HLTHAGE 2G03 Lecture Notes - Lecture 6: Binge Eating Disorder, Bulimia Nervosa, Binge Eating

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Result from obsessive fear about gaining weight. New category binge eating disorder: challenges this past approach. Babies were first group of people diagnosed with anorexia. Starve to the point of death for some. Associated problems: obsessive preoccupation with food, struggle to gain control over persistent hunger and mood disturbance, mental and emotional problems, sexual difficulty or disinterest, lack of impulse control, medical problems with weight loss. Abdominal pain, lethargy, intolerance to cold: dry/cracked skin, fine hair on face and body, anaemia, infertility, kidney dysfunction, dental erosion, cv difficulties, electrolyte imbalance can lead to cardiac arrest or kidney failure = death. Treatment: first goal: establish safer body weight (inpatient setting where physicians use coercive methods or strict behavioural therapy with rewards dependent on weight gain) Probably only 60% ever sustain a normal weight even after treatment. ~10% of people die, many medical complications (highest death rate: second goal: treat broader problems associated (if improving)

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