EATING DISORDERSJOHNSON COUNTY HEALTH DEPARTMENT

AMBER TERHUNE, RN, BSN, HEALTH EDUCATOR

MARCH 2018

INTRODUCTION

• Conditions related to severe eating behaviors

• Third most common adolescent chronic illness

• Usually starts in teens/young adults

I., Robyn. That’s What Makes You Blogiful. Persuasive Speech on Eating Disorders, 1 May 2013.http://thatswhatmakesyoublogiful.blogspot.jp/2013/05/persuasive-

speech-on-eating-disorders.html

CAUSES/RISK FACTORS

Aspire Wellness. Common Eating Disorders, n.d. http://aspirewellnessclinic.com/service/eating-disorders/

Often associated with other mental health disorders:

• Depression

• Substance abuse

• Anxiety

• Obsessive-compulsive disorder

ANOREXIA NERVOSA

Lifetime adolescent prevalence is

1.7% in females

Shilpakar, Ashmina. Smith College. Eating Disorders, 14 Jul. 2011. https://www.smith.edu/health/bygirlsforgirls/2011/Research/AshminaShilpakar.html

• Restrictive calorie intake

• Compulsive exercising

BULIMIA NERVOSA

Women’s Health. Bulimia Nervosa, 1 Dec. 2017. https://www.womenshealth.gov/a-z-topics/bulimia-nervosa?from=AtoZ

Lifetime adolescent prevalence is

0.8% in females

• Binge-purge cycles

• Lack of control

BINGE-EATING DISORDER

Lifetime adolescent prevalence is

2.3% in females

Eating Disorders Victoria. Binge Eating Disorder, 13 Jul. 2016. https://www.eatingdisorders.org.au/eating-disorders/binge-eating-disorder

• Binge without purging

• Eat until uncomfortably full or when not hungry

CONSEQUENCES

I. Robyn. That’s What Makes You Blogiful. Persuasive Speech on Eating Disorders, 1 May 2013. http://thatswhatmakesyoublogiful.blogspot.jp/2013/05/persuasive-speech-on-eating-disorders.html

• Severe health problems

• Substance use

• Growth and development issues

• Social problems

• Suicidal thoughts/behaviors

Cardiovascular issues Muscle weakness Death

RED FLAGS

Pinterest. Understanding Eating Disorders, n.d. https://www.pinterest.com/futurehealth1/understanding-eating-disorders/

• Skipping meals

• Overly restrictive diet

• Large amounts of food hidden

• Large amounts of empty wrappers

• Loss of tooth enamel

• Frequent weight changes

DIAGNOSING

Booth, PharmD, Christopher et. al. US Pharmacist. Male Eating Disorders: An Update on an Underrecognized Population, 16 Oct.

2015. https://www.uspharmacist.com/article/male-eating-disorders-an-update-on-an-underrecognized-population

• Based on signs, symptoms, eating habits

• Physical exam

• Tests

• Psychological evaluation

TREATMENT

New, PhD, Michelle. Rady Children’s Hospital. Eating Disorders, Oct. 2014. https://www.rchsd.org/health-articles/eating-disorders/

Booth, PharmD, Christopher et. al. US Pharmacist. Male Eating Disorders: An Update on an Underrecognized Population, 16 Oct. 2015. https://www.uspharmacist.com/article/male-

eating-disorders-an-update-on-an-underrecognized-population

• Healthy eating and weight• Treat medical conditions• Improve mental well-being

Goals:

PREVENTION

NEDA. Eating Disorders, n.d. https://www.nationaleatingdisorders.org/eating-disorders-obesity

NO SURE WAY

ROAD TO RECOVERY

Purple Dreamer. My Purple Dreams. NEDA Week: What Counts, 25 Feb. 2016. http://my-purple-dreams.blogspot.com/

• Learn about your illness

• Follow treatment plan

• Do not weigh in often

• Do not check mirror often

• Spend time with family and friends

• Develop new hobbies

• Seek help during relapse

REFERENCES

American Psychological Association. “Eating Disorders.” APA.org, Oct. 2011. http://www.apa.org/helpcenter/eating.aspx. Accessed 6 Mar. 2018.

Bhandari, MD, Smitha. “Signs of an Eating Disorder.” WebMD.com, 17 Aug. 2017. https://www.webmd.com/mental-health/eating-disorders/signs-of-eating-disorders#1. Accessed 6 Mar. 2018.

Franco, MD, Kathleen N. et. al. “Eating Disorders.” ClevelandClinicMedED.com, Jul. 2017. http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/psychiatry-psychology/eating-disorders/. Accessed 6 Mar. 2018.

Mayo Clinic. “Eating Disorders.” MayoClinic.org, 22 Feb. 2018. https://www.mayoclinic.org/diseases-conditions/eating-disorders/symptoms-causes/syc-20353603. Accessed 6 Mar. 2018.

National Alliance on Mental Illness. “Eating Disorders.” NAMI.org, n.d. https://www.nami.org/Learn-More/Mental-Health-Conditions/Eating-Disorders. Accessed 6 Mar. 2018.

New, PhD, Michelle J. “Eating Disorders.” KidsHealth.org, Oct. 2014. http://kidshealth.org/en/teens/eat-disorder.html. Accessed 6 Mar. 2018.