Summary: <p>12 Errors in<br> Addiction and Eating Disorder Diagnosis<br> Instructor: Dr. Dawn-Elise Snipes, PhD<br> Executive Director: AllCEUs.com, Counselor Education and Training<br> Podcast Host: Counselor Toolbox & Happiness Isn’t Brain Surgery</p> <p>Objectives<br> ~ Avoidant/Restrictive Food Intake Disorder<br> ~ Anorexia<br> ~ Bulimia<br> ~ Binge Eating Disorder<br> ~ Substance Use Disorder<br> ~ Internet Gaming Disorder<br> ~ Gambling Disorder<br> ~ Sex Addiction and Gambling<br> Avoidant/Restrictive Food Intake Disorder (ARFID)</p> <p>~ An Eating disturbance as manifested by persistent failure to meet appropriate nutritional and/or energy needs associated with 1+ of the following:<br> ~ Significant loss of weight (or failure to achieve expected weight gain or faltering growth in children).<br> ~ Significant nutritional deficiency<br> ~ Dependence on enteral feeding or oral nutritional supplements<br> ~ Marked interference with psychosocial functioning<br> ~ Note: There is no body dysmorphia or fear of becoming fat<br> Avoidant/Restrictive Food Intake Disorder (ARFID)</p> <p>~ The behavior is not better explained by lack of available food or by an associated culturally sanctioned practice.<br> ~ The behavior does not occur exclusively during the course of<br> ~ Anorexia nervosa<br> ~ Bulimia nervosa<br> ~ Body dysmorphic disorder<br> ~ The eating disturbance is not attributed to a medical condition, or better explained by another mental health disorder.<br> ~ Depression<br> ~ Anxiety<br> ~ Psychotic disorder<br> ~ Chron’s Disease</p> <p>Anorexia<br> ~ Persistent restriction of energy intake leading to significantly low body weight (in context of what is minimally expected for physical health)<br> ~ Either an intense fear of gaining weight or of becoming fat, or persistent behavior that interferes with weight gain (even though significantly low weight).<br> ~ Disturbance in the way one's body weight or shape is experienced<br> ~ Undue influence of body shape and weight on self-evaluation<br> ~ Persistent lack of recognition of the seriousness of the current low body weight.</p> <p>Subtypes:<br> Restricting type<br> Binge-eating/purging type<br> Anorexia Differential and Confounds<br> ~ Obsessive Compulsive tendencies common (R/O OCD)<br> ~ Can occur in males (3.6% males have an ED)<br> ~ Onset during puberty up to age 40<br> ~ Depressive symptoms (primary or secondary)<br> ~ Anemia<br> ~ Low estrogen/testosterone<br> ~ Reduced thyroid hormones<br> ~ Potassium imbalances and arrhythmias<br> ~ Common Co-Occurring Disorders<br> ~ Depression<br> ~ Anxiety</p> <p>Binge Eating Disorder<br> ~ Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:<br> ~ Eating, in a discrete period of time (e.g. within any 2-hour period), an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances.<br> ~ A sense of lack of control over eating during the episode (e.g. a feeling that one cannot stop eating or control what or how much one is eating).<br> Binge Eating Disorder<br> ~ The binge eating episodes are associated with 3+ of the following:<br> ~ Eating much more rapidly than normal<br> ~ Eating until feeling uncomfortably full<br> ~ Eating large amounts of food when not feeling physically hungry<br> ~ Eating alone because of feeling embarrassed by how much one is eating<br> ~ Feeling disgusted with oneself, depressed or very guilty afterward</p> <p>Binge Eating Disorder<br> ~ Marked distress regarding binge eating is present<br> ~ Binge eating occurs, on average, at least once a week for three months<br> ~ Binge eating not associated with the recurrent use of inappropriate compensatory behaviors<br> ~ Note:<br> ~ Binge Eating Disorder is less common but much more severe than overeating.<br> ~ Binge </p>
