Feeding and Eating Disorders

Question 1

These patients are usually young women who (1) eat so little that many look skeletal, yet (2) remain fearful of obesity or weight gain and (3) have the distorted self-perception that they are fat.

Answer 1

Anorexia nervosa

Mild. BMI 17+
Moderate. BMI 16-17
Severe. BMI 15-16
Extreme. BMI under 15

In partial remission. no longer sig underweight, but still overly concerned about weight or misconception about body weight/shape for a sustained period
In full remission. fits no criteria for a sustained period

Question 2

These patients eat in binges, then prevent weight gain by self-induced vomiting, purging, and exercise. Although appearance is important to their self-evaluations, they do not have the body image distortion characteristic of anorexia nervosa (weekly for 3+ months)

Answer 2

Bulimia nervosa

Mild. 1-3 episodes/week
Moderate. 4-7
Severe. 8-13
Extreme 14+

In partial remission. no longer sig underweight, but still overly concerned about weight or misconception about body weight/shape for a sustained period
In full remission. fits no criteria for a sustained period

Question 3

These patients eat in binges, but do not try to compensate by vomiting, exercising, or using laxatives (weekly for 3+ months)

Answer 3

Binge-eating disorder

Mild. 1-3 binges/week
Moderate. 4-7
Severe. 8-13
Extreme. 14+

In partial remission. no longer sig underweight, but still overly concerned about weight or misconception about body weight/shape for a sustained period
In full remission. a sustained period of fitting no criteria

Question 4

These patients eat material that is not food (1+ months in someone who is at least 2 years old)

Answer 4

Pica {in children}{in adults}

Question 5

The person persistently regurgitates and re-chews food already eaten (1+ months)

Answer 5

Rumination disorder

Question 6

With no abnormality of self-image, the patient eats too little to maintain adequate nutrition or weight (for children, to grow or gain weight). As a result, the patient may need tube feeding or added nourishment. Social and personal life may also be disrupted.

Answer 6

Avoidant/restrictive food intake disorder

Question 7

Use one of these categories for a disorder of feeding or eating that does not meet the criteria for any of those mentioned above

Answer 7

Other specified, or unspecified, feeding or eating disorder