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Eating Disorders Notes

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Eating disorders Classification of eating disorders

Anorexia nervosa Bullimia nervosa Binge eating Otherwise specified feeding/ eating disorders ED-NOS

Core features: disturbed eating; over evaluation of control of eating, weight, shape- resulting in clinically significant impairment in health and psychosocial function. Also not secondary to any general medical/ psychiatric condition

Common risk factors o Compulsivity - trait; aberrant sense of reward o Genetics o Female o Adolescence o Depression o substance misuse, alcoholism (more for BN) o Obesity (BN) o Premorbid experiences
 Adverse parenting- low contact; high expectations; parental discard
 Sexual abuse
 Family dieting
 Critical comments about eating, weight and shape from others
 Occupational pressure to be slim- such as in ballets- more so for BN
 Early menarche (period) - more so for BN o Pre morbid characteristics
 Low self esteem
 Perfectionism (AN)
 Anxiety and anxiety disorder - not eating feels better

Overlap between the three disorders mean people cross into other categories over time. Due to the similarities a transiagnostic form of CBT has been developed for full range of eating disorders. This is based on transdiagnostic theory of maintainence

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