How can one diagnose eating disorders?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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  1. How can one diagnose eating disorders?
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The two most important eating disorder are:

  • Anorexia nervosa and
  • Bulimia nervosa

Anorexia nervosa: it is characterized by highly specific behavioral and psychopathological symptom and significance somatic sign. Majority of females and the onset is during adolescence. The core  psychopathological feature is dread of fatness, weight phobia and a drive for thinness.

Bulimia nervosa: bulimia nervosa is characterized by episodes of binge eating followed by feeling of guilt, humiliation, depression and self condemn. It includes frequent binge ( consuming abnormally large portion of food within a specific time period); in severe cases ,can have several beans episode in one day. It involves recurrent use of compensatory measures to prevent weight gain such as self induced vomiting , diuretic or laxative use ,dieting fasting, or a combination of these measures.

Diagnosis of eating disorder :

 one can diagnose the eating disorder by observing the clinical features of anorexia nervosa and bulimia nervosa.

Clinical feature of anorexia nervosa:

  • There is an intense fear of becoming obese , this fear does not decrease even if the person lose weight grossly and becomes very thin.
  • The body weight is 15% below the standard weight
  • There is a body image disturbance the patient is unable to  perceive the body size accurately.
  • The per suite of the thinness may take several forms patient generally it little and set themselves daily cal limit (often between 600 to 1000 calories) some try to achieve weight loss by inducing vomiting ,excessive exercise and misusing laxative.
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