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Mandi Peek, M.S., L.P.C
Caring for people through the healing
process

Disordered Eating





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Disordered eating has captured my attention
as a clinical focus. I am unreservedly
empathetic to those battling with such a
bodies, and spirits all at the same time.
Clinically speaking, disordered eating can
rear it's head in a myriad of expressions
that are commonly heard: anorexia nervosa,
bulimia, overeating. I also believe that
eating becomes disordered when your
relationship with food becomes a controlling
focal point of our minds, emotions, and
daily activities. You do not have to
struggle at a clinical level for disordered
eating and/or body image to have a very
negative impact on your life.
It is so important in recovery from
disordered eating to learn what your
struggle is really about—it isn’t
about food and fat. Disordered eating is a
gift in that it is a "red herring",
distracting from the real battle with deeper
issues. Once you learn the language of your
red herring, you will have something to work
with to make a lasting change in your
relationship with food, and more importantly
your relationship with yourself.
Weather your relationship with food, eating,
dieting, and exercising is disrupted to a
clinical or sub-clinical level, my heart's
desire is toward freedom from obsession and
preoccupation with these forces. It is to
cut the weed of disruption caused by these
outward expressions of inner experiences out
from the root. So often we battle with
diets, lifestyle management, and other
surface interventions and fail to attack the
core fortress, or root, of disordered
eating, found deep inside.
Clinical Definitions:
*This
information is documented as well on the web
site of the National Association of Anorexia
Nervosa and Associated Disorders and the DSM
IV.
Clinical anorexia nervosa can be
identified by the following signs and
characteristics:
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Refusal to
maintain body weight at or above a
minimally normal weight for age and
height.
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Intense fear of
gaining weight or becoming fat, even
thought underweight.
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Disturbance in the way in which one's
body weight or shape is experienced,
undue influence of body weight or shape
on self-evaluation, or denial of the
seriousness of the current low body
weight.
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Amenorrhea, or the
absence of at lease three consecutive
menstrual cycles in postmenarcheal
females.
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Anorexia nervosa literally means loss of
appetite but this is a misnomer: A
person with anorexia nervosa is hungry,
but he or she denies the hunger because
of an irrational fear of becoming fat.
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Anorexia nervosa is often characterized
by self-starvation, food preoccupation
and rituals, compulsive exercising.
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Untreated,
anorexia can be fatal. It is not a "fad"
which the victim will outgrow if left
alone. The death of pop singer Karen
Carpenter at age 32 was attributed to
heart failure, following her eight-year
battle with anorexia. The most common
cause of death in a long-time anorexic
is low serum potassium, which can cause
an irregular heartbeat.
Clinical Bulimia Nervosa can be identified
by the following signs and characteristics:
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Recurrent episodes
of binge eating. Eating in a discrete
period of time an amount of food that is
definitely larger than most people would
eat during a similar time under similar
circumstance. Or a sense of lack of
control over eating during the episode,
the feeling that one cannot stop eating
or control what or how much one is
eating.
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Recurrent inappropriate compensatory
behaviors in order to prevent weight
gain such as self-induced vomiting,
misuse of laxatives, diuretics, fasting,
or excessive exercise. The behaviors
along with binges occur at least twice a
week for a period of about 3 months.
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The bulimic is aware that his or her
eating is out of control. He or she is
fearful of not being able to stop
eating, and is afraid of being fat.
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The bulimic usually feels depressed and
guilty after a binge.
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Self-evaluation is
unduly influenced by body shape and
weight.
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Frequently, the binges are followed by
purging, through self-induced vomiting,
abuse of laxatives and/or diuretics, or
periods of fasting.
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The bulimic's weight is usually in a
normal or somewhat above normal range;
it may fluctuate more than 10 pounds due
to alternating binges and fasts
Clinical Compulsive Overeating (Binge Eating
Disorder) can be identified by the following
signs:
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A compulsive overeater (binge eater) is
an individual who compulsively eats but
does not purge and usually becomes
overweight.
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The overeater may eat three meals a day
plus frequent snacks. He or she may
overeat continually throughout the day,
rather than consume large amounts of
food during binges.
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