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Consulting & Counseling Associates Description of ENOS On Eating Disorders Call 260-486-5251 Eating Disorders are serious mental health issues. Most that have eating disorders have completely lost perspective, which is a defining characteristic of mental illness. People with this diagnosis may be seeing, thinking, hearing, and feeling things that may not have much basis in reality. Eating disordered patients most often demonstrate distorted, even delusional thoughts regarding their size and shape, food, fat, exercise, self and others. While eating disorders are a serious mental illness, their affects on the body cause serious medical complications, as physical systems break down after periods of prolonged abuse. Description of Anorexia Nervosa Refusal to maintain minimal body weight through restriction or binge/purge. Patient intensely fears weight gain or obesity. Self-perception of body is abnormal and denies the seriousness of the current low body weight. Due to weight loss, a female patient has missed at least three consecutive menstrual cycles. Displays features of cluster C Personality Disorders: Avoidant, Dependent, and Obsessive Compulsive. Description of Bulimia Nervosa The patient repeatedly eats and binges and does so at least twice a week for three months. (Purging type, Nonpurging type.) Consumes much more food than most people within the same 2- hr. period. They feel eating is out of control. Weight is controlled by purging: vomiting, fasting, exercising, laxatives, Ipecac, and diuretics. Believes self-worth requires being thin. Body dysmorphic is present. Display features of cluster B, e.g., impulsive, affective, narcissistic, and borderline This is the most overlooked eating disorder. Fits the criteria for Anorexia Nervosa and still has regular menses. Fits the criteria for Anorexia Nervosa, and current weight is in normal range. Fits the criteria for Bulimia and purge/binge does not occur twice a week over a three month period; may eat small amounts of food and still purges; repeatedly chewing and spitting out, but not swallowing large amounts of food Description of BED The person binge eats frequently and repeatedly. Feels out of control and unable to stop eating during binges. May eat rapidly and secretly or may snack and Nibbles all day long. Feels guilty and ashamed of binge eating. Has a history of diet failures. Tends to be depressed and obese. CCA has therapists and a dietitian who specializes in treating eating disorders. Careful diagnostic evaluations are done on each person who presents with an eating disorder. Individualized treatment is determined and close association with the client’s physician is a must.