What Is Anorexia? | Eating Disorders
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What Is Anorexia? | Eating Disorders

August 15, 2019

I’m going to tell you about kind of the key
features of Anorexia nervosa. Actually, what I’m going to tell you are the
four diagnostic criteria that are currently in the diagnostic manual used by the majority
of mental health providers in the United States, and used by psychiatrists. That’s the manual called the DSM-IV. So the diagnostic criteria for Anorexia nervosa
is first a refusal, or maybe a better word is really sort of an inability, to maintain
body weight at a minimally medically appropriate place for one’s age and height. The DSM suggests that that minimal medical
criterion be around 85 percent of ideal body weight. So that’s criterion number one, and there’s
really sort of a relentlessness to a person’s drive to maintain this thin place that is
so characteristic or core to anorexia nervosa. The number two feature is intense fear of
gaining weight, even though underweight. Number three is a disturbance in the way one’s
body shape or weight is experienced. It could also be a denial of the seriousness
of the underweight condition. “Oh, there’s nothing wrong with this, there’s
no medical compromise,” that type of thing. The fourth cardinal feature of anorexia nervosa
which is currently a diagnostic criterion is that a starvation has gone on long enough
and has become serious enough that the body is starting to shut down, and how this is
manifested in women is by the absence of menstrual cycles. So if you see, due to underweight, the absence
of three or more consecutive menstrual cycles, that is call amenorrhea and that’s currently
another diagnostic criterion of anorexia nervosa. In fact, as professionals, even though this
is on the list of diagnostic criteria for anorexia nervosa, we often see folks that
meet all the other feature cores of anorexia nervosa but don’t have the absence of menstrual
cycles for whatever reason. Maybe their body just hasn’t quite shut down
yet, or maybe they’re on birth control pills and they’re still getting their period even
though their body is in general in a very starved state. We also see male patients of anorexia nervosa. While they’re the minority of folks suffering
from anorexia nervosa, males do also get this illness, and obviously males can’t lose their
menstrual cycle, but there are men out there that meet all these other core criteria of
the illness and we would call those men as having anorexia nervosa. So those are some of the core features. There are lots of other signs and symptoms
that go along with anorexia nervosa. There can be a lot of medical consequences,
and if I haven’t emphasized this until now, anorexia nervosa in particular can get quite
severe. It really has a high morbidity and even mortality
rate. It’s got among the highest mortality rates
of all psychiatric illnesses, with a mortality rate of five percent per decade of unremitted
anorexia nervosa. People can become quite medically ill and
even die from things like cardiac causes and electrolyte imbalances, as well as from psychological
complications of the illness like severe depression and suicidal urges and tendencies. So, a lot of other things that you can see
with anorexia nervosa. There’s a lot of ritual that goes into the
eating associated with anorexia nervosa. People that cut up their food into lots of
little bites, strict regimens of calories. Perhaps you only have five or seven hundred
calories a day, or maybe even less. That’s characteristic of this illness. You can also see binge eating and purging
behavior going on in anorexia nervosa as well. So a lot of different things that can be present
in this illness, and it’s very complicated to treat. Definitely if someone is struggling with this,
if you’re struggling with it, reaching out to an expert in this area, a treatment center
that has experience with anorexia nervosa, is essential for moving through the anorexia
nervosa and into the process of recovery.

Only registered users can comment.

  1. it doesn't suck its just doing what it always does.. show us hows and whats if its in our general interests thats what makes it good or not

  2. Howcast sucks now because they're informing us about diseases and eating disorders that have killed other people and they're informing us about it so we're better educated about it and know what to do if we or someone we love has an eating disorder?

    Yeah, Howcast really does suck, doesn't it?

  3. Cure for anorexia: Attractive man walks up to girl with anorexia and says, "Sorry girl I like big booby bitches" and dances away

  4. My cusin has this but she wont listen to us or her docter and shes very weak and too skinny you see her ribs and arm.bones and im very worried about her my howl family is:( 🙁 🙁

  5. English? we aren't all professionals you know guess not and I for one have no clue what this lady in the video was talking about :s something about cores, cool I can sleep easier thinking about cores, cores of what exactly so confusing ¬¬

  6. Everyone says I'm anorexic , because I'm very skinny . I'm 13 almost 14 I'm 4'11 and weigh 64 pounds . I'm under weight yes , but I eat a lot . My body just doesn't take in the weight from the calories as much as it should . My doctor even told my mom I'm not anorexic (she was worried I was ) and he said I'd just be very small . I'm just saying no one needs to be called anorexic or be a cussed of it unless you really are (then you need help . I'm not making fun of anorexics because sometimes they have good reasons to why they don't eat (you aren't just born anorexic .)

  7. To the majority of the comments: anorexia is not a weight, it is a mindset, a psychological condition. Just because you are underweight DOES NOT mean you are anorexic. In fact, you dont need to be underweight to have an eating disorder. Also i hope nobody wants or should 'try to have' anorexia because its not as glamorise as you think. It kills you. Please just stop with all the comments like these

  8. Guys have it too, all. No one believed I had an eating disorder because of my gender. It's not always a thin-faced girl in a white dress.: http://elitedai.ly/1mWt9M1

    Any sort of share or mention would be greatly appreciated.

    Thank you for your time. Keep on being awesome.


  9. my friends ask me of I eat because I'm really skinny an can see an feel my ribs but I eat a lot! like no joke

  10. idk what i have but i just dont feel like eating and i feel like im sick bc i LOVE food and i haven't told my parents about this. i usually have been starving myself bc i don't want to eat and when i do i feel like i bloat and makes me want to throw up but i dont. anyone help? idk what to do

  11. so, to be diagnosed you have to have destroyed your body to the point that it is giving up? you have to be underweight? that should be the criteria to being admitted to a clinic, not to just be diagnosed and get help outside a clinic (like regular meeting with psychologist).
    there are enough girls who starve themself and are not underweight, maybe even overweigt

  12. Wh does everyone always think that you alreafdy have to be underweight to be considered anorexic? That is the dumbest thing I have ever heard. People should be getting diagnosed as anorexics then getting the appropriate help with it before they become underweight, way less people would be dying that way.

  13. How can I help my friends with anorexia? I know very little about it so I don't know what to say to them and it's really horrible

  14. i have starved myself a little i stoped eafing breackfist and. somtimes lunch and somtimes i used to eat snakes but kbow i dont ita rair i do im fat peaple say im not but i am

  15. 0:30 of this video
    Okay, anorexia is when you stop eating. Anorexia is not just when someone critically underweight refuses to eat, those who are overweight and refuse to eat ARE ALSO ANOREXIC.

  16. ok so i have wanted to be skinny since 2015, and i finally am skinny, but it was because i ate less. i isolated myself. i now know that it's not good at all. what i've done to my body is have painful bones stick out of me and my knees hurt when i walk. my hip bones hurt when i lie don, my back bone hurts when i sit down, and my hair thinned out and i'm probably getting bald spots. i don't do the "calling therapist" thing. i try to fix myself on my own. i'm hoping i will recover. ♥️

    edit: ignore my mis spells 😛

  17. What? I'm 60 pounds and I can see my ribs if I inhale I also have 2 spots next to my belly. I don't have a fear of gaining weight too, I also try to eat to gain weight .
    Can someone PLEASE explain to me? I'm only 10! 🙁

  18. Thank you for the video, I'm anorexic and really underweight I'm 23 years old 5'3 and weigh 41 kgs, Ive been enjoying being petite for a long time but now Im paying attention to the consequences and Im trying my best to gain some weight back but im struggling cuz Ive got used to not eating enough so now when I try to eat more I just end up sick and give up

  19. This is why you shouldnt be bothered about what other people say either your fat or skinny. But this mostly accurs with people who think they're fat "and they start to exercise and go on very tiny diet. Its like they starve themselves because of what people say. Then when they are TOO skinny but they still think they're fat they go to the extreme stage were there body develops a condition and they pass out. And wake up with tubes.

  20. not anorexic here I AM NOT. ok now i eat a lot or you could say normal and i really want help in gaining weight i weigh 55kg and i dont move or anything and still burn food how to i gain weight what food (ready to eat dont want to cook or assemble anything) that i can get to help me HELPP

  21. I feel like the underweight are underconcerned for, but if someone weighs 579 pounds, they great praised as a beautiful hero

  22. I'm like SOOO FATTTTT
    My parents tease me that I'm fat and all…
    I've been skipping meals since last week…Idk what to do

  23. The fact that you have to be a certain weight to be diagnosed is the reason so many Anorexic patients never get treated, or get far far worse until they do get taken seriously, often when it is too late. If anyone with Anorexia is watching this but doesn't have a very low weight, please know that your illness is still serious and please please get help. You can have Anorexia at ANY size! Anorexia is a MENTAL illness, NOT a body type!

  24. Wait I think I have anorexia but I'm not a teen or even near being an adult I'm only 10 i don't only have anorexia I also have anxiety and depression..

  25. I always feel like i want to eat something but not hungry but want to eat it anyway. What is this? I am concerend by this.

  26. I hate the fact that I like starving myself… it is truly unhealthy but i can't help it…🙁🙁🙁 I was 55 kg last month and now I am 49 kg…

  27. One of my friend was
    diagnosed with Anorexia nervosa. He consulted various Allopathic Doctors but
    not much relief was there. Then I told him about Planet Ayurveda. He visited
    here and took medicine for it – Digestion support, etc. He took medicine for
    about 1-month, still using it, its results are amazing.

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