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Psychological approaches to eating

Psychological approaches to eating

Zandian, Approached. View Calendar. A prudent Psycjological of qpproaches in Psychological approaches to eating eating disordered patients would be to utilize cognitive behavioral therapy at least Brain boosting supplements a part of an integrated multidimensional approach. Recovery and Beyond: Dealing With Triggers and Setbacks Marnie Davis and Joslyn P. Steinhausen, H. What is the scope and characteristics of the existing evidence when yoga is integrated alongside psychological approaches in the treatment of eating disorders?

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Eating Disorders (Anorexia, Bulimia, and Binge Eating) Mnemonics (Memorable Psychiatry Lecture) An eating disorder is qpproaches mental sPychological condition that causes disturbances to your diet and the way you Recovery resources for veterans Psychological approaches to eating. There are several types of eating disorders. Some examples include:. People that have an eating disorder may eat too much food, too little food, or become preoccupied with their body shape or weight. Without treatment, an eating disorder may become serious and potentially life-threatening. However, recovery from an eating disorder is possible with treatment.

Psychological approaches to eating -

Malnutrition is a prominent feature of the condition. Those affected by rumination disorder typically make attempts to hide the regurgitation behavior by placing a hand over the mouth or coughing. And they avoid eating before social situations, such as work or school.

Rumination disorder can develop in infancy, childhood, adolescence , or adulthood. Infants with the disorder tend to strain and arch their back with their head held back, making sucking movements with their tongue. Malnutrition may occur despite ingestion of large amounts of food, particularly when regurgitated food is spat out.

In infants as well as in older people with intellectual disability, the regurgitation and rumination behavior seems to have a self-soothing or self-stimulating function, much like other repetitive motor behaviors such as rocking and headbanging.

To learn more about symptoms, causes, and treatment for rumination disorder, visit our Diagnosis Dictionary. Pica is characterized by the eating of one or more nonnutritive, nonfood substances on a persistent basis.

Substances commonly eaten by people with pica include paper, soap, hair, gum, ice, paint, pebbles, soil, and chalk. People with pica do not typically have an aversion to food in general. In order for pica to be diagnosed, the behavior of eating nonnutritive, nonfood substances must be present for at least one month.

Children below the age of 2 are typically not diagnosed with pica to exclude the developmentally appropriate mouthing of objects by infants that may result in ingestion.

People may experience medical complications from pica, such as bowel problems and intestinal obstruction. People may also experience infections if they have eaten feces or dirt.

The prevalence of pica is unknown, but it is more prevalent among people with intellectual disabilities. Some pregnant women also develop pica, with specific cravings for substances such as chalk, dirt, or ice.

To learn more about symptoms, causes, and treatment for pica, visit our Diagnosis Dictionary. Eating disorders have a wide variety of possible symptoms.

Those close to the individual may notice severe weight loss or weight gain; a fixation on strict diets; secretiveness or rigidity surrounding eating; pronounced fear of gaining weight; poor body image ; and social withdrawal. Less well-known eating disorders, such as pica or rumination disorder, may also lead someone to engage in abnormal behaviors surrounding food, such as eating unusual substances or regurgitating food regularly.

To learn more about the signs and symptoms of eating disorders, visit our Eating Disorders Center. Binge eating disorder is thought to be the most common eating disorder in the United States, affecting approximately 3 percent of adults. It is more common among mildly obese people, affecting as many as 15 percent of this group.

All eating disorders come with risks to physical and mental health. However, anorexia nervosa is widely considered the most deadly eating disorder—indeed, the most deadly mental health disorder—both because of the physical dangers of the disorder itself and because individuals with anorexia are at increased risk of dying by suicide.

Because of the dangers inherent to anorexia and other eating disorders, early identification and comprehensive treatment can be life-saving. Researchers have long been probing the underlying causes and nature of eating disorders.

Eating disorders appear to run in families, and there is ongoing research on genetic contributions to the conditions. Other factors—psychological, interpersonal, and social—can play a role in eating disorders. Neurologically, an eating disorder likely involves abnormal activity distributed across multiple neural systems.

Among identified psychological factors are low self-esteem , feelings of inadequacy and lack of control in life, depression , anxiety , anger , and loneliness. Interpersonal factors include troubled family and personal relationships, difficulty expressing emotions and feelings, a history of being teased or ridiculed based on size and weight, or a history of physical or sexual abuse.

Social factors that can contribute include cultural pressures that glorify thinness and place value on obtaining the "perfect" body, narrow societal definitions of beauty that include only those people of specific body weights and shapes, or cultural norms that value people on the basis of physical appearance and not inner qualities and strengths.

People with anorexia nervosa typically see themselves as overweight even though they may be dangerously thin. In bulimia nervosa, despite often weighing within the normal range for their age and height, sufferers may fear gaining weight, desire to lose weight, and feel intensely dissatisfied with their bodies.

Many with binge-eating disorders are overweight for their age and height. Feelings of self-disgust and shame associated with a binge can lead to another binge, creating a cycle of problematic overeating.

To learn more about the causes of eating disorders, visit our Eating Disorders Center. Risk factors for ARFID, pica, and rumination disorder may include comorbid autism spectrum disorder, intellectual disability, or schizophrenia; a history of picky eating; malnutrition or anemia; or a chronic lack of stimulation.

Poor body image, especially when it's related to weight and body shape specifically, can lead an individual to adopt weight-control strategies like a strict diet or overly intense exercise.

Over time, these behaviors may become increasingly extreme and eventually cross the line into an eating disorder. There is no surefire way to prevent an eating disorder. Eating disorders can be treated, and a healthy weight can be restored.

The sooner an eating disorder is diagnosed and treated, the better the outcome is likely to be. Because of their complexity, eating disorders require a comprehensive treatment plan involving medical care and monitoring, professional interventions, nutritional counseling, psychotherapy , and, when appropriate, medication management.

The treatment of anorexia calls for a specific program that involves four main phases: restoring the person to a healthy weight; treating psychological disturbances, such as distortion of body image, low self-esteem, and interpersonal conflicts; reducing or eliminating behaviors or thoughts that lead to disordered eating; and preventing relapse.

Some research suggests that the use of medications, such as antidepressants , antipsychotics , or mood stabilizers, may be modestly effective in treating patients with anorexia by helping to resolve mood and anxiety symptoms that often coexist with anorexia. Different forms of psychotherapy, including individual, group, and family-based, can help address the psychological issues underlying anorexia nervosa.

Some studies suggest that family-based therapies, in which parents assume responsibility for feeding their eating-disordered adolescent, are the most effective in helping a person with anorexia gain weight and improve eating habits and moods.

There is some evidence that a combined approach of medical attention and supportive psychotherapy designed specifically for anorexia patients is more effective than psychotherapy alone.

The effectiveness of treatment depends on the unique situation of each patient. The course and outcome of anorexia nervosa vary across individuals; some fully recover after a single episode, some fluctuate between weight gain and relapse, and others chronically deteriorate over many years.

The mortality rate among people with anorexia has been estimated at. The most common causes of death are complications of the disorder, such as cardiac arrest, electrolyte imbalance, and suicide. The primary goal of treatment for bulimia is to reduce or eliminate binge-eating and purging behavior.

Nutritional rehabilitation, psychological intervention, and medication management are often employed. As with anorexia, treatment for bulimia often involves a combination of options and is usually based on the needs of the individual.

To reduce or eliminate binge-and-purge behavior, a patient may undergo nutritional counseling and psychotherapy, especially cognitive behavioral therapy CBT , or be prescribed medication.

Medication can also help reduce binge-eating and purging behavior, reduce the chance of relapse, and improve eating attitudes. CBT that has been tailored to treat bulimia has also been shown to be effective in changing binging-and-purging behavior and eating attitudes.

Therapy may be individually oriented or group-based. The treatment goals and strategies for binge-eating disorder are similar to those for bulimia. Fluoxetine and other antidepressants may reduce binge-eating episodes and help alleviate depression in some patients.

Patients with binge-eating disorder may also be prescribed appetite suppressants. Psychotherapy, especially CBT, in an individual or group environment, is also used to treat the underlying psychological issues associated with binge eating. People with eating disorders often do not recognize or admit that they are ill.

As a result, they may strongly resist getting and staying in treatment. Family members or other trusted individuals can be helpful in ensuring that the person with an eating disorder receives needed care and rehabilitation. To learn more about how eating disorders are treated, visit our Eating Disorders Center.

Not always. Some people with eating disorders are fully aware that they have a problem but are too ashamed or afraid to seek help; many individuals with binge-eating disorder, for example, are frightened or disgusted by their eating behavior but blame it on their own lack of self-control , rather than a mental health disorder.

They may even view them with pride; some teens with anorexia nervosa, for example, see their ability to ignore hunger pangs as a source of strength. In these cases, helping the individual recognize that they need help may be a long, arduous process. Eating Disorders Reviewed by Psychology Today Staff.

Eating disorders are beyond dangerous: they are life-threatening. These diseases have the highest mortality rate of any psychiatric disorder due to the myriad of medical complications and the high risk of suicide associated.

Hence, it is critically important to address an eating disorder as soon as its signs are identified. A combination of evidence-based and effective treatments should be used to guide those suffering through the healing process and to treat such complex and dangerous disorders.

Eating disorder treatment depends on your particular disorder and your symptoms. It typically includes a combination of psychological therapy psychotherapy , nutrition education, medical monitoring, and sometimes medications.

Outpatient therapy may be the first approach, and if this fails to achieve positive results, inpatient or residential treatment may soon be recommended. Residential treatment involves the patient temporarily living at an eating disorder treatment facility.

Although the course of treatment can appear parallel, the therapeutic strategies differ due to age, acuity level, length of stay, and level of participation. A child under ten years of age requires treatment with a more simplistic approach to best suit her cognitive ability.

An adolescent will require a different method due to her maturational level along with her changing, and still developing body. An adult, though able to synthesize more knowledge, has a wholly different set of thoughts and concerns, such as a career, life partner, possible children, etc. Traditionally known as talk therapy, psychotherapy involves one-on-one counseling with a therapist.

This treatment modality is specifically designed to understand the causes and thought processes behind an eating disorder and accordingly help the patient learn new skills and techniques to cope with painful emotions and stressors of life.

Treatment may involve various therapies such as:. Regardless of whether a person is struggling with anorexia, bulimia, or binge eating disorder, affiliation with a registered dietitian RD is an extremely crucial component of recovery.

Treatment cannot merely be based upon the cessation of disordered eating. A person needs to learn how to establish a healthy relationship with food. The RD can create a sustainable and individualized meal plan that helps the patient maintain a healthy weight that is right for her body.

In time, this food plan will be referred to as good eating habits or positive eating lifestyle, simply to remove the formulaic nature of the word diet or plan.

The goal is to work toward a healthy weight, practice meal planning, and remedy health problems stemming from malnutrition or obesity. Psycho-education is part of this counseling practice, especially if the person has damaged her body as a result of malnutrition.

The RD helps her to recognize how the restricting, bingeing, or purging behaviors negatively impact the body. The goal is for the individual in recovery to develop an intentional relationship with food, in an effort to experience hunger and satiety cues based on physical needs instead of emotional triggers.

Most of the disorder is contained within the body itself. Therapeutic modalities such as art, dance, and even yoga, are designed to promote emotional and physical healing. Expressive therapies are not concerned with tangible outcomes. Instead, the value is in the process. These therapies allow a hurting or wounded individual to communicate her innermost experience without words.

The movement and expression will enable her to reconnect with her physical body and inner being. Since expressive therapies are rarely applied alone, the person has the opportunity to reconnect relationally.

In a dance movement or yoga class, participants might chat or even laugh while connecting to her peers as they move together. Medication in itself is not a cure. It works best in combination with psychological therapy. Antidepressants are the most commonly utilized medications for eating disorder treatment.

Taking an antidepressant may be especially helpful if you have bulimia or binge-eating disorder. Antidepressants can also help reduce symptoms of depression or anxiety, which frequently occur along with eating disorders. As cited in ANAD statistics data, 50 percent of those meeting the criteria for an eating disorder also meet the criteria for depression.

Almost two-thirds of the patients also suffer from an anxiety disorder. You may also need to take medications for physical health problems caused by your eating disorder. Hospitalization may be necessary if the associated physical or mental health issues are severe or life-threatening.

In many cases, the most critical goal of hospitalization is to stabilize acute medical symptoms by beginning the process of normalizing eating and weight.

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