Eating disorders (anorexia, bulimia, and binge-eating disorder)

This is a brief video on eating disorders in the DSM-5, specifically focused on similarities and differences between anorexia, bulimia, and binge-eating disorder.
I created this presentation with Google Slides.
Images were created or taken from Wikimedia Commons
I created this video with the KZread Video Editor.
ADDITIONAL TAGS:
Eating disorders in the DSM-5
Anorexia nervosa
Bulimia nervosa
Binge-
eating disorder
Preoccupation with weight and body image resulting in low food absorption → low BMI (BMI 18.5)
Restrictive: patient severely limits food intake
Binge eating/purging: food intake followed by compensation (vomit, laxative/diuretic, and/or exercise)
Coexist with perfectionism; depression
Associated medical issues: starvation, osteoporosis → fractures, amenorrhea, anemia, electrolyte disturbances (refeeding syndrome, hypophosphatemia), hypothyroidism (euthyroid sick syndrome) with low T3/T4 but low/nl TSH, IUGR/prematurity in pregnancy,
Treat with psychotherapy, low dose olanzapine (SSRIs ineffective unlike bulimia)
Anorexia nervosa
Bulimia nervosa
Binge-
eating disorder
Anorexia nervosa
Binge eating followed by compensatory behavior:
Purge: vomit, laxative, diuretic
Teeth and enamel erosion, esophageal tears, parotitis, thickened knuckles
Non-purge: exercise or diet
Patients are normal weight or overweight (BMI 18.5)
Treat with psychotherapy and SSRIs (fluoxetine); bupropion is contraindicated
Anorexia nervosa
Bulimia nervosa
Binge-
eating disorder
Bulimia nervosa
The erosion on the lower teeth was caused by bulimia. For comparison, the upper teeth were restored with porcelain veneers.
Binge eating WITHOUT compensatory behavior
Therefore does not fit qualifications of bulimia
At least three of the following:
Eating quickly
Eating alone out of embarrassment
Eating until uncomfortably full
Binge eating when not hungry
Feelings of guilt/depression/disgust after eating
Patients are often overweight / obese and suffer from metabolic syndrome, cardiovascular disease, and diabetes
Treatment: psychotherapy, strict diet/exercise, stimulants and orlistat (pancreatic lipase inhibitor) may help
Anorexia nervosa
Bulimia nervosa
Binge-
eating disorder
Binge-eating disorder
Anorexia nervosa
Bulimia nervosa
Binge-
eating disorder
Anorexia nervosa
Low food absorption (either restrict diet or binge/purge) →
Low BMI
Bulimia nervosa
Binge then purge
Tx: SSRIs
Binge-eating disorder
Binge WITHOUT purge
Tx: stimulants, orlistat
Binge eating
Tx: psychotherapy
Compensatory behavior
Signs of purging/vomiting
Bupropion contraindicated
nl/high BMI

Пікірлер: 88

  • @shivawilson4786
    @shivawilson47864 жыл бұрын

    This was great but BMI is meaningless if a person is athletic/muscular, I don’t know why it continues to be used, especially in these scenarios that include people who exercise a lot.

  • @phyllisjones48

    @phyllisjones48

    4 жыл бұрын

    The video said only Anorexia had a low BMI. I've been bulimic for over 35yrs and my BMI is under 17. I'm 56 yrs old and weigh 65lbs. Soooo does anyone know what they are talking about?

  • @myllyc4105

    @myllyc4105

    4 жыл бұрын

    @@phyllisjones48 that means you are anorexic, but you purge

  • @ediesongbird3163

    @ediesongbird3163

    4 жыл бұрын

    Shiva Wilson you won’t have muscle if you restrict your calories though it’s simply not possible to underfed your body and gain muscle

  • @jaimestamm2102

    @jaimestamm2102

    4 жыл бұрын

    @phyllis jones If you are going to lie about your age, at least don't make it so easy to figure out that someone only has to look at your profile picture to see your lie

  • @ediesongbird3163

    @ediesongbird3163

    4 жыл бұрын

    Jaime Stamm what are you talking about her profile picture is of her and a cat she looks like a grown adult in the photo

  • @letizzietta2001
    @letizzietta20014 жыл бұрын

    It's very well done, but as I actually have an eating disorder (binge eating) I would like to underline that it's actually not good/useful to have a strict diet, as it could lead to be too much hungry and to binge again. Of course, if you are used to eat a lot (even during meals) a normal diet would lead you to be hungry, more than the usual, but it shouldn't be excessicevely strict unless you are severely obese and need to lose lots of kg quickly for health reasons. I have a diet of almost 1500kcal daily (and it's a pretty normal kcal intake for a healthy woman) and I still am losing weight. Apart from it the video is well done.

  • @bereal842

    @bereal842

    4 жыл бұрын

    The only way "out" is to ban all food that can trigger your self binge eating disorder That means: sugar junk food etc. Bad go to therapy the same time. It's a long painful way....

  • @trxsh2868

    @trxsh2868

    Жыл бұрын

    ​@@bereal842 It's hard if you live with people who constantly buy junk food anyway.

  • @waldmann7777
    @waldmann77775 жыл бұрын

    I'm gaining weight and losing it again so my bmi is changing between above and under 18.5 all the time. I restrict and binge so bulimia and anorexia would fit both with makes it even harder to be diagnosed and see a the problem

  • @kimplansky531

    @kimplansky531

    4 жыл бұрын

    You have what I've been diagnosed with: It's called _____ Anorexia w/ Purging Subtype...

  • @godinanalcove1434

    @godinanalcove1434

    4 жыл бұрын

    You literally just described my problem

  • @kimplansky531

    @kimplansky531

    4 жыл бұрын

    @@godinanalcove1434 I'm thinking of you; 🧘‍♀️🙏🌤 I've struggled for 30 yrs., but with each other/ WE WILL OVERCOME TOGETHER

  • @godinanalcove1434

    @godinanalcove1434

    4 жыл бұрын

    @@kimplansky531 Thats sweet❤ Yea, it will take time, but at some point we'll be recovered❤

  • @kimplansky531

    @kimplansky531

    4 жыл бұрын

    @@godinanalcove1434 🤗🤗🤗🥦🥦🥦🦋🦋🦋🌹🌹🌹

  • @giovannahunsrao1407
    @giovannahunsrao14074 жыл бұрын

    Your videos are clear and the visual representation is also phenomenal. Keep at it!

  • @devilofparadis.
    @devilofparadis.2 жыл бұрын

    Some things people can’t handle (not being rude): Not all anorexics are thin. There is no anorexia body type. People with anorexia can purge / throw up their food. People with eating disorders can show symptoms of multiple eating disorders without it being EDNOS. Anorexics and bulimics do eat. (Surprise surprise) Not every anorexic is underweight. Not every binge eater is overweight. Anorexics can binge. Bulimics can be underweight too. Bulimia, BED, pica, EDNOS and other eating disorders can be just as hard to treat as anorexia. Anorexia isn’t the only eating disorder. - This comment isn’t directed to anyone.

  • @minimalsheep8900
    @minimalsheep89006 жыл бұрын

    Is there a specific reason why body fat percentage is not used instead of bmi?

  • @waldmann7777

    @waldmann7777

    5 жыл бұрын

    I think it's because people with an eating disorder lose weight in a very unhealthy way, which makes them lose a lot of muskle, so it's more about bmi or weight than fat percentage.

  • @janeadelaidelennox7193

    @janeadelaidelennox7193

    4 жыл бұрын

    James Parker anorexia eats muscle eventually so in that case BMI is useful

  • @janeadelaidelennox7193

    @janeadelaidelennox7193

    4 жыл бұрын

    For exercise bulimia this is a dangerous scale to use. Because they could have an excellent BMI but be dangerously low in body fat.

  • @apexyl5135

    @apexyl5135

    3 жыл бұрын

    Because body-fat percentage can’t be easily found without a professional’s assessment. BMI is the general range for a large group of people.

  • @cynthiajohnston6971
    @cynthiajohnston69713 жыл бұрын

    I am curious about your recommendation to "obviously" recommend a strict diet and exercise for someone with BED. I specialize in the treatment of EDs and I would almost never recommend a strict diet.

  • @eliana6474
    @eliana64742 жыл бұрын

    Great and consistent summarization skills in these videos 📹 👏

  • @1977Kingsolomon
    @1977Kingsolomon5 жыл бұрын

    Super helpful. Excellent job

  • @geettiwari8607
    @geettiwari86075 жыл бұрын

    Amazing amazing amazing. U jst made life easier.

  • @ronishadoty7785
    @ronishadoty77855 жыл бұрын

    This is great and gave me a better understanding I enjoyed the chart

  • @k0ilees936
    @k0ilees9364 жыл бұрын

    olanzapine actually caused my eating disorder, it made me gain a LOT of weight, which made me hate my body and then i took extreme measures to lose the weight

  • @sereshaw

    @sereshaw

    3 жыл бұрын

    OMG I didn't know olanzapine makes you gain weight

  • @nayabrana8053
    @nayabrana80534 жыл бұрын

    Very informative.... Thank you sir

  • @corit4566
    @corit45664 жыл бұрын

    🌷Excelente resumen🌷

  • @zycorum
    @zycorum3 жыл бұрын

    Really good, thank you very much.

  • @1234souleaterevans
    @1234souleaterevans3 жыл бұрын

    What about people who flip between binge eating like one day a week and then going barely any thing the other dayd

  • @Freeduradura
    @Freeduradura5 жыл бұрын

    Wow that was the best tool to teach.

  • @Drstar-rg9wp
    @Drstar-rg9wp3 жыл бұрын

    Much appreciated 🙏♥️

  • @clover7359
    @clover73594 жыл бұрын

    I've had periods where I did binge eating and compensated with fasting. My weight stays within a 10 pound range. In my experience, binge eating comes from subconscious 'food anxiety', so basically the perception that food may be scarce later, therefore I need to binge. I cured my binge eating by always satisfying my hunger cues, and surrounding myself with plenty of food, including possible trigger foods. I've trained my subconscious to relieve itself of food anxiety and my binging episodes have dropped to 1 or 2 per month, as opposed to 2-4 times per week when I was at my worst. I still occasionally indulge in overeating, but there is no guilt or need for compensatory behavior. Binge eating is about a vicious cycle of binging and guilt and compensation. The cure is to give your body what it needs and take away the anxiety of food scarcity, and that means including trigger foods in your life. Once your subconscious learns that there is no shortage of food, and that triggers foods are 100% okay to eat, binging behavior goes away effortlessly.

  • @ogwangalawrence8617
    @ogwangalawrence86173 жыл бұрын

    This was super super helpful

  • @khajanawaz327
    @khajanawaz3277 жыл бұрын

    Wow ! What a wonderful video , really you made medicine easy! 🙏 But just 50 views 😐

  • @ddlovogue
    @ddlovogue4 жыл бұрын

    So my question would be, the only difference between the binge/purge subtype of anorexia, and bulimia, is the BMI?

  • @fahimarafeeq630

    @fahimarafeeq630

    4 жыл бұрын

    @@noahinthereal hcf

  • @Jade0603

    @Jade0603

    3 жыл бұрын

    @@noahinthereal I’ve seen both types, some b/p anorexic’s are scared of eating for too long or too much when binging but some of them can eat between 5,000 to even over 10,000 calories a day in some cases. I’ve seen some severely underweight individuals who eat so much (probably because of the starvation) but I do agree that it’s also about behavior. Anorexia Restrictive and Binge/purge has a similar thought process.

  • @heartofmyangel

    @heartofmyangel

    3 жыл бұрын

    @@noahinthereal I’m not sure that’s true. The classification of a binge is eating a large amount of food (over what a normal person would eat) in a short period of time. If you purge without a binge it’s simply called purging disorder

  • @PatJ61
    @PatJ616 жыл бұрын

    Very well done.

  • @ogwangalawrence8617
    @ogwangalawrence86173 жыл бұрын

    Very good

  • @JC-ez3mj
    @JC-ez3mj3 жыл бұрын

    Does Restrictive Anorexia include binge eating as well?

  • @maidaya.a
    @maidaya.a4 жыл бұрын

    I'm a binge eater :( :( :( :( I'm the first and last 2 reasons but I'm not overweight. You don't have to be overweight to binge eat ppl need to get that right!! I've been fasting for 2 days now to control my eating. Also can someone tell me the difference between fasting and anorexia

  • @bensurrwy4627

    @bensurrwy4627

    4 жыл бұрын

    May A anorexia is a mental disorder, fasting is not consuming anything but water (other low/no cal beverages aka tea, black coffee)

  • @maidaya.a

    @maidaya.a

    4 жыл бұрын

    @@bensurrwy4627 thank youu

  • @ysucae

    @ysucae

    4 жыл бұрын

    fasting worsen the binge eating. you should try not to compensate because you fall into bulimia/purge territory and it can totally go there. food with a lot of protein and fibers on every meal instead. please don't fast. it gets worse...

  • @eleriamirayse6859

    @eleriamirayse6859

    4 жыл бұрын

    if you have compensatory behavior as you said, then have "bulimia" and not "binge eating disorder".

  • @alienpussysucker6998
    @alienpussysucker69984 жыл бұрын

    How do you spell callist

  • @mansakumar7545
    @mansakumar75453 жыл бұрын

    Furthermore, one can also have bulimia and be underweight

  • @izzydandrea7548
    @izzydandrea75483 жыл бұрын

    can you have binge eating disorder and be a normal weight

  • @lazyyes3442
    @lazyyes34423 жыл бұрын

    I don’t think I’m anorexic although I restrict food to the point i go 14 to 30 days no food then if i eat I binge and vomit when my body physically can’t puke i abuse the laxatives i was extremely obese 108 kg now I’m 64 and I’m still super fat so I don’t know what am I all I know is I have a problem

  • @whocares-sq7zh
    @whocares-sq7zh3 жыл бұрын

    What does starving yourself after eating a large meal mean?

  • @whocares-sq7zh

    @whocares-sq7zh

    3 жыл бұрын

    @No One thank you for your input.

  • @melissa3667
    @melissa36674 жыл бұрын

    👍

  • @marleine
    @marleine4 жыл бұрын

    damn i wish i had a low bmi smfh

  • @southwestAZ
    @southwestAZ3 жыл бұрын

    I'm binge eat and i weight 150 pounds I dont feel hungry nor do I have any desired too eat I starve myself & if I eat I eat very little

  • @positivity3298
    @positivity32983 жыл бұрын

    Im gonna try fasting for 1 month and 2 days 😁 Ofc im gonna eat one thing and drink water

  • @brotherarmy1338
    @brotherarmy13383 жыл бұрын

    Hello

  • @tarabrockgreitens8487
    @tarabrockgreitens84873 жыл бұрын

    I fast all the time, so easy

  • @jennifervoilet6491
    @jennifervoilet64914 жыл бұрын

    How can India have 0 case of eating disorders while two out of three of my Indian friends are bulimic.

  • @carriemarrie5505

    @carriemarrie5505

    3 жыл бұрын

    The chart wasn't cases, it was deaths from eating disorders

  • @rooo2002
    @rooo20024 жыл бұрын

    little views. little comments. lots of knowledge. all 3 eating disorders (as well as those without a specific name) are just as bad and just as fucked up. no one gets happy from them. whether your ed makes you gain or lose weight, it's just as unhealthy, fucked up, stressing and depressing. :/

  • @sofijastojanovic1909
    @sofijastojanovic19094 жыл бұрын

    I had to gain today a little weight beacuse my mum said that she will see tomorow my weight...so i just like start to eat i literally just binged with honey, butter or something like that, but i always can stand like without eating so...it is a little bit strange

  • @samsam-er6in
    @samsam-er6in4 жыл бұрын

    unhelpful

  • @sharijanenapatangmillangue8163
    @sharijanenapatangmillangue81634 жыл бұрын

    I hatedb.

  • @mansakumar7545
    @mansakumar75453 жыл бұрын

    Using BMI as a necessary symptom to be diagnosed with anorexia is hugely fat-phobic - people can have eating disorders and have normal BMIs and it is extremely damaging and invalidating as well as plain dangerous to exclude these people from the definition of anorexia and, therefore, from treatment for it.

  • @sarahfaithmillward2285
    @sarahfaithmillward22852 жыл бұрын

    Some of this information is fine but wow is this video fatphobic. First of all anorexia doesn't always mean being underweight. In fact, people in larger bodies often face significant health risks because even when they are exhibiting disordered eating behaviors seen in anorexia - like extreme restriction and purging - they are praised for trying to lose weight. Secondly, recommending a strict diet and exercise routine for someone with binge eating disorder is absolutely the worst thing you could possibly do. Someone with binge eating disorder needs to have their focused shifted away from food and body image, not be told to fixate on it even more. This kind of misinformation is extremely dangerous especially when published on a platform like this.

  • @garlicbread4792

    @garlicbread4792

    2 жыл бұрын

    How is it fatphobic? These are things we are taught in psychology courses by professors who were also board certified practicing psychologists. We spent a good portion of one of our sessions if not the entire session to learn about the differences between bulimia and anorexia and the weight is definitely a factor. It was also a question on one of our exams because it's important to be able to distinguish between the two. When we watched videos to help us observe people with these disorders the anorexics were all underweight and couldn't maintain their body heat. There's a reason why the two need to be differentiated, weight being one of the biggest factors. It's not just a mindset because the state of the body also plays a huge role. I can go on and on but I'm guessing factual information is always going to be considered fatphobic to some.

  • @sarahfaithmillward2285

    @sarahfaithmillward2285

    2 жыл бұрын

    @@garlicbread4792 as a therapist, bulimia and anorexia can be experienced by people in bodies of all shapes and sizes - it is not restricted to people in small bodies. Significant weight loss in a short time period is often celebrated for people in big bodies - especially in the medical community - while it is seen as a cause for concern in people in smaller bodies. That is fatphobic. No matter your size, extreme restriction/starvation is not healthy and is extremely dangerous.