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Eating Disorders are characterized by abnormal or disturbed eating habits that alter consumption or retention of food. Eating disorders can cause significant impairment of daily functioning and marked distress for the individual and family members.

Anorexia Nervosa is characterized by a maintained bodyweight that is significantly low or less than minimally normal as a result of restricted energy intake. There is an intense fear of gaining weight and a disturbance in the way one views their body shape or weight. Individuals often do not recognize the seriousness of this illness. Anorexia nervosa is diagnosed as either Restrictive type or Binge-eating/purging type. Restrictive type is the presentation in the last 3 months in which weight loss or low weight management is done through fasting, dieting, or excessive exercising. Binge-eating/purging type is the presentation in the last 3 months in which there are recurrent episodes of binge eating and purging. Purging behaviors include self-induced vomiting, misuse of laxatives, diuretics or enemas.

Bulimia Nervosa is characterized by recurrent episodes of binge eating larger than normal amounts of food in a period of time due to a perceived lack of control or feeling that one cannot stop eating. In addition, continued inappropriate offsetting behaviors to prevent weight gain occur, such as purging behaviors, fasting, or excessive exercise. These symptoms occur, on average, at lease once a week for 3 months. There is also a disturbance in the way one views their body shape or weight. In contrast to anorexia nervosa, binge-eating/purging type, individuals with bulimia nervosa maintain a body weight at or above a minimally normal level.

 Binge-Eating Disorder is characterized by recurrent episodes of binge eating larger than normal amounts of food in a period of time due to a perceived lack of control or feeling that one cannot stop eating, causing marked distress. Binge-eating episodes include at least three of the following: eating more rapidly than normal, feeling uncomfortably full, binge-eating when not physically feeling hungry, eating alone because of embarrassment, and feelings of disgust, guilt, or depression after an episode. The binge eating does not occur during the course of anorexia nervosa or bulimia nervosa.

In addition to the disorders listed above, the DSM-5 lists Pica, Rumination Disorder, Avoidant/Restrictive Food Intake Disorder, and Other Specified and Unspecified Feeding or Eating Disorders under the category of Feeding and Eating Disorders.

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RESOURCES

EATING DISORDER RELATED OFFERINGS AT HHC

ADDITIONAL RESOURCES

TEDxColumbus Talk: Laura Hill – Eating Disorders from the Inside Out

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