Eating disorders affect millions of people worldwide. Many people experience temporary and short-lived phases in life where natural eating patterns are altered. In these cases food intake is deliberately increased or decreased in response to triggers like mood swings, biological factors, increased stress/anxiety/fear, financial pressure or body awareness/dieting.
However for millions of people worldwide, eating disorders develop that start to seriously and adversely affect health and wellbeing. They can be life threatening and stem from a complex mix of psychological, biological, environmental and social factors. Eating disorders not only affect the lives of the people suffering from the disorder but also can destroy the lives of those around them too. Family relationships and friendships can also be devastated by the ripple effect of living with or being close to people suffering from these conditions.
Eating disorders affect men and women and can develop in children, teenagers or later adult life. The most common eating disorders include; anorexia, bulimia, and binge eating disorder. These conditions have complex roots that develop as a result of many interacting factors that can include difficult life experiences, low self-esteem/confidence, social /familial pressure, social conditioning, lack of self-belief, bullying, physical/sexual abuse, emotional trauma, hormonal /chemical imbalance, disease, depression, mood swings, anxiety, menstrual disorders, stress, fear of the future and social perceptions that influence how people perceive themselves their world, interact with others and behave. People with eating disorders develop extreme attitudes and emotional swings that become associated with appetite, body image, weight and food. Eating disorders seriously impact health, wellbeing, functionality and productivity.
TYPES OF EATING DISORDERS
(1) ANOREXIA NERVOSA is characterized by self-starvation, excessive weight loss, extreme obsession and fear/repulsion at becoming ‘fat’, distortion to the perception or self-evaluation of their own body size/weight, denial of being underweight, fear of eating, development of food rituals and obsessive exercise regimes to lose weight. The condition if left untreated can be life threatening.
(2) BULIMIA NERVOSA is characterized by cyclical behavior of binge eating /over eating and behavior strategies that immediately compensate for the impact of eating that include deliberate vomiting, extreme/compulsive exercise and over use of laxatives. The condition is associated with extreme feelings of guilt over eating, anxiety over body image and weight. The condition can be life threatening
(3) BINGE EATING DISORDER (BED) is characterized by recurring patterns of binge eating where individuals consume large quantities of food until feeling uncomfortably full without taking compensatory strategies like vomiting or laxative use. This condition is often accompanied by feelings of depression, guilt and revulsion at their own eating behavior. Individuals can feel embarrassment when eating and as such eat alone.
Some young people are often diagnosed with a non-specific, non-diagnosed eating disorder (EDNOS). These may include things like specific food phobias, addictions or ritualistic eating behavior patterns.
FACTS & STATISTICS:
Around 8 million Americans reportedly have an eating disorder, of which 7 million are women.
One in 200 American women suffer from anorexia
Two to three in every 100 American women suffer from bulimia
Anorexia is the 3rd most common chronic illness among adolescents.
95% of those who have eating disorders are between the ages of 12 and 25.
50% of girls between the ages of 11 and 13 see themselves as overweight.
80% of 13-year-olds have attempted to lose weight.
Some people can be diagnosed with eating disorders that are not otherwise specified (EDNOS), which means that they have eating issues, but not any particular eating disorders such as anorexia or bulimia
EFFECTS OF EATING DISORDERS
ANOREXIA NERVOSA– Self-starvation results in the body being denied various essential nutrients. This can have serious medical consequences like development of a slow heart rate, low blood pressure, reduction of bone density leading to osteoporosis, weakness, serious dehydration, fainting, fatigue, dry hair and skin and hair loss. It can have fatal consequences.
– BULIMIA NERVOSA– Bulimia can have a serious impact on the digestive system and can lead to electrolyte and chemical imbalances in the body, which can affect the heart and other major organ functions. Being sick frequently can cause inflammation of the esophagus whilst laxative abuse can cause constipation or chronic irregular bowel movements. Bulimia can have long-term health issues.
– CONSEQUENCES OF BINGE EATING DISORDER– Binge eating disorders can cause high blood pressure, increase cholesterol levels and trigger heart disease as a result of elevated triglyceride levels, Type II diabetes mellitus and Gallbladder disease.
TREATMENT OF EATING DISORDERS:
Medication cannot directly ‘cure’ an eating disorder. Medication serves to tackle the symptoms rather than root causes that are frequently emotional/psychologically based. People may take anti-depressants and anti-anxiety medication to deal with depression and anxiety that are often associated with eating disorders. Some medication can be used to curb binge eating and suppress the urge to purge the body. Long-term use of medicines can cause drug-dependency and organ damage. Chemicals in the medicines can contaminate the body in such a way that after some time, it becomes difficult for the system to detoxify.
Other therapies that may prove useful in dealing with eating disorders are Cognitive Behavioral Therapy, Interpersonal Psychotherapy, Dietary Counseling, Psychodynamic Therapy and Family Therapy. These therapies show positive results. However they can take lengthy periods of time to produce results.
The problem with these approaches to eating disorders is that many of them struggle to resolve the deep rooted and complex origins of the problem. Emotional trauma/ turbulence, rigid life perspectives and associated conditions like depression, fear, stress and anxiety can be hard to resolve. Although counseling and psychotherapy treatments are helpful they are often slow to work and may be effective for temporary periods.
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