural norms that

overvalue appearance Body dissatisfaction Drive for perceived ideal body type Historical trauma Weight stigma/bullying The 9 Truths About Eating Disorders 1. Many people with eating disorders look healthy,

yet may be extremely ill. 2. Families are not to blame, and can be the patients and providers best allies in treatment. 3. An eating disorder diagnosis is a health crisis that disrupts personal and family functioning. The 9 Truths About Eating Disorders 4. Eating disorders are not choices, but serious biologically influenced illnesses. 5. Eating disorders affect people of all genders,

ages, races, ethnicities, body shapes and weights, sexual orientations, and socioeconomic statuses. 6. Eating disorders carry an increased risk for both suicide and medical complications. The 9 Truths About Eating Disorders 7. Genes and environment play important roles in the development of eating disorders. 8. Genes alone do not predict who will develop eating disorders. 9. Full recovery from an eating disorder is possible.

Early detection and intervention are important. An Overview to Eating Disorders WARNING SIGNS, SYMPTOMS, & HEALTH CONSEQUENCES Common Warning Signs EMOTIONAL/BEHAVIORAL PHYSICAL

Weight loss, dieting, and control of food are primary concerns Food rituals Social withdrawal Frequent dieting, body checking Extreme mood swings Noticeable weight fluctuations Gastrointestinal complaints Dizziness upon standing Difficulty concentrating, sleeping Issues with dental, skin, hair, and nail health Warning Signs & Symptoms DSM-5 Diagnoses Anorexia Nervosa (AN) Bulimia Nervosa (BN) Binge Eating Disorder (BED) Avoidant-Restrictive Food Intake Disorder (ARFID) Other Specified Feeding or Eating Disorder (OSFED)

Eating disorders are complex and some eating issues will not meet diagnostic criteria. All must be taken seriously. Anorexia Nervosa (AN) Characterized primarily by self-starvation and excessive weight loss Symptoms include: Inadequate food intake leading to a weight that is clearly too low Disturbance in the experience of body weight or shape Intense fear of weight gain, obsession with weight, and

persistent behavior to prevent weight gain Inability to appreciate the severity of the situation Bulimia Nervosa (BN) Characterized by binge eating and compensatory behaviors, such as self-induced vomiting, in an attempt to undo the effects of binge eating. Symptoms include: Frequent episodes of consuming very large amounts of food followed by behaviors to prevent weight gain, such as vomiting, laxative abuse, and excessive exercise

Feeling of being out of control during the binge-eating episodes Extreme concern with body weight and shape Most people are of a normal weight Binge Eating Disorder (BED) Characterized by recurrent binge eating without the regular use of compensatory measures to counter the binge eating. Symptoms include: Indications that the binge eating is out of control, such as eating when not hungry, eating to the point of discomfort, or eating alone because of shame about the behavior

Feelings of strong shame or guilt regarding the binge eating Avoidant-Restrictive Food Intake Disorder (ARFID) Characterized by lack of interest in food, fears of negative consequences of eating, and selective or picky eating. Symptoms include: Reduced food intake and frequent complaints of bodily discomfort with no apparent cause Lack of appetite or interest in food, with a range of preferred foods narrowing over time Other Specified Feeding or Eating Disorder (OSFED) A feeding or eating disorder that causes significant distress or impairment, but does not meet the criteria for another feeding or eating disorder. Atypical Anorexia Nervosa: criteria for AN met but weight is not below normal Subthreshold Bulimia Nervosa: criteria for BN met but with less frequent occurrences Subthreshold Binge Eating Disorder: criteria for BED met but occurs at a lower frequency Purging Disorder: purging without binge eating Night Eating Syndrome: excessive nighttime food consumption Co-Occurring Disorders High prevalence rates Can intensify eating disorders symptoms and impact treatment (recovery, level of care, drop-out) Most common comorbidities: Mood disorders Anxiety disorders Substance abuse Treatment should address co-existing conditions and eating

disorders Health Consequences Cardiovascular (muscle loss, low or irregular heartbeat) Gastrointestinal (bloating, nausea, constipation) Neurological (difficulty concentrating, sleep apnea) Endocrine (hormonal changes estrogen, testosterone, thyroid)

Serious, Potentially Fatal Illnesses A review of nearly fifty years of research confirms that AN has the highest mortality rate of any psychiatric disorder. Risk of death from suicide or medical complications is markedly increased for individuals with eating disorders. A study on BN and EDNOS found elevated mortality risks similar to those for AN. Help is Available!

SEEKING TREATMENT Serious, Life-Threatening, & Treatable Eating disorders are not fads or phases, and they have the highest mortality rate of any psychiatric disorder. Serious effects on health, productivity, and relationships Early intervention increases likelihood of a full recovery.

Eating Disorders Treatment Ongoing Support Intervention Professional Treatment Recovery

Individualized Care TREATMENT PROCESS Initial assessment/diagnosis Interview providers Communicate with all involved Develop a maintenance plan Levels of Care Inpatient

Residential Partial hospitalization Intensive outpatient Outpatient Where to Find Help SUPPORT & RESOURCES Contact the NEDA Helpline by phone or click-chat Mon-Thurs 9-9, Fri 9-5 EST

24/7 crisis support: text NEDA to 741741 Eating Disorder Screening Tool 96% of participants identified as at-risk 100,000 screenings taken since February 2017 Quick access to help

NEDA Toolkits How to Help DO: DONT: Learn as much as you can about eating disorders

Place shame, blame, or guilt Be honest and vocal about your concerns Make rules or promises that you cannot or will not uphold

Give simple solutions Be caring and firm Suggest they seek help from a physician an/or therapist Invalidate their experience or try to convince

Be a good role model, practice what you preach Give advice about weight, exercise, or appearance Ignore or avoid the situation until it is severe or life-threatening How to Help a Loved One Talking about Eating Disorders KEEP IN MIND: Dont provide tips or play the numbers game. Emphasize the seriousness of eating

disorders without portraying them as hopeless. Watch out for the appearance ideal. Don't focus on images or descriptions of the body at its unhealthiest point. The Body Project Train-the-trainer model

300+ trained in 27 states Repeatedly shown to effectively reduce body dissatisfaction, negative mood, unhealthy dieting, and disordered eating The Body Project Now that I have done the Body Project, I have noticed that I see my body more

positively now and I stay away from negative comments. I am also doing this with my family members and staff around me. Get Involved With NEDA! To learn more, contact: Business: (212) 575-6200 NEDA Helpline: (800) 931-2237

Email: [email protected]

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