antm eating disorder

PDF	E a t i n g D isord er s What is anorexia nervosa? Anorexia nervosa is a condition where people avoid food severely restrict food or eat very small quantities of only certain foods They also may weigh themselves repeatedly Even when dangerously underweight they may see themselves as overweight

PDF	Eating Disorders in Primary Care: Diagnosis and Management Eating disorders are potentially life-threatening conditions characterized by disordered eating and weight-control behav- iors that impair physical health and psychosocial functioning Early intervention may decrease the risk of long-term

PDF	Eating Disorders Daniel J Anzia M D Ian A Cook M D Molly T Finnerty M D Bradley R Johnson M D James E Nininger M D Paul Summergrad M D Sherwyn M Woods M D Ph D Joel Yager M D

PDF	Eating disorders This guide provides information and advice about eating disorders in adults teenagers and children It covers the most common eating disorders: anorexia nervosa bulimia nervosa binge eating disorder and avoidant/restrictive food intake disorder

PDF

Support at Every Stage

HEALING THE EATING DISORDER COMMUNITY THROUGH COMPASSIONATE ACTION At ANAD we believe in a comprehensive APPROACH to eating disorder treatment and recovery: Acceptance of everyBODY Accept yourself accept others Every individual is unique and beautiful yourself included Prioritize self-care Learning to engage in self-care is not selfish

PDF	TREATING EATING DISORDERS Identify any family history of eating disorders other psychiatric disorders and obesity Assess family dynamics (e g guilt blame) and attitudes toward eating exercise and appearance Identify family reactions to the patient’s disorder and the burden of illness for the family

What makes a good clinical decision regarding anorexia nervosa?
Good clinical decisions regarding anorexia nervosa should not rely primarily on simplistic, artificial categories based on body weight percentages. In making a diagnosis of anorexia nervosa, body weight is one of the factors that is taken into consideration.
Is there a crossover between bulimia nervosa and anorexia?
Note: Significant crossover between disorders can be observed (e.g., anorexia nervosa to bulimia nervosa). Orthorexia nervosa is a proposed condition not formally recognized by the Diagnostic and Statistical Manual of Mental Disorders, 5th ed., and is characterized by an obsessive focus on healthy food consumption, leading to impairment.
Are distorted attitudes about weight and shape a symptom of eating disorder?
In fact, there is general agreement among clinicians that distorted attitudes about weight and shape are the least likely to change and that excessive and compulsive exercise may be one of the last of the behaviors associated with an eating disorder to abate.
Are childhood anxiety disorders associated with eating disorders?
High rates of childhood anxiety dis-orders precede eating disorders, especially overanxious disorder and OCD for anorexia nervosa and overanxious disorder and social phobia for bulimia nervosa; this could be of potential clin-ical relevance, especially when treating children and adolescents (341).

Vice-Chair

Daniel J. Anzia, M.D. Ian A. Cook, M.D. Molly T. Finnerty, M.D. Bradley R. Johnson, M.D. James E. Nininger, M.D. Paul Summergrad, M.D. Sherwyn M. Woods, M.D., Ph.D. Joel Yager, M.D. psychiatryonline.org

AREA AND COMPONENT LIAISONS

Robert Pyles, M.D. (Area I) C. Deborah Cross, M.D. (Area II) Roger Peele, M.D. (Area III) Daniel J. Anzia, M.D. (Area IV) John P. D. Shemo, M.D. (Area V) Lawrence Lurie, M.D. (Area VI) R. Dale Walker, M.D. (Area VII) Mary Ann Barnovitz, M.D. Sheila Hafter Gray, M.D. Sunil Saxena, M.D. Tina Tonnu, M.D. psychiatryonline.org

STAFF

Robert Kunkle, M.A., Senior Program Manager Amy B. Albert, B.A., Assistant Project Manager Laura J. Fochtmann, M.D., Medical Editor Claudia Hart, Director, Department of Quality Improvement and Psychiatric Services Darrel A. Regier, M.D., M.P.H., Director, Division of Research psychiatryonline.org

STATEMENT OF INTENT

The American Psychiatric Association (APA) Practice Guidelines are not intended to be con-strued or to serve as a standard of medical care. Standards of medical care are determined on the basis of all clinical data available for an individual patient and are subject to change as sci-entific knowledge and technology advance and practice patterns evo

GUIDE TO USING THIS PRACTICE GUIDELINE

The Practice Guideline for the Treatment of Patients With Eating Disorders, Third Edition, con-sists of three parts (A, B, and C) and many sections, not all of which will be equally useful for all readers. The following guide is designed to help readers find the sections that will be most use-ful to them. Part A, “Treatment Recommendations,” is pub

DEVELOPMENT PROCESS

This practice guideline was developed under the auspices of the Steering Committee on Prac-tice Guidelines. The development process is detailed in “APA Guideline Development Pro-cess,” which is available from the APA Department of Quality Improvement and Psychiatric Services. The key features of this process include the following: comprehensive lit

INTRODUCTION

As this practice guideline was developed and then reviewed by psychiatrists, researchers, and other clinicians throughout North America and Europe, a number of important general themes emerged. So that readers may better appreciate the recommendations of this guideline, the following points merit emphasis: psychiatryonline.org

A diagnosis is presumed before the recommendations of this practice guideline apply.

Considerations for performing a detailed differential diagnosis are not included in this guideline. Special attention, however, is given to the treatment of eating disorders and common co-occurring conditions and clinical features (Section III). The evidence base (including data and clinical experience) for the treatment of children and adolescents

A. CODING SYSTEM

Each recommendation is identified as meriting one of three categories of endorsement, based on the level of clinical confidence regarding the recommendation, as indicated by a bracketed Roman numeral after the statement. The three categories are as follows: [I] Recommended with substantial clinical confidence [II] Recommended with moderate clinical

1. Psychiatric management

Psychiatric management begins with the establishment of a therapeutic alliance, which is en-hanced by empathic comments and behaviors, positive regard, reassurance, and support [I]. Basic psychiatric management includes support through the provision of educational materials, includ-ing self-help workbooks; information on community-based and Interne

a) Coordinating care and collaborating with other clinicians

In treating adults with eating disorders, the psychiatrist may assume the leadership role within a program or team that includes other physicians, psychologists, registered dietitians, and social workers or may work collaboratively on a team led by others. For the management of acute and ongoing medical and dental complications, it is important tha

b) Assessing and monitoring eating disorder symptoms and behaviors

A careful assessment of the patient’s history, symptoms, behaviors, and mental status is the first step in making a diagnosis of an eating disorder [I]. The complete assessment usually requires at least several hours and includes a thorough review of the patient’s height and weight history; re-strictive and binge eating and exercise patterns and th

d) Assessing and monitoring the patient’s safety and psychiatric status

The patient’s safety will be enhanced when particular attention is given to suicidal ideation, plans, intentions, and attempts as well as to impulsive and compulsive self-harm behaviors [I]. Other aspects of the patient’s psychiatric status that greatly influence clinical course and out-come and that are important to assess include mood, anxiety, a

e) Providing family assessment and treatment

For children and adolescents with anorexia nervosa, family involvement and treatment are essential [I]. For older patients, family assessment and involvement may be useful and should be considered on a case-by-case basis [II]. Involving spouses and partners in treatment may be highly desirable [II]. psychiatryonline.org

2. Choosing a treatment site

Services available for treating eating disorders can range from intensive inpatient programs (in which general medical care is readily available) to residential and partial hospitalization programs to varying levels of outpatient care (in which the patient receives general medical treat-ment, nutritional counseling, and/or individual, group, and fa

a) Nutritional rehabilitation

The goals of nutritional rehabilitation for seriously underweight patients are to restore weight, normalize eating patterns, achieve normal perceptions of hunger and satiety, and correct bio-logical and psychological sequelae of malnutrition [I]. For patients age 20 years and younger, an individually appropriate range for expected weight and goals

(i) Acute anorexia nervosa

During acute refeeding and while weight gain is occurring, it is beneficial to provide anorexia nervosa patients with individual psychotherapeutic management that is psychodynamically in-formed and provides empathic understanding, explanations, praise for positive efforts, coach-ing, support, encouragement, and other positive behavioral reinforceme

(iii)Chronic anorexia nervosa

Patients with chronic anorexia nervosa generally show a lack of substantial clinical response to formal psychotherapy. Nevertheless, many clinicians report seeing patients with chronic an-orexia nervosa who, after many years of struggling with their disorder, experience substantial remission, so clinicians are justified in maintaining and extending

(i) Weight restoration

The decision about whether to use psychotropic medications and, if so, which medications to choose will be based on the patient’s clinical presentation [I]. The limited empirical data on malnourished patients indicate that selective serotonin reuptake inhibitors (SSRIs) do not ap-pear to confer advantage regarding weight gain in patients who are co

(ii) Relapse prevention

Some data suggest that fluoxetine in dosages of up to 60 mg/day may help prevent relapse [II]. For patients receiving cognitive-behavioral therapy (CBT) after weight restoration, adding flu-oxetine does not appear to confer additional benefits with respect to preventing relapse [II]. Antidepressants and other psychiatric medications may be used to

(iii)Chronic anorexia nervosa

Although hormone replacement therapy (HRT) is frequently prescribed to improve bone min-eral density in female patients, no good supporting evidence exists either in adults or in ado-lescents to demonstrate its efficacy [II]. Hormone therapy usually induces monthly menstrual bleeding, which may contribute to the patient’s denial of the need to gain

(i) Initial treatment

Antidepressants are effective as one component of an initial treatment program for most bu-limia nervosa patients [I], with SSRI treatment having the most evidence for efficacy and the fewest difficulties with adverse effects [I]. To date, fluoxetine is the best studied of these and is the only FDA-approved medication for bulimia nervosa. Sertralin

(ii) Maintenance phase

Limited evidence supports the use of fluoxetine for relapse prevention [II], but substantial rates of relapse occur even with treatment. In the absence of adequate data, most clinicians recommend continuing antidepressant therapy for a minimum of 9 months and probably for a year in most patients with bulimia nervosa [II]. Case reports indicate that

(iv) Other treatments

Bright light therapy has been shown to reduce binge frequency in several controlled trials and may be used as an adjunct when CBT and antidepressant therapy have not been effective in re-ducing bingeing symptoms [III]. psychiatryonline.org

Nutritional rehabilitation and counseling

Behavioral weight control programs incorporating low- or very-low-calorie diets may help with weight loss and usually with reduction of symptoms of binge eating [I]. It is important to advise patients that weight loss is often not maintained and that binge eating may recur when weight is gained [I]. It is also important to advise them that weight g

(ii) Other psychosocial treatments

Substantial evidence supports the efficacy of individual or group CBT for the behavioral and psychological symptoms of binge eating disorder [I]. IPT and dialectical behavior therapy have also been shown to be effective for behavioral and psychological symptoms and can be considered as alternatives [II]. Patients may be advised that some studies su

(iii)Medications

The following coding system is used to indicate the nature of the supporting evidence in the summary recommendations and references: [A] Double-blind, randomized clinical trial. A study of an intervention in which subjects are prospectively followed over time; there are treatment and control groups; subjects are randomly assigned to the two groups;

PDF	Say That To The Anorexic Girl: Eating Disorders and Americaâ•Žs 10 ?.?. 2551 Tyra Banks although adamant about preventing eating disorders not only on her ... signs of anorexia nervosa (ANTM Cycle 1

PDF	The Effects of Appearance-Based Reality Shows on Body Image D. Eating Disorder Inventory III-Body Dissatisfaction Subscale . Edition Losing it with Jillian

PDF	Fashioning Race for the Free Market on Americas Next Top Model Keywords: Race; Gender; Reality TV; America's Next Top Model; Neoliberalism eating disorders drugs

PDF	Body Image and Eating Disorders FACT: 5-10% of eating disorder cases are Anorexia. ? An eating disorder in which a person has an intense fear of weight gain and starves herself or.

PDF	“Americas Next Top Model is…”: Enforcing or Resisting Hegemonic and has observed fellow models dealing with eating disorders etc. Yes

PDF	Things Fall Apart: The Dynamics of Brand Audience Dissipation 14 ?.?. 2557 “serial brands” such as America's Next Top Model (ANTM) ... Heather Kuzmich has the neurological disorder known as. Asperger's syndrome.

PDF	Sociology Essay Contest 2009 Women Body Image and Finding 3 ??.?. 2552 disordered eating and low self-worth (Coomber & King 2008). ... Last semester in my household Wednesday nights became ANTM night. My.

PDF	EGirls eCitizens gestive clothing obesity

PDF	Things Fall Apart: The Dynamics of Brand Audience Dissipation 14 ?.?. 2557 Three stars of America's Next Top Model have been dropped from the long-running ... Heather Kuzmich has the neurological disorder known as.

Share on Facebook Share on Whatsapp

Choose PDF

More..

PDF	Eating Disorders and Americas Next Top Model - CORE 10 jan 2008 · The possibility of an eating disorder was first mentioned on the third episode of the season, yet Grisham continued to compete for another five

PDF	Chapter 3: Eating Disorders in Children and Adults - AWS Simple 21 mai 2008 · Explain different treatment models for eating disorders ◇ List some of the on the “America's Next Top Model” TV competition, and while her

PDF	The Effect of Thinness Promoting Reality TV Shows on - Psi Chi an eating disorder are more prone to watch reality television shows that are thinness-promoting Younger, The Swan, America's Next Top Model, Dr 90210,

PDF	Things Fall Apart: The Dynamics of Brand Audience Dissipation 14 oct 2014 · Three stars of America's Next Top Model have been dropped from strange face while eating salt and vinegar chips only to have a roommate accuse Heather Kuzmich has the neurological disorder known as Asperger's

PDF	Eating Disorders in Schools - National Eating Disorders Collaboration Binge Eating Disorder is more common than Anorexia Nervosa or Bulimia Nervosa and is at least as chronic and stable as these disorders The financial

PDF	REALITY TV PROGRAMS, INTERNET USE, AND EATING - AURA evidenced some symptoms of an eating disorder but did not meet the overall Real World, America's Next Top Model, the Biggest Loser were on seasonal