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Identifying and Treating Eating Disorders


WRITTEN BY: Mental Health
Thursday, May 15th, 2014

Eating disorders affect males and females of all ages, including children, adolescents, and adults. Serious eating disorders may cause long-term physical and emotional damage, including an increased risk of sudden death, fainting, electrolyte disturbance, and other medical complications. Early identification and intervention can help.

Types of Eating Disorders

Anorexia Nervosa

An inability to maintain a normal body weight that is characterized by:

  • Self-starvation
  • An intense fear of gaining weight, or repeated behaviors that interfere with weight gain, dissatisfaction with body size and shape, or failure to recognize the seriousness of low body weight
  • In some people, repeated episodes of binge eating and purging

Binge Eating

Binge eating is characterized by both:

  • Eating a large amount of food
  • Feeling a loss of control over eating

Purging

Purging behaviors are intended to control body weight and shape, or counteract the effects of binge eating, and include:

  • Self-induced vomiting
  • Misuse of laxatives, diuretics (water pills), or other medications such as insulin and diet pills

Bulimia Nervosa

Bulimia is characterized by:

  • Repeated episodes of binge eating
  • Repeated inappropriate compensatory behaviors to prevent weight gain such as purging, fasting, or excessive exercise
  • Dissatisfaction with body size and shape
  • Normal body weight or overweight

Binge Eating Disorder

Repeated episodes of binge eating characterized by:

  • Eating more rapidly than normal
  • Eating until uncomfortably full
  • Eating large amounts when not physically hungry
  • Eating alone because of embarrassment about the amount eaten
  • Feeling disgusted, depressed, or very guilty
  • Distress about binge eating
  • No repeated inappropriate compensatory behaviors to prevent weight gain
  • Normal body weight or overweight

Signs and Symptoms of a Possible Eating Disorder

  • Rapid or significant weight loss
  • Abnormal dieting behaviors or eating patterns
  • Obsessive thoughts about food (Answering “yes” to the question, “Do food or thoughts of food dominate your life?”)
  • Obsessive thoughts or fears about body shape or weight (Answering “yes” to the question, “Do you believe yourself to be fat when others say you are too thin?”)
  • Social withdrawal, loss of interest in friends and usual activities
  • Depression or anxiety
  • Binge eating and/or purging

Integrated and Comprehensive Treatment

Look for treatment that is provided by highly trained medical and psychiatric professionals, is informed by the latest research, and offers multiple levels of care including inpatient and intensive outpatient options.

The Center for Overcoming Problem Eating (COPE) at Western Psychiatric Institute and Clinic of UPMC offers hope for individuals who are struggling with serious, potentially life-threatening eating disorders.

COPE provides care for female and male children, adolescents, and adults with all forms of eating disorders. For a consult or to refer a patient to COPE, call 412-647-9329.

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Mental Health

Western Psychiatric Institute and Clinic of UPMC and its academic partner, the Department of Psychiatry of the University of Pittsburgh School of Medicine, constitute one of the leading centers for research and treatment of behavioral health disorders. For more than 60 years, the integration of research, academia, and clinical services has infused best-practice research into clinical settings for the individuals who need it most. Read More