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What’s The Most Serious Eating Disorder?

Eating disorders are defined by the American Psychiatric Association as “behavioral conditions characterized by severe and persistent disturbance in eating behaviors and associated distressing thoughts and emotions.” There are several different types and each are recognized as chronic psychological conditions listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) under the Disorder Class: Feeding and Eating Disorders. The pervasive symptoms associated with any type of eating disorder can cause adverse physiological consequences and interfere with one’s ability to function optimally in daily life. Experts consider anorexia nervosa, colloquially known as anorexia, to be the most severe type of eating disorder because it has the highest mortality rate of any psychiatric disorder.

Anorexia

Anorexia is characterized by “an abnormally low body weight, an intense fear of gaining weight and a distorted perception of weight.” An individual struggling with anorexia may exhibit behavioral warning signs such as skipping meals, over-exercising, obsessively reading nutritional information, constantly weighing themselves, regularly making excuses not to eat, denial of a problem despite excessive weight loss, etc. People with anorexia engage in a cycle of self-starvation that often result in malnutrition including a lack of essential minerals and nutrients. When an individual with anorexia becomes severely malnourished, every organ in his or her body can suffer irreparable damage. There are myriad adverse short and long-term effects of anorexia, and without proper treatment anorexia can lead to life-threatening consequences.

Facts and Stats

There are several eye-opening facts and statistics related to anorexia, as well as many misconceptions about this eating disorder, such as:

  • There is currently no medication approved by the FDA (U.S. Food and Drug Administration) for the treatment of anorexia.
  • 1 in 5 anorexia deaths are by suicide.
  • The mortality rate associated with anorexia is 12 times higher than the death rate of all causes of death for females aged 15 to 24 years old.
  • 20% of women diagnosed with anorexia have high levels of autistic traits.

Anorexia is considered one of the most lethal psychiatric disorders, carrying a sixfold increased risk of death. Further, the South Carolina Department of Mental Health assert that twenty percent of people suffering from anorexia will die prematurely due to complications related to their eating disorder.

Treatment In Calabasas

Calabasas is a city in California. It is a well-known suburb of Los Angeles, located west of the San Fernando Valley and north of the Santa Monica Mountains. Over the past decade, the city of Calabasas has grown in its reputation for luxury as well as for privacy which makes it a hidden gem for residential living for society’s elite, and one of the most desirable destinations in Los Angeles County. It is also home to a plethora of highly qualified mental health clinicians providing an array of therapeutic services and treatment options.

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

What Are Five Effects Of Drug Abuse?

effects-of-drug-abuse

Drugs are explained as chemicals or substances that change the way one’s body works by affecting a person’s mental or physical state. The effects of drug abuse will depend on a combination of factors, such as the type of substance abused, one’s personal health history, one’s metabolism, a family history of substance abuse, the presence of any mental health disorders, one’s age, and more. Rather than addressing the possible short- and long-term effects of drug abuse, consider the following five parts of the body are most affected by drug abuse, in no sequential order:

  • Endocrine system: made up of a complex network of organs and glands, the endocrine system uses hormones to coordinate and control the body’s metabolism, reproduction, energy levels, growth, and development, as well as response to injury stress and/ or mood. Alcohol and drug abuse can impair the production and secretion of these hormones.
  • Circulatory system: the circulatory system is comprised of three independent systems (cardiovascular, pulmonary, and systemic) that work together and are responsible for the flow of blood, nutrients, oxygen, hormones, and other gases, to and from cells. It helps the body maintain a normal body temperature and fight off disease. The ingestion of harmful substances, particularly drugs and alcohol, is associated with cardiovascular disease, or the deterioration in the health of the heart and/ or blood vessels. Changes in blood pressure, irregular heartbeat, heart attacks, strokes, and heart failure are common side effects of substance abuse.
  • Nervous system: the nervous system is the center of all mental activity including memory, thought, and learning, as it is the major controlling, regulatory, and communicating system in the body. Drug and alcohol abuse interfere with the nervous system’s ability to regulate mood, thinking, and coordination of bodily functions.
  • Muscular system: the muscular system is an organ system consisting of skeletal, smooth, and cardiac muscles. It permits movement of the body, maintains posture, and circulates blood throughout the body. Substance abuse can lead to slow muscle movement, impair muscle coordination, and over a prolonged period can reduce muscle mass. 
  • Respiratory system: the respiratory system’s primary function is to deliver oxygen and remove carbon dioxide. Substance abuse interferes with this process by reducing one’s rate of breathing. When breathing is depressed, it can lead to respiratory failure depriving the lungs of essential oxygen.

Treatment In Calabasas

Calabasas is a city in California. It is a well-known suburb of Los Angeles, located west of the San Fernando Valley and north of the Santa Monica Mountains. Over the past decade, the city of Calabasas has grown in its reputation for luxury as well as for privacy which makes it a hidden gem for residential living for society’s elite, and one of the most desirable destinations in Los Angeles County. It is also home to a plethora of highly qualified mental health clinicians providing an array of therapeutic services and treatment options. 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

What Are 5 Effects Of Alcohol Addiction?

Effects-of-alcohol-addiction

Alcohol is a psychoactive, central nervous system depressant that works by slowing down vital functions in one’s body. Harvard Health explains that “alcohol directly influences the stomach, brain, heart, gallbladder, and liver. It affects levels of lipids (cholesterol and triglycerides) and insulin in the blood, as well as inflammation and coagulation. It also alters mood, concentration, and coordination.” A person that is addicted to alcohol is colloquially known as an alcoholic. Alcohol addiction, also known as alcoholism or alcohol use disorder (AUD), is listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) as a chronic neurological disorder. According to the Mayo Clinic, alcoholism is characterized by a “pattern of alcohol use that involves problems controlling your drinking, being preoccupied with alcohol, continuing to use alcohol even when it causes problems, having to drink more to get the same effect, or having withdrawal symptoms when you rapidly decrease or stop drinking.” Alcohol use disorder is a complex disease involving physical and psychological changes that directly increase one’s risk for developing an array of adverse short- and long-term effects. Five of the most common effects of alcohol addiction include the following:

  • Increases risk of certain cancers: Approximately 50% of cancers of the mouth, pharynx, and larynx in America are associated with heavy drinking. Further, according to a study in the July 13 edition of Lancet Oncology, at least 4% of the world’s newly diagnosed cases of esophageal, mouth, larynx, colon, rectum, liver, and breast cancers in 2020, can be attributed to alcohol consumption.
  • Impairs sleep: A 2014 University of Missouri-Columbia study found that drinking alcohol as a method of getting to sleep disrupts the body’s sleep homeostasis, or sleep regulator, and adversely affects one’s natural sleep cycles. The disruption in sleep patterns caused by alcohol can affect one’s energy levels and mood. 
  • Shifts hormone levels: Alcohol can lower testosterone levels in men, and can increase testosterone and estradiol levels in women. Increased hormone levels can stimulate oil glands, and increased oil can lead to clogged pores and acne.
  • Prompts weight gain: Alcohol contains calories, and although they are metabolized differently than food, they must be accounted for. Drinking alcohol can suppress the hormone leptin, which controls appetite. Research has found that the presence of alcohol can impede the release of glucose, elevating one’s blood sugar levels, which in turn can increase the risk for developing cardiovascular complications and metabolic problems (e.g., diabetes).  
  • Exacerbates anxiety: While drinking alcohol can result in fleeting feelings of relaxation, it is not uncommon for an individual to experience increased feelings of anxiety after the initial effects of alcohol wear off. Alcohol reduces the amount of serotonin (the neurotransmitter that works to stabilize one’s mood, happiness, and feelings of well-being) in the brain, and low levels of serotonin are associated with increased anxiety.

Treatment In Calabasas

Calabasas is a city in California. It is a well-known suburb of Los Angeles, located west of the San Fernando Valley and north of the Santa Monica Mountains. Over the past decade, the city of Calabasas has grown in its reputation for luxury as well as for privacy which makes it a hidden gem for residential living for society’s elite, and one of the most desirable destinations in Los Angeles County. It is also home to a plethora of highly qualified mental health clinicians providing an array of therapeutic services and treatment options. 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

What Is The Best Treatment System For Addiction?

addiction-treatment

Addiction, also known as substance use disorder (SUD), is a chronic brain disease, and is listed as such in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Substance use disorder is defined as a “complex condition in which there is uncontrolled use of substance despite harmful consequence.” The development of substance use disorder does not occur immediately, nor will recovering from addiction be achieved instantaneously. The general treatment process for substance use disorder is typically comprised of the following three stages in sequential order: detox, formal substance abuse and/ or addiction treatment program, and aftercare. 

Addiction Treatment Plans

There is no universal treatment method that proves successful for every person struggling with addiction. The path of recovery from substance use disorder is entirely personal, and will be directly informed by one’s personality, mental health, and emotional needs. Hence, each person will require a customized treatment plan when it comes to recovering from addiction. Depending on one’s needs, the most effective treatment plans could consist of one or more of the following interventions: 

  • Cognitive behavioral therapy (CBT): this can help correct irrational, inaccurate, and/ or distorted thoughts as well as help an individual develop skills and healthy coping mechanisms for reducing anxiety and stress while remaining sober. 
  • Expressive arts therapy (e.g., play therapy, art therapy, music therapy, drama therapy, sand therapy, etc.): provides an alternative medium to express, process and integrate one’s thoughts and feelings surrounding the recovery process.
  • Eye movement desensitization and reprocessing therapy (EMDR): utilizes guided eye movement techniques to help process one’s memories, thoughts, and emotional associations in relation to abusing drugs and/ or alcohol.
  • Dialectical behavior therapy (DBT): is based on the principals of CBT, but places greater emphasis on the psychosocial aspects of treatment. Through DBT individuals can learn healthy coping mechanisms and useful techniques for managing stress, regulating emotions, and improving relationships with others. 
  • Rational emotive behavior therapy (REBT): the core of REBT is the notion that rational thinking comes from within, and that positive and negative feelings do not manifest because of external stimuli, but rather are derived from one’s internal thoughts. REBT helps teach individuals how to understand their own thoughts and subsequently develop rational thinking habits that promote positivity. 
  • Interpersonal therapy (IPT): focuses on how a person’s communications and interactions with other people affect his or her own mental health. Through interpersonal therapy an individual will learn to resolve and adjust unhealthy interpersonal problems, resulting in a symptomatic recovery.

Treatment plans may also include refining one’s daily habits (e.g., practicing mindfulness techniques, exercising regularly, developing healthy sleeping habits, eating nutritiously, etc.) to further improve one’s overall health and wellbeing. The best treatment for addiction will depend on a variety of contributing factors and will yield the most successful long-term results when expressly designed around the distinct and nuanced needs of the client.

Treatment In Calabasas

Calabasas is a city in California. It is a well-known suburb of Los Angeles, located west of the San Fernando Valley and north of the Santa Monica Mountains. Over the past decade, the city of Calabasas has grown in its reputation for luxury as well as for privacy which makes it a hidden gem for residential living for society’s elite, and one of the most desirable destinations in Los Angeles County. It is also home to a plethora of highly qualified mental health clinicians providing an array of therapeutic services and treatment options. 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

What Does A Marriage And Family Therapist Do?

Family-Therapist

Marriage and family therapists (MFTs), as explained by the American Association for Marriage and Family Therapy (AAMFT), “are mental health professionals trained in psychotherapy and family systems, and licensed to diagnose and treat mental and emotional disorders within the context of marriage, couples, and family systems.” MFTs must have graduate-level training, hold a master’s or doctoral degree in marriage and family therapy, and have completed at least two years of clinical experience. MFTs may provide premarital counseling, relationship counseling, child counseling, individual counseling, and separation and divorce counseling. Marriage and family therapists regularly practice short-term therapy with an average number of 12 sessions. The AAMFT assert that nearly 65.6% of the cases are completed within 20 sessions, and 87.9% within 50 sessions. Marriage/ couples therapy (11.5 sessions) and family therapy (9 sessions) both require less time than the average individuated treatment (13 sessions). Approximately half of the treatment provided by marriage and family therapists is divided between marriage/ couples therapy and family therapy, or a combination of treatments, and the other half is primarily made up of individual therapy. Marriage and family therapists treat a wide range of issues, helping couples or family members overcome difficult situations, reconcile differences, and cope with mental or emotional problems.

MFTs and Couples Therapy

The work that occurs during marriage counseling sessions is guided by the needs of the couple. By nature of participating in marriage counseling both partners engage in shared emotional experiences via the therapy sessions, which can help to foster aligned relationship goals. The work that occurs during marriage counseling can be emotionally charged, elicit difficult to face feelings and seem arduously trying. However, the skills, tools and emotional awareness that can come from actively participating in marriage counseling can be both empowering and insightful. The AAMFT reported the findings of a study that indicate, “of couples who try marriage counseling, 90% feel that their emotional health improves, and two-thirds report improvements in their physical health.” The reason behind why a couple elects to participate in marriage counseling will affect its outcome and success.

MFTs and Family Therapy

Family therapy is a type of psychological counseling that is designed to help improve the interactions of individuals within the family unit, improve the overall wellness of the family, and change patterns of dysfunction. Family therapy is based on family systems theory, which is a theory of human behavior. Family systems theory views the family as a living, complex social system, rather than the sum of its individual members. Family therapy uses systems theory to evaluate family members in terms of their position or role within the family system. Instead of attributing a problem to a single family member, in family therapy, problems are treated by addressing and shifting the way the entire family system functions. A marriage and family therapist facilitating family therapy acts as mediator to ensure every member is heard and creates a safe environment to address specific issues that may be affecting the functioning, cohesiveness, and health of the family unit.

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

What Are The Signs Of An Eating Disorder?

eating disorder

Eating disorders are complex psychological conditions that are broadly characterized by abnormal, irregular eating habits, and an extreme concern with one’s body weight or shape. They are defined as “serious medical illnesses marked by severe disturbances to a person’s eating behavior.” The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) includes different types of eating disorders, all of which are categorized under the Disorder Class: Feeding and Eating Disorders. Each type of eating disorder is associated with different signs and symptoms, as indicated below: 

  • Anorexia nervosa: is an eating disorder characterized by weight loss and/ or lack of appropriate wait gain in growing children, an inability to maintain an appropriate body weight for one’s age, height, stature, intense fear of gaining weight and a distorted perception of body image (weight and/ or shape). People struggling with anorexia will employ extreme efforts to control their weight and/ or shape, which can significantly interfere with their ability to properly function in daily life. The Mayo Clinic provides examples of common signs of anorexia, some of which include: 
    • Thin appearance
    • Insomnia
    • Extreme weight loss
    • Not making expected developmental weight gains
  • Dizziness and/ or fainting
  • Abnormal blood counts
  • Fatigue
  • Thinning, brittle hair
  • Absence of menstruation
  • Dry and/ or yellowish skin
  • Irregular heart rhythms
  • Low blood pressure
  • Dehydration
  • Excessively exercising
  • Bulimia nervosa: is an eating disorder characterized by a cycle of overeating (bingeing) and compensatory behaviors (purging) in attempts to undo the effects of the binge eating episodes. Purging could include self-induced vomiting, excessively over exercising, and/ or abusing diuretics. The National Eating Disorders Association (NEDA) provides examples of common signs of bulimia, some of which include:
    • Appears uncomfortable eating around others
    • Fear of eating in public or with others
    • Shows unusual swelling of the cheeks or jaw area
    • Discolored, stained teeth
    • Has calluses on the back of the hands and knuckles from self-induced vomiting
    • Diets frequently
    • Shows extreme concern with body weight and shape
    • Extreme mood swings
    • Difficulty concentrating
    • Dizziness
    • Fainting
    • Non-specific gastrointestinal complaints
    • Sleeping problems
    • Muscle weakness
    • Impaired immune system
  • Binge-eating disorder (BED): is an eating disorder characterized by recurrent episodes of compulsively eating abnormally large quantities of food (often quickly) to the point of physical discomfort, without engaging in compensatory behaviors. Often binge episodes are followed by emotions of embarrassment, shame, guilt, and/ or distress. The Office on Women’s Health (OASH) provides examples of common signs of binge-eating disorder, some of which include:
    • Noticeable weight fluctuations
    • Depression
    • Eating in secret
    • Anxiety
    • Low self-esteem/ low self-worth
    • Skipping meals
    • Hiding food in unusual places
    • Eating excessive amounts of food in a short period of time
    • Continuing to eat, even when painfully full 
    • Inability to feel satiated
    • Suicidal ideation
  • Rumination syndrome: is a feeding and eating disorder characterized by repeatedly and unintentionally regurgitating (spitting up) undigested or partially digested food from the stomach, chewing it again and either swallowing it or spitting it out. The Mayo Clinic provides examples of common signs of rumination syndrome, some of which include:
    • Effortless regurgitation, typically within 10 minutes of eating
    • Abdominal pain or pressure relieved by regurgitation
    • A feeling of fullness
    • Bad breath
    • Nausea
    • Unintentional weight loss
  • Avoidant/ restrictive food intake disorder (ARFID): is an eating disorder characterized by restricting food intake (e.g., eating smaller amounts) and/ or eliminating certain groups to the point of infringing on one’s exposure to and ability to absorb needed nutrients coming from food. The National Eating Disorders Association provides examples of common signs of AFRID, some of which include:
    • Sudden refusal to eat foods previously eaten
    • Fear of choking, vomiting, pain or nausea due to certain foods or the act of eating
    • Lack of appetite or low appetite without medical cause
    • Very slow eating, easily distracted during eating or forgetting to eat

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

Can DBT Help With Anxiety?

anxiety-help

Anxiety is the body’s natural response to stress. Anxiety will manifest differently in different people. The feelings of anxiety can range from mild to severe. While fleeting anxiety is unavoidable, it is not healthy for an individual to experience persistent and debilitating symptoms of anxiety. An individual may be struggling with an anxiety disorder when pervasive anxiety interferes with his or her ability to function in daily life. The National Alliance on Mental Illness (NAMI) asserts: “Anxiety disorders are a group of related conditions, each having unique symptoms. However, all anxiety disorders have one thing in common: persistent, excessive fear or worry in situations that are not threatening.” There are currently five distinct types of anxiety disorders listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). They include the following: generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), panic disorder, post-traumatic stress disorder (PTSD) and social anxiety disorder (social phobia). According to the American Psychiatric Association, close to thirty percent of adults in America struggle with an anxiety disorder at some point in their lives. 

Dialectical Behavior Therapy

Dialectical behavior therapy (DBT) is an evidence-based psychotherapy treatment that was originally developed by Marsha M. Linehan, in the late 1980s to more effectively treat chronically suicidal individuals diagnosed with borderline personality disorder (BPD). Since its inception, dialectical behavior therapy has been and remains the gold standard method of treatment for individuals diagnosed with BPD, and its efficacy has also expanded to other ailments. DBT is based on the cognitive behavioral therapy (CBT) approach that relies on talk therapy and emphasizes the psychosocial aspects of treatment. It utilizes a multifaceted approach that consists of weekly individual psychotherapy sessions, weekly DBT skills training group therapy sessions, and as-needed phone coaching between sessions. DBT strives to help individuals learn to identify triggers outside of themselves and pair those triggers with healthy responses and coping mechanisms. This is accomplished through focusing on and cultivating therapeutic skills in four main areas, known as the four modules, which are: 

  • Core mindfulness: focuses on improving an individual’s ability to accept and be present in the current moment
  1. Distress tolerance: focuses on increasing an individual’s ability to tolerate pain that may arise from difficult situations, as opposed to trying to change and/ or escape it
  2. Interpersonal effectiveness: focuses on teaching techniques that enable a person to communicate with others in a way that is assertive, maintains self-respect, and simultaneously strengthens relationships
  3. Emotion regulation: focuses on decreasing emotional impulsivity by shifting intense emotion without reacting instinctively to them

An individual that suffers from debilitating anxiety will benefit most from a customized treatment plan. DBT offers both the ability to provide personalized therapeutic support through the individual therapy sessions, as well as peer support in DBT skills training group therapy sessions. Through DBT an individual can learn an array of effective coping mechanisms and anxiety management strategies that can help to prevent, reduce, and even become more resilient towards anxiety.

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

Is Obesity An Eating Disorder?

Obesity-eating-disorder

Eating disorders are serious mental illnesses that are characterized by abnormal, irregular eating habits, and an extreme concern with one’s body weight or shape. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) includes several different types of eating disorders, all of which are categorized under the Disorder Class: Feeding and Eating Disorders. While obesity and eating disorders are linked, it would be inaccurate to claim they are one and the same. One publication asserts that “obesity is a heterogeneous condition with a complex and incompletely understood etiology, and thus cannot be considered a mental disorder per se.” Hence, most medical experts do not label obesity as an eating disorder, nor is it included in the DSM-5. 

What Is Obesity?

Obesity is essentially an abnormal or excessive fat accumulation that presents a risk to one’s health. Harvard Health explains that the healthy range for body mass index (BMI) is between 18.5 and 24.9, overweight is defined as a BMI of 25 to 29.9, and obesity is defined as a BMI of 30 or higher. Obesity is associated with serious health problems (e.g., diabetes, coronary heart disease, cerebrovascular disease, colorectal cancer, etc.). Although it is not recognized as an eating disorder, obesity accounts for far more morbidity and mortality than all the eating disorders combined because it is much more prevalent. More than 30% of Americans are obese, compared with the 4% of Americans who meet criteria for anorexia nervosa, bulimia nervosa, or binge-eating disorder, according to the American Psychological Association. This issue continues to rise and has reached epidemic proportions, as over the past five years, the obesity rate among adults aged 18 and older in the United States has increased an annualized 1.8%, amounting to 33 people per 100 individuals. An estimated 300,000 deaths per year are due to the obesity epidemic, which makes it the second leading cause of preventable death in the United States. 

There are many factors that can play a role in the development of obesity, such as genetic influences, caloric intake, exercise, stress and more. Obesity is a common comorbidity (i.e., the simultaneous presence of two or more diseases or medical conditions) of certain eating disorders. Those who struggle with obesity, for example, may also struggle with anorexia as a method of controlling one’s food intake in the hopes of weight loss. Research indicates that “there is a significant co-occurrence of eating disorders, particularly binge eating disorder, in individuals with higher BMI.” Obesity and eating disorders are each associated with severe physical and mental health consequences, and individuals with obesity as well as comorbid eating disorders are at greater risk of these than individuals with either condition alone. Both obesity and eating disorders require medical intervention.

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

How To Recover From An Eating Disorder?

Eating-Disorder-Recovery

There are several different types of eating disorders listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), and each is categorized under the Disorder Class: Feeding and Eating Disorders. They are serious mental illnesses that are loosely characterized by abnormal, irregular eating habits, and an extreme concern with one’s body weight or shape. The three most common eating disorders are anorexia nervosa, bulimia nervosa and binge-eating disorder. The pervasive symptoms associated with any type of eating disorder can cause adverse physiological consequences and interfere with one’s ability to adequately function in daily life. Although eating disorders are life-long conditions, with proper treatment and support, a person can learn to effectively manage its symptoms. 

Treatment Process

There are a variety of eating disorder treatment options available. The path of recovery will not be the same for everyone, as everyone is unique with distinct needs. A personalized treatment plan will provide an individual with the highest potential for a successful recovery. Depending on the nuanced needs of the individual, the treatment process could include any combination of the following components:

  • Inpatient treatment: intensive, inpatient treatment can help address severe malnutrition and other physical health complications that have developed from one’s eating disorder, settings may include:
    • Hospitalization
    • Inpatient facility
  • Psychotherapy: there are a variety of therapeutic modalities used to help treat individuals with eating disorders and may be integrated into treatment plans, some of which include, but are not limited to:
    • Cognitive behavioral therapy (CBT): can be used to help an individual break unhealthy behavioral patterns associated with his or her eating disorder by identifying and replacing dysfunctional patterns.
    • Dialectical behavior therapy (DBT): DBT can benefit a person diagnosed with an eating disorder by helping to foster self-management skills, lower stress, reduce anxiety, and learn to control destructive eating behaviors.
    • Interpersonal therapy (IPT): IPT focuses on how a person’s communications and interactions with other people affect one’s own mental health. Through interpersonal therapy an individual will learn to resolve and adjust unhealthy interpersonal problems, resulting in a symptomatic recovery.
  • Medications: there are certain medications that may be used in in treatment plans for eating disorders:
  • Anorexia nervosa: the FDA (US Food and Drug Administration) has yet to approve any medication specifically for the treatment of anorexia nervosa. 
      • Bulimia nervosa: the only medication that is approved by the FDA for the treatment of bulimia nervosa is the SSRI (selective serotonin reuptake inhibitors) known as Prozac (fluoxetine). 
      • Binge-eating disorder: The first medication the FDA approved as treatment from binge eating disorder is called Vyvanse (lisdexamfetamine). Antidepressants such as SSRIs (e.g., Prozac) could be prescribed to reduce the frequency of binge eating episodes. Anticonvulsant medications, such as Topiramate, could be prescribed to reduce the frequency of bingeing episodes. 
  • Nutritional counseling: to facilitate weight restoration and body-weight management.
  • Medical care and/ or medical monitoring: to minimize and mitigate possible medical complications that can arise from eating disorders

The treatment plan for an individual diagnosed with an eating disorder will be directly informed by several contributing factors, such as: the exact diagnosis, how long he or she has been actively engaging in unhealthy eating habits, his or her personal health history, and the presence of any co-morbid disorders. The goal of eating disorder treatment is to help an individual find a healthy and sustainable relationship with food. 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

How Do I Know If Someone Has Borderline Personality Disorder?

Borderline Personality Disorder

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) list ten standalone personality disorders and based on similar characteristics, each personality disorder is grouped into one of three categories (cluster A, cluster B, and cluster C). Borderline personality disorder (BPD) belongs to cluster B, which according to the Mayo Clinic are “characterized by dramatic, overly emotional or unpredictable thinking or behavior.” More specifically, the Merck Manual explains that BPD is “characterized by a pervasive pattern of instability and hypersensitivity in interpersonal relationships, instability in self-image, extreme mood fluctuations, and impulsivity.” Emotional dysregulation is a term used within the mental health field to denote irrational, poorly modulated emotional responses, which is a core feature of borderline personality disorder.

Borderline personality disorder is not an uncommon disorder, as the National Institute of Mental Health (NIH) estimates that 1.4% of the adult population in America experience BPD. The cause of borderline personality disorder remains unknown, but the NIH alludes to research that “suggests that genetics, brain structure and function, and environmental, cultural, and social factors play a role, or may increase the risk for developing borderline personality disorder.” Although there are several warning signs that can be indicative of BPD, without a comprehensive evaluation that is conducted by one or more qualified mental health professionals, it is essentially impossible to truly know if someone has borderline personality disorder.

Signs and Symptoms

Every individual is different and has the propensity to exhibit a unique combination of signs and symptoms related to borderline personality disorder. The symptoms of borderline personality disorder typically result in overarching interpersonal relationship complications and impulsive actions. The Mayo Clinic provides examples of signs and symptoms that are commonly exhibited in individuals with borderline personality disorder, some of which include, but are not limited to the following:

  • Engaging in risky and/ or impulsive behaviors (e.g., reckless driving, excessive gambling, binge eating, substance abuse, unsafe sex, etc.)
  • Intense fear of abandonment
  • Suicidal ideations
  • Self-injury
  • Severe mood swings (e.g., elation, irritability, shame, anxiety, etc.)
  • Pattern of unstable relationships
  • Irrational displays of anger
  • Distorted self-image
  • Feelings of emptiness
  • Stress related paranoia

Some individuals may experience numerous symptoms of BPD, while others may only experience a few symptoms. Research indicates that individuals with borderline personality disorder may experience intense episodes of depression, anxiety and/ or anger that could last from a few hours to several days long. The symptoms that manifest because of borderline personality disorder often mimic those of other mental health disorders (e.g., histrionic personality disorder, narcissistic personality disorder, bipolar personality etc.). In fact, BPD is one of the most commonly misdiagnosed mental health conditions in America.

 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

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