Eating Disorder

Rumination

Regular regurgitation of food

Orthorexia

Obsession with proper or "healthy" eating

Anorexia

Not being able to eat

Bilimia

Eating then vomiting back up

Purging

Eating a lot and then vomiting everything back up

Avoidance

Purposely not eating

Pica

Eating unusual things

20 Million women affected

10 Million men affected

Romans overindulged at lavish banquets and then relieved themselves by vomiting so they could return to the feast and continue eating.

Ancient Egyptians drew hieroglyphics that depicted their use of monthly purges to avoid illness

Africa contains several stories concerning adults who fasted during times of extreme famine in order to save food for their children, and then continued to restrict their diet and were in danger of dying even after the famine was over.

The first recorded case of anorexia occurred in an upper class Roman woman who was a member of a spiritual group being led by St. Jerome. Her behavior was driven by her Gnostic religious beliefs.

Psychological

Perfectionism

Body image dissatisfaction

Personal history of an anxiety disorder

Behavioral inflexibility

Social

Teasing or bullying

Acculturation

Historicaltrauma

Weight stigma

Appearance ideal internalization

Limited social networks

Biological

Having close relative with an eating disorder

Having a close relative with a mental health condition

History of dieting

Negative energy balance

Type 1 diabetes

5 Stages of Change

Pre-Contemplation

Contemplation

Preparation

Action

Maintenance

Pre-Contemplation Stage

Do no be in denial of of a friend's or families eating disorder

Be aware of the signs and symptoms

Avoid rationalizing their eating disordered behaviors

Openly share your thoughts and concerns with your child or loved one

Contemplation Stage

If person is under 18, insist they receive professional help from a qualified eating disorder specialist

Educate yourself about the disorder

Be a good listener

Do not "fix" the problem yourself

Seek your own encouragement from support groups for family and friends

Preparation Stage

When supporting a person with their recovery, identify your role

Explore your own thoughts and beliefs about food, weight, shape, and appearance

Ask the person and treatment team how you can be be best involved in the recovery process

Action Stage

Follow treatment team's recommendations

Remove triggers from your environment: no diet foods, scales, and stress

Be warm and caring, yet appropriate and determined with boundaries, rules, and guidelines

Reinforce positive changes without focusing on weight, shape or appearance

Maintenance/Relapse

Applaud the person's efforts and successes

Continue to adjust to new developments

Redefine the boundaries at home as necessary

Maintain positive communications

Be aware of possible recovery backsliding