Classification ( Based on DSM-5) Anorexia Nervosa Restricting
Type Binge Eating/Purging Type Bulimia Nervosa Binge Eating
Disorder Other specified Feeding or Eating Disorder
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Anorexia Nervosa Diagnosis requires: (A) 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. (B) Intense fear of gaining weight or becoming
fat, or persistent behavior that interferes with weight gain, even
though underweight (C) Disturbance in the way in which ones 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
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Sub-types 2 major subtypes of anorexia: (1) Restricting Type: (
In last 3 months individual has not engaged in binge eating or
purging) weight loss is primarily achieved through fasting,
dieting, or excessive exercise (2) Binge eating/purging type:
During the last 3 months, recurrent episodes of binge eating or
purging behavior ( i.e. self-induced vomiting or the misuse of
laxatives, diuretics, or enemas)
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Anorexia- Diagnostic Features Persistent energy intake
restriction, intense fear of gaining weight or becoming fat, or
persistent behavior that interferes with weight gain A disturbance
in self-perceived weight or shape The individual maintains a body
weight that is below a minimally normal level for age, sex,
developmental trajectory and physical health Criterion A requires
that the individuals weight be significantly low( the BMI of 18.5
kg/m2 is considered by CDC and the WHO as the lower limit of normal
body weight Criterion B requires that the intense fear of becoming
fat is not alleviated by weight loss Criterion C requires that
there is distortion in thinking
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Anorexia Nervosa
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Risk and prognosis Temperamental- individuals who develop
anxiety or display obsessive traits in childhood are at increased
risk of developing anorexia nervosa Environmental culture where
thinness is valued Genetic and physiological increased risk with
first degree relatives with anorexia and bulimia
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Anorexia Denies abnormal eating behavior Introverted Turns away
food in order to cope Preoccupation with losing more and more
weight
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Anorexia warning signs Excessive weight loss Odd food rituals
Lack of menstrual cycles Fine hair on face, arms and torso (lanugo)
Wearing baggy clothing Vigorous exercise at odd hours Paleness,
dizziness, fainting spells
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Anorexia- Criteria for Hospitalization Anorexia Nervosa
