EATING DISODERS
Anorexia Nervosa
Definition: An intense fear of gaining weight and a distorted body image,
leading to severe restriction of food intake.
Key Features:
Extremely low body weight
Persistent behavior to avoid weight gain (e.g., excessive exercise,
purging)
Distorted perception of body shape/weight
Subtypes:
Restricting Type
Binge-eating/Purging Type
Complications: Malnutrition, heart issues, osteoporosis, infertility, death
2. Bulimia Nervosa
Definition: Recurrent episodes of binge eating followed by inappropriate
compensatory behaviors (e.g., vomiting, fasting, excessive exercise).
Key Features:
Eating large quantities of food in a short period (binge)
Feeling of lack of control during binges
Regular use of purging or fasting to prevent weight gain
Complications: Electrolyte imbalance, gastrointestinal issues, dental
problems, cardiac arrhythmias
3. Binge Eating Disorder (BED)
Definition: Recurring episodes of eating large quantities of food without
purging behaviors.
Key Features:
Binge eating at least once a week for 3 months
Feelings of shame, guilt, or distress after eating
Often leads to obesity and related health issues
Complications: Type 2 diabetes, hypertension, cardiovascular diseases,
depression
4. Avoidant/Restrictive Food Intake Disorder (ARFID)
Definition: Avoidance or restriction of food intake not due to body image
concerns.
Key Features:
Inadequate nutritional intake
Weight loss or failure to gain weight
Dependency on supplements or tube feeding
Avoidance due to sensory issues or fear of choking/vomiting
5. Pica
Definition: Persistent eating of non-nutritive, non-food substances (e.g., dirt,
paper, chalk) for at least one month.
Common in: Children, pregnant women, and people with intellectual
disabilities
Complications: Intestinal blockages, infections, poisoning (e.g., lead)
6. Rumination Disorder
Definition: Repeated regurgitation of food, which may be re-chewed, re-
swallowed, or spit out.
Not due to: Medical conditions (e.g., reflux) or another eating disorder
Common in: Infants, but can occur in children and adults
Treatment Approaches
Psychotherapy:
Cognitive Behavioral Therapy (CBT): Most effective for bulimia
and binge eating
Family-Based Therapy (FBT): Especially for adolescents with
anorexia
Medication:
Antidepressants (e.g., SSRIs like fluoxetine)
Appetite stabilizers (e.g., lisdexamfetamine for BED)
Nutritional counseling
Hospitalization: For severe cases, especially anorexia with life-threatening
complications