Weight Management
Anorexia.
Anorexia nervosa is a condition in which a person seeks to achieve a low weight as a result of preoccupation with body weight and a fear of fatness which has been described as a phobia. Weight is at least 15% below expected weight and in adult diagnosis with a BMI under 17.5. Anorexia exists in children as young as 5 but predominately occurs in adolescent teenagers.
Usually poor self-esteem with a concern with weight leads to behaviour which ‘takes on a life of its own’ and then becomes uncontrollable. This gives rise to obsessional and ritualised behaviour, insomnia, depression and possibly an inability to continue their work or education.
Overview of Features.
Loss of weight – 15-50% pre-morbit weight or bmi <17.5
A fear of normal body weight
Loss of menstruation
Arrested sexual development
Depression and social avoidance
Ritualisation and obsessional behaviour
Excessive exercising
Male anorexics (1% of population) usually build up body through bodybuilding.
50% develop bulimic features Family problems result.
Hiding body under baggy clothes
Bulimia.
Like anorexia and binge eating disorder it tends to arise in the context of dieting to loose weight, however the dieting breaks down due to a breakdown of restraint. In this respect the illness is said to be ego-dystonic and sufferers wish to be rid of their symptoms.
Bulimic behaviours are said by sufferers to be addictive in the way people plan, buy, hoard or binge their food. Many bulimics do not understand that due to the loss of potassium through purging that the body is turned into a fat making machine making weight loss impossible.
Overview of Features.
Hoarding food Leaving the table after meals to go to the bathroom
Spending long periods of time in the bathroom
Air freshener in bathroom, messy toilets
Showering or radio noise in the bathroom
Missing food, pretending it is not him/her
Finding wrappers etc
Denial that anything is wrong
Depression/ anger/ anxiety
Poor problem solving skills
Reluctance to eat in front of others
Hides body under baggy clothes
Defined by Stunkard in 1959, it can be described as episodic over-eating over a short period of time, accompanied by loss of control and self deprecating thoughts. Binge eating disorder requires at least 3 of the following criteria,
1. Episodic over eating where the amount of food is objectively large or excessive.
2. Accompanied by a sense of being out of control.
3. Extreme concern and distress about eating behaviour, sensing it is abnormal
4. Binge eating being at least 1 or 2 weekly and of at least 3 months duration.
5. No purging strategies or excessive weight control methods like exercise addiction or fasting.
6. Binge episodes will have 3 of the following characteristics-
Eating past the point of fullness
Eating when not hungry Eating alone or in secret
Feeling upset or guilty after overeating
Feeling ‘taken over’ or ‘driven’ as if by another presence in respect of eating
Overview of features.
Always going to diet tomorrow
Large weight gain
Disappearance of food
Finding wrappers hidden behind chairs, under beds etc.
Weight gain while appearing to eat sensibly
Depression and moodiness
Erratic eating habits e.g. missing meals
Dieting does not work.
Dieting.
If you just examine the word itself it is should be spelt
Adrenaline – The body’s chemical for motivation
Dopamine – Which gives one a sense of control
Endorphins – The feeling of pleasure and the body’s natural pain killer.
Food is and is not the answer in itself. You, your family and your life now deserve the luxury of enjoying food, tasting food and relishing one of life’s greatest pleasures. You deserve to be nourished on an emotional, physical and spiritual level which is what life is all about.
Scales
Scales are only fit for a fish. You just can’t win with a scale. If your body is heavier you think “I might as well pig out, nothing seems to work”. But if you loose some weigh you think “Wow, I am doing fine. I deserve a treat. Where are the treats?” This is because dieting does not work coupled with the fact that the body can gain or reduce its weight by up to plus or minus 7 lbs and have no effect on the size of your body. Scales are only a tool to beat oneself up with.







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