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  • I'm going to tell you about kind of the key features of Anorexia nervosa. Actually, what

  • I'm going to tell you are the four diagnostic criteria that are currently in the diagnostic

  • manual used by the majority of mental health providers in the United States, and used by

  • psychiatrists. That's the manual called the DSM-IV. So the diagnostic criteria for Anorexia

  • nervosa is first a refusal, or maybe a better word is really sort of an inability, to maintain

  • body weight at a minimally medically appropriate place for one's age and height. The DSM suggests

  • that that minimal medical criterion be around 85 percent of ideal body weight.

  • So that's criterion number one, and there's really sort of a relentlessness to a person's

  • drive to maintain this thin place that is so characteristic or core to anorexia nervosa.

  • The number two feature is intense fear of gaining weight, even though underweight. Number

  • three is a disturbance in the way one's body shape or weight is experienced. It could also

  • be a denial of the seriousness of the underweight condition. "Oh, there's nothing wrong with

  • this, there's no medical compromise," that type of thing. The fourth cardinal feature

  • of anorexia nervosa which is currently a diagnostic criterion is that a starvation has gone on

  • long enough and has become serious enough that the body is starting to shut down, and

  • how this is manifested in women is by the absence of menstrual cycles.

  • So if you see, due to underweight, the absence of three or more consecutive menstrual cycles,

  • that is call amenorrhea and that's currently another diagnostic criterion of anorexia nervosa.

  • In fact, as professionals, even though this is on the list of diagnostic criteria for

  • anorexia nervosa, we often see folks that meet all the other feature cores of anorexia

  • nervosa but don't have the absence of menstrual cycles for whatever reason. Maybe their body

  • just hasn't quite shut down yet, or maybe they're on birth control pills and they're

  • still getting their period even though their body is in general in a very starved state.

  • We also see male patients of anorexia nervosa. While they're the minority of folks suffering

  • from anorexia nervosa, males do also get this illness, and obviously males can't lose their

  • menstrual cycle, but there are men out there that meet all these other core criteria of

  • the illness and we would call those men as having anorexia nervosa. So those are some

  • of the core features. There are lots of other signs and symptoms that go along with anorexia

  • nervosa. There can be a lot of medical consequences, and if I haven't emphasized this until now,

  • anorexia nervosa in particular can get quite severe. It really has a high morbidity and

  • even mortality rate. It's got among the highest mortality rates of all psychiatric illnesses,

  • with a mortality rate of five percent per decade of unremitted anorexia nervosa.

  • People can become quite medically ill and even die from things like cardiac causes and

  • electrolyte imbalances, as well as from psychological complications of the illness like severe depression

  • and suicidal urges and tendencies. So, a lot of other things that you can see with anorexia

  • nervosa. There's a lot of ritual that goes into the eating associated with anorexia nervosa.

  • People that cut up their food into lots of little bites, strict regimens of calories.

  • Perhaps you only have five or seven hundred calories a day, or maybe even less. That's

  • characteristic of this illness. You can also see binge eating and purging behavior going

  • on in anorexia nervosa as well. So a lot of different things that can be present in this

  • illness, and it's very complicated to treat. Definitely if someone is struggling with this,

  • if you're struggling with it, reaching out to an expert in this area, a treatment center

  • that has experience with anorexia nervosa, is essential for moving through the anorexia

  • nervosa and into the process of recovery.

I'm going to tell you about kind of the key features of Anorexia nervosa. Actually, what

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什麼是厭食症?| 飲食失調 (What Is Anorexia? | Eating Disorders)

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    Josie Chung 發佈於 2021 年 01 月 14 日
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