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

This is a brief video on eating disorders in the DSM-5, specifically focused on how to similarities and differences between anorexia, bulimia, and binge-eating disorder.

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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

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