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Anorexia Nervosa

Refusal to maintain body weight at or above a minimally normal weight for age and height (e.g., weight loss leading to maintenance of body weight less than 85% of that expected; or failure to make expected weight gain during period of growth, leading to body weight less than 85% of that expected). Intense fear of gaining weight or becoming fat, even though underweight. Disturbance in the way in which one's body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight. In postmenarcheal females, amenorrhea, i.e., the absence of at least three consecutive menstrual cycles. (A woman is considered to have amenorrhea if her periods occur only following hormone, e.g., estrogen, administration.) Restricting Type: during the current episode of Anorexia Nervosa, the person has not regularly engaged in binge-eating or purging behavior (i.e., self-induced vomiting or the misuse of laxatives, diuretics, or enemas) Binge-Eating/Purging Type: during the current episode of Anorexia Nervosa, the person has regularly engaged in binge-eating or purging behavior (i.e., self-induced vomiting or the


But it is usually very difficult for these interventions to be implemented because the anorexic is almost always in denial. If you know of someone who needs to be approached about an eating disorder, be prepared for resistance. Behavior therapy is also used to change the eating patterns of an anorexic who is seriously close to death. Only the development of further neurotic and depressive symptoms characterizes dieters progressing to eating disorders. Current ResearchThere are many reasons as to why women develop anorexia nervosa. A number of research projects involving experimen- tal preventive measures have been reported in the current medical literature. misuse of laxatives, diuretics, or enemas) GENERAL SUMMARYAnorexia nervosa is an eating disorder that usually strikes women. According to the author, "dieting in young women is for the most part a transient and benign activity without longer-term consequences. Bodily EffectsIn a recent paper (Leibowitz, 1992) the neurochemical- neuroendocrine systems in the brain controlling macronutrient intake and metabolism are discussed. They often become hyperactive because they exercise frantically in an attempt to burn calories to lose weight. Probably the most famous case is that of Karen Carpenter, who died from heart failure resulting from anorexia nervosa. " Anorexia NervosaAmerican Description --------------------------------------------------------------------------------Diagnostic CriteriaRefusal to maintain body weight at or above a minimally normal weight for age and height (e. Bodily EffectsIn a recent paper (Leibowitz, 1992) the neurochemical- neuroendocrine systems in the brain controlling macronutrient intake and metabolism are discussed. When problems in the family contribute to the feeling of loss of control, family therapy has provided a 90% improvement rate (Nichols & Schwartz, 1991). Intervention is especially important, since recent research indicates that women suffering from anorexia nervosa are at much greater risk of dying than either female psychiatric patients, or the general population at large (Sullivan, 1995).

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