EATING DISORDERS - The Emily Program (PDF)

women struggle with an eating disorder or disordered eating 1 in 5 90% of those are between ages 12-35 Fewer than get treatment 40% Don't forget... Eating disorders ALSO affect over 30 million people of ALL ages, ethnicities and genders in the U.S. $300 million is spent annually on hospital costs for ED complications that are avoidable with appropriate treatment Eating disorders have one of the highest mortality rates of any mental illness, second only to opioid use disorder Comorbidity is common with eating disorders EDs are often associated with: Major depression/anxiety Panic disorder Substance abuse Trauma Self-injury Suicidal ideation Every 62 minutes, someone dies as a direct result of an eating disorder. What every provider should know about EATING DISORDERS There is HOPE. The sooner someone gets help, the better the outcome. Call The Emily Program at 1-888-364-5977 or find us online at emilyprogram.com to learn more or make a referral. Eating disorders are caused by a combination of genetic, psychological, sociocultural and physiological factors. Due to the complex nature of eating disorders, they are best treated by a multidisciplinary care team with areas of expertise that include therapy, nutrition, medical, & psychiatry. Anorexia
Nervosa
(AN),
Bulimia
Nervosa
(BN),
Binge
Eating Disorder
(BED),
Avoidant/Restrictive
Food
Intake
Disorder (ARFID),
Other
Specified
Feeding
and
Eating
Disorder
(OSFED)
 Does your patient have an eating disorder? Watch for these signs: Physical Rapid weight loss or gain Abdominal pain Feeling full or bloated Feel faint, cold or tired Dry hair/skin Dehydration Blue hands/feet Lanugo (fine body hair) Behavioral Obsessed with clean/healthy eating Dieting or chaotic food intake Pretending to eat Throwing away food Excessive exercise Seeking muscularity Constant food talk Frequent bathroom trips Eating very quickly Loss of control with food Complaints about appearance, particularly about feeling fat Sadness or comments about feeling worthless Perfectionistic attitude Using food to manage emotions or "numb out" Isolation and mood changes Emotional These temperament traits, which typically vary by eating disorder type, are often present and sometimes heightened when people are ill: Anorexia Harm/risk avoidance Persistence Observant Obsessional Anxious Reward motivated Perfectionistic Bulimia/ Binge Eating Disorder Impulsive Novelty-seeking Quick-tempered/excitable Willing to take risks Seek stimulation Easily form emotional attachments When does it become an eating disorder? When untreated, EDs often result in cardiac complications, depression, anxiety, osteoporosis, loss of quality of life and suicide. The most important questions to ask yourself are: Is there a pattern of behavior? Is there preoccupation? Is there impairment? Use the questionnaire below as a preliminary screening tool. SCOFF Questionnaire by Morgan, Reid & Lacey (adapted) Do you feel like you sometimes lose or have lost control over how you eat? Do you ever make yourself sick because you feel uncomfortably full? Do you believe yourself to be fat, even when others say you are too thin? Does food or thoughts about food dominate your life? Do thoughts about your body or weight dominate your life? Have others become worried about your weight and/or eating? Two or more "yes" answers strongly indicates the presence of disordered eating. Call The Emily Program for an assessment at 1-888-364-5977 or visit emilyprogram.com. Bookmark this quiz online: emilyprogram.com/EDquiz