The Ultimate Revelation Of Diagnosis Of Eating Disorder.

Diagnosis of Eating Disorder

The diagnosis of eating disorder is based on signs, symptoms and eating habits.

If your doctor suspects that you have an eating disorder, he or she is likely to perform a diagnostic test and request tests to help identify a diagnosis.

You may see your primary care provider as well as diagnostic mental health professional.

Diagnostic Criteria of Anorexia Nervosa (AN)

  • Restriction of energy intake relative to requirements, leading to a significantly low body weight* in the context of age, sex, developmental trajectory, and physical health.
  • Intense fear of gaining weight or of becoming fat, or persistent behavior that interferes with weight gain, even though at a significantly low weight.
  • Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or persistent lack of recognition of the seriousness of the current low body weight.

Also read: Types of Eating Disorder And Its Medication

Diagnostic Criteria of Bulimia Nervosa (BN)

  • Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
  1. Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than what most individuals would eat in a similar period of time under similar circumstances.
  2. 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 behaviors in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, or other medications; fasting; or excessive exercise.
  • The binge eating and inappropriate compensatory behaviors both occur, on average, at least once 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.

Diagnostic Criteria of Binge Eating Disorder (BED)

  • Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
  1. Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than what most people would eat in a similar period of time under similar circumstances.
  2. 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).
  • The binge-eating episodes are associated with three (or more) of the following:
  1. Eating much more rapidly than normal.
  2. Eating until feeling uncomfortably full.
  3. Eating large amounts of food when not feeling physically hungry.
  4. Eating alone because of feeling embarrassed by how much one is eating.
  5. Feeling disgusted with oneself, depressed, or very guilty afterward
  • Marked distress regarding binge eating is present.
  • The binge eating occurs, on average, at least once a week for 3 months.
  • The binge eating is not associated with the recurrent use of inappropriate compensatory behavior as in bulimia nervosa and does not occur exclusively during the course of bulimia nervosa or anorexia nervosa.

Diagnosis of eating disorder

Diagnosis of eating disorder is based on signs, symptoms and eating habits of the patients. From Fellow Patients below are the few important tips that can help during the diagnosis of eating disorder.

  • A normal diet of three well-balanced meals a day can prevent binge eating.
  • Do not attempt to control how much you eat because eating is, in fact, something to enjoy. Excluding delicious food from your diet will only later backfire and make you want it more, which results in binge eating.
  • You should learn to appreciate the joy of eating.
  • Do not try to lose weight because you are not fat. Just be yourself! For people on a diet: if you don’t think you have the perseverance to eat as little as you do now for the rest of your life, you will realize that you’re bound to fail one day.
  • Listening to music helps relieve stress.
  • Praise yourself at least once a day. Fat people are adorable, too. Sooner or later, you will find your beloved. No one can deny your worth. Do not restrict yourself from sweet food. A little bit of chocolate won’t make you fat, so enjoy it!
  • Body figure is only one aspect of beauty. If you put too much time and effort in losing weight, then you have a lot less time to care for other parts of your body such as your skin complexion and clothes. In fact, those people who genuinely care about you don’t mind the way you look.
  • These are what you call ‘real’ friends, family and beloved ones. Those who only care about your appearance are too superficial. Binge eating doesn’t solve any problems. It’s simply a waste of money. Jot down your feelings. Accept the fact that you have emotional problems and need help
  • Recognize the fact that those who give you pressure are under pressure, too. Empathize with them and believe in yourself at the same time.
  • Talk to other people about it.
  • Replacement of snacks with fruits and hot food with hot soup provides you with a sense of security.
  • Keep yourself occupied in order to divert your attention from food.
  • Expand your list of “eatable” food. When you’re emotionally unstable, try going to the church and reading the Bible to understand your emotions and reflect on them.
  • See a doctor and take medication.
  • Take part in voluntary work and develop new interests. Expand your social circle. Have a meaningful life so that you would not have much time to binge eat.

Also read: How to Recover From Eating Disorder

Queries during the diagnosis of Eating Disorder

General Queries Related to Symptoms

Q:Do all those suffering from Anorexia Nervosa (AN) hate food?
A:Many people think that AN is equivalent to hating food. However, the fact is most AN patients do like eating, particularly before the onsetof the illness. Actually, they think about food every moment but due to fear of weight gain, they start starving themselves, so they do not have hatred of food.
Q:I do not suffer from Anorexia Nervosa as I always want to eat and eat a lot of snacks.
A:As mentioned above, AN patients do want to eat, but they usually reduce the amount of intake during regular meals and reserve their daily intake quota for snacks. Therefore, AN patients sometimes eat snacks frenziedly.
Q:Is it true that anyone whose Body Mass Index (BMI) is too low must be suffering from AN?
A:BMI, refers to the ratio of height and weight, is an indicator promulgated by the World Health Organization to indicate a range of normal distribution from the general population. While it is likely that a person whose BMI is too low may be suffering from AN, this is not absolute correct, as people’s body figure, to some extent, is inborn. It is therefore necessary to include psychological assessment during diagnosis.
Q: Large body figure means having Bulimia Nervosa (BN)?
A:Most BN patients actually do not have big build; some even weigh only around 100 pounds. BN patients are also afraid of being fat, but they compensate for their excessive intake of food by self-induced vomiting, taking laxatives, excessive exercises and fasting for a period, so that the actual amount digested and absorbed is not large.
Q: I am obese and eat a lot. Does it mean that I am suffering from Bulimia Nervosa (BN) or Binge Eating Disorder (BED)?
A:Apart from the amount of food assumption, psychological assessment is comparative more important for the diagnosis of BN and BED. Eating disorders are mood-related psychological disturbances. If the patient, while eating a lot, enjoys the eating process and does not feel guilty or regretful or take compensatory actions afterward, he/she is not regarded as suffering from BN or BED. For those suffering from the illnesses, they eat not to fulfill their physical needs but mostly in response to their emotions, for instance, to compensate for their emptiness and depressed feelings; to unleash a negative mood; to distract attention or to escape from problems. As a result, having an accurate diagnosis of BN and BED, patient’s psychological and social distress, apart from his/her weight and eating habits, should also be considered.

Also read: Understand Causes Of Eating Disorder Before You Regret.

General Queries Related to Treatment

Q:Can Anorexia Nervosa (AN) be under controlled by
medications?
A:Although the treatment of most mental disorders depends partly on medication, there is as yet no medicine shows effectiveness on treating AN. As a results, treatment of AN relies heavily on psychotherapy.
Q:Can Bulimia Nervosa (BN) be cured by medications?
A:Some BN patients have depressive symptoms and their uncontrollable binge eating is caused by their depressive mood. For them, antidepressants can help to make them feel better, thus forestalling the need for eating as a means of venting their negative mood. Even so, the medications can only serve as a temporary control, without psychotherapy, patients relapse once medications halted.
Q:How long does it normally take to recover?
A:Diagnosis of eating disorder and the time to recover varies from person to person. It is normally affected by the following factors: the patient’s motivation to seek help, the support of his/her significant others, the seriousness of his/her illness, his/her cooperativeness with the treatment team, and whether there is comorbidity with other mental illnesses.
Q:How long will one have to wait to get treatment arranged by HEDA?
A: Under normal circumstances, the arrangement of joining regular groups such as patients’ support groups is faster than individual counseling. For counseling services, one will normally have to wait for one to two months. Nevertheless, exceptional is considered according to the urgency of the case.

General Queries Related to Diet Myths

Q:Some people eat exceedingly much but are not fat. Are they ill?
A: The relationship between one’s body figure and food consumption is affected by many factors, such as genetics, health conditions, developmental age, amount of exercises, type of food, etc. There is no single formula on it. If you want to know whether you are suffering from Bulimia Nervosa (BN), you should take note of whether your mood is
affected by food, or you may go for a clinical assessment.
Q: Can weight be reduced by self-induced vomiting?
A:Although self-induced vomiting can help reduce food intake, it gives rise to many serious complications. In the course of vomiting, not only food but also stomach acid and electrolytes will be ejected.
The stomach acid will cause a loss of dental enamel and thus tooth
decay. The loss of electrolytes will add to the burden of the heart and cause a swelling of the parotid glands.
Q: How about the Atkin’s Diet (High Protein Diets)?
A:Eating meat alone will lead to deficiencies in carbohydrates and
sugar thus reducing the blood sugar. Due to the low level of energy,
the body then burns fat in order to enable metabolism, thus reducing body weight. However, the reduction in blood sugar in the long term
leads to complications such as an imbalance in electrolytes, dry skin, hair loss, nausea, dehydration, and even death in serious circumstances.
Q: How about Apples or Fruits Diets?
A:Each apple provides 40 kcal. A diet with apples only will produce very low calories intake and reduction in fat accumulation. However, as the amount of energy is too low, using this diet method in the long
run may cause malnutrition – deficiencies in protein and minerals will cause a loss of elasticity in the skin as well as brittleness and loss of luster in nails and hair.
Q: Will skipping breakfast reduce absorption?
A: After a night’s sleep, all the food will have been digested and body will start to be lack of energy and nutrients. Skipping breakfast will not only cause a loss of vitality but also reduce the rate of metabolism, thus increasing the accumulation of fat in the later food
consumption. Besides, the suppression of food intake in the morning may cause overeat at lunch and dinner for physically and psychologically compensation. In fact, food assumptions before noon is the
easiest to be digested and the chance of fat accumulation is the lowest.
Q: Can taking sauna frequently reduce weight?
A: Actually, taking sauna can only temporarily reduce the amount of water inside the body through perspiration; the weight lost will be regained very soon after drinking water. Besides, the duration of
taking sauna should not exceed 15 minutes on any one occasion;
otherwise there will be an excessive dilation of blood vessels, risky
for those with hypertension or heart diseases.
Q: Will it help to reduce weight by removing body toxins?
A:Many detoxicating products in the market actually only act as mild
laxatives, working to excrete the water and electrolytes, but not fat. The lost water may be restored after drinking water. In addition,
long-term use of such products may cause complications such as
gastrointestinal malfunctions, diarrhea, dry mouth, tiredness and
dehydration.
Q: Can fat be removed by massaging or pinching?
A:Massaging or pinching the body as a way to reduce fat is explained
by an attempt to constrict body fat in order to achieve the purpose of slimming. However, there is no medical evidence prove that body fat can be reduced or decomposed by massaging or pinching. Besides,
improper massaging will damage muscles and body tissues.
Q: Does slimming require staying away from carbohydrates?
A:While avoiding food of grains such as rice and noodles will reduce
energy, it will at the same time cause lack of energy for normal body
functioning, resulting in tiredness and loss of vitality, thus seriously affecting one’s daily life. Many people think that decrease the
consumption of rice and eat other food instead may help lose weight.
However, the amount of fat or oil contained in other food may in fact far exceed that contained in rice.
Q: How about speedy weight reduction or slimming?
A:According to dietitians, the most ideal speed of weight reduction is
one to two pounds each week. If it is too fast for the body to adjust,
the weight may rebound or even exceed its original level. This will
cause the “yo-yo effect”, meaning a fluctuation in weight, which will increase the risk of heart diseases.

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