Doctor insights on:
Anorexic And Bulimic
Yes: Yes -- some people with anorexia not only severely control the amount of food they eat, but also purge through vomiting, using laxatives & diuretics, etc. They may also exercise way out of proportion to the amount needed for enjoyment or physical health. They don't usually binge on large quantities of food before making themselves vomit, however. ...Read more
I used to be anorexic and bulimic and I am afraid I am going to revert back if i don't lose these last 15-20 lbs.?
Not rare enough: In my practice there has been a great deal of overlap between eating disorders and cutting. Especially among young women who felt pressure to be perfect and who were very frustrated by anger that they couldn't express. Anyway - the frequency is not important. Getting help is! And, you can. Psychotherapy works (if you want it to.) The EDs can do serious bodily damage, so it is important. Best 2U! ...Read more
Cutting: Rate for Anorexia in the population is 0.4% for females. For bulimia it is 1-1.5%. Less is known about men. Accurate numbers on persons who cut in non-suicidal ways is difficult to ascertain since few seek medical help. In my clinical experience over the last few years I am seeing more adolescent and young adult males for cutting than I have seen in 20+ years. ...Read more
You do not want to : You do not want to know! they are simply killing themselves, starving their bodies of important nutrition. Anorexia and bulimia are suicidal acts although until the damage is close to irreversible they cannot be hospitalized against their will. They usually are in denial and do not even see how imatiated they look. ...Read more
Can you be both anorexic and bulimic at the same time? My daughter is a little underweight her daughter is not concern. He says she is in excellent health both mentally and physically. She eats a lot and loves food, but does not gain weight. My mom and da
Before : Before we go any further, being a skinny person does not mean that you have an eating disorder. Some skinny people have eating disorders and some skinny people donâ€™t. Genetics can have an impact. Here is some information that comes from the dsm (diagnostic and statistical manual of mental disorders). Here are some of the symptoms of anorexia nervosa. Refusal to maintain body weight at or above a minimally normal weight for age and height (maintaining a body weight less than 85% of the expected weight). An intense fear of gaining weight or becoming fat, even though the person is underweight. Self-perception that is grossly distorted, excessive emphasis on body weight in self-assessment, and weight loss that is either minimized or not acknowledged completely. Missing three consecutive periods or failing to have a period without being treated with hormones. (this applies to women. It is likely not to apply to her since you referred to her as a child). There is a binge eating/ purging type (the individual regularly engages in binge eating or purging behavior which involves self-induced vomiting or the misuse of laxatives, diuretics, or enemas during the current episode of anorexia.) there is also a restricting type (the individual severely restricts food intake but does not regularly engage in the behaviors seen in the binge-eating type.) here are some criteria for bulimia nervosa. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following: eating, in a discrete period of time (e.g., within any two hour period), an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances. A sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating). Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, enemas, or other medications; fasting; or excessive exercise. The binge eating and inappropriate compensatory behaviors both occur, on average, at least twice a week for 3 months. Self-evaluation is unduly influenced by body shape and weight. The disturbance does not occur exclusively during episodes of anorexia nervosa. There is a purging type: during the current episode of bulimia nervosa, the person has regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas. There is also a nonpurging type: during the current episode of bulimia nervosa, the person has used other inappropriate compensatory behaviors, such as fasting or excessive exercise, but has not regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas. In up to 60% of cases, patients with bulimia nervosa report prior histories of anorexia nervosa. Although criteria for these disorders are listed in the diagnostic and statistical manual of mental disorders; these diagnoses should be made by a trained professional. ...Read more
Not at all: But this need not worry you. These are both eating disorders and an expert will know how to tell the difference. Briefly, bulimics can present with a wide range of bmis but they do eat. They often eat more than they feel okay with and purge in some way to fix it. Most importantly, it is a serious for health and a good idea to get it behind you. Find good help - it's there and it works if you try. ...Read more
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