《精神病学 Psychiatry》课程教学课件（PPT讲稿）Eating disorders

Eating disorders

Eating disorders

What is an eating disorder?PsychologicaldiseaseInsufficient or excessive food intake Causes physical and mental damage

What is an eating disorder? • Psychological disease • Insufficient or excessive food intake • Causes physical and mental damage

EatingDisorderAn eating disorder is characterized by abnormaleating habits that may involve either insufficientor excessive food intake to the detriment ofanindividual's physical and emotional health

TypesofEatingDisordersAnorexia NervosaBulimia NervosaThe refusal to maintain aThe restraining of foodhealthy body weight and anintake for a period of timeobsessive fear of gainingfollowedby an over intakeweightor binging period thatresults in feelings of guiltandlow self-esteem

Anorexia nervosa神经性厌食症Characterized by:-Food restriction Very low body weight (<85% of normal)- Inappropriate eating habits- Obsession with having a thin figure- Irrational fear of weight gain “ fat phobia"Affects the body at many levels: immunesystem, electrolytes, heart, skin, no period

Anorexia nervosa神经性厌食症 Characterized by: - Food restriction - Very low body weight (<85% of normal) - Inappropriate eating habits - Obsession with having a thin figure - Irrational fear of weight gain “fat phobia” Affects the body at many levels: immune system, electrolytes, heart, skin, no period

SignsOfAnorexiaFeeling ColdNoticeableWeightLossObsession with food and recipesExcessive ExerciseExcuses to miss mealsDenial that you're too thin

The case of Kate Chilver Considered one of the most severecases of Anorexia Nervosa? - First symptoms detected at age 12· - Died at age 31- Height 1,70m- Weight 30Kg-BMI10.5

The case of Kate Chilver • Considered one of the most severe • cases of Anorexia Nervosa • - First symptoms detected at age 12 • - Died at age 31 • - Height 1,70m • - Weight 30Kg • - BMI 10.5

BulimiaNervosa神经性贪食Characterized by:-BN patientsbinge暴食frequently- Patientsfeel out of control during binges- Binges range from 1.500kcal to 4.000kcalbut can go up to 15.000Kcal- Weight is normal, overweight or obese- Difficult to detect since they hide thebinges and the weight doesn' t changedrastically

Characterized by: - BN patients binge暴食frequently - Patients feel out of control during binges - Binges range from 1.500kcal to 4.000kcal but can go up to 15.000Kcal - Weight is normal, overweight or obese - Difficult to detect since they hide the binges and the weight doesn’t change drastically Bulimia Nervosa神经性贪食

BulimiaNervosa神经性贪食After a binge patients with purge because ofstomach pains and fear of weight gainPurges happen several times per week or dayusing laxatives or by vomitingOften used to get a sense of control over theirlife and environment

After a binge patients with purge because of stomach pains and fear of weight gain Purges happen several times per week or day using laxatives or by vomiting Often used to get a sense of control over their life and environment Bulimia Nervosa神经性贪食

SignsOfBulimiaGoing to the bathroom after mealsUsing laxatives,diuretics, or enemas after eating (DietPills)Smell ofvomitExcessiveexercisingEating unusually large amounts of food with noobvious changeinweight