Eating Disorders

ANOREXIA NERVOSA

4 criteria

1. refusal to maintain ideal body weight 85% than expected by restrict or binge and purge
2. extreme fear of gaining weight though underweight
3. distorted perception of self : severely underweight but perceive obese and overweight 
4. missing period : amenorrhea i.e missing 3 periods at least

Specifier 

• Restricting type - absence of purging or binge eating
• Binge eating/purging type - induce vomiting

BULIMIA NERVOSA

criteria

1. presence of binge eat - more than a normal amount of food in short period of time and sense of lack of control over eating
2. inappropriate compensatory behavior
3. self evaluation unduly influenced by body shape and weight

Further more

Treatment

1. for those medical status not seriously undermined an outpatient setting is suffecient
2. for those who are seriously starving and life is at risk, forced hospitalization and in patient treatment is required along with group therapy, cognitive restructuring, nutritional counselling, individual intervention and family intervention
3. co existing conditions must be taken into account while planning for treatment, like substance abuse, obsessive compulsive behaviors, anxiety.

Reference :

DSM

Social Workers Desk Reference : Eating Disorders and treatment planning pg : 328