Eating disorders: Anorexia and Bulimia interview with Luciana Baroni Luciana Baroni The eating disorders are a serious problem if not detected and treated in a specialized environment, can threaten the health and life of those affected.
The conditions of its victims are terrible as well as on the physical plane also on a psychological level, because these people not only lose the pleasure of food, but rather, they are completely at the mercy of an aberrant relationship with food itself, which becomes the their nightmare, their tormentor: an enemy to be avoided, such as anorexia, or is ingested in a forced, as in bulimia. The relationship with other people, particularly families concerned about the situation, it becomes confrontational, and social contacts are reduced.
This type of behavior is nothing but a manifestation of a severe deep suffering, mental or emotional, which is almost always conditioned by social causes (extreme thinness as a status symbol of beauty) and psychological (depression or phobias related to food, lack of affection). The body becomes the instrument through which this end is uncomfortable rash.
Anorexia nervosa In this disease, which means "loss of appetite from nervous causes, the affected person (often teenage girl) is going to an unattainable ideal of thinness, and to do this dramatically reduces the intake of food.
This type of disorder may in fact occur more easily in girls or young women who are convinced (not necessarily correctly) to have problems with excess weight: the anorexic person so do not you never feel thin enough, and while continuing to lose weight say they are too fat, failing to recognize in his own body.
Thus, the obsessive fear of gaining weight or obsessive desire to lose weight become a rigid control exercised on Nutrition, that suppresses appetite, in fact always present: the food is taken in irregular manner, preferably in loneliness, giving preference to low-calorie foods. When these people are forced to eat in the company of others, then at the end of the meal can run into the bathroom trying to throw everything they have eaten.
Anorexia is expressed through an obsessive control calories and weight: slowly the food intake is reduced to the edge of survival, and the body is exposed to malnutrition, making skin and bones. In some cases the situation is so serious that may lead to death.
The physical consequences of anorexia are in fact those of malnutrition, and include extreme thinness, constipation, brittle hair and nails, corrosion and tooth loss, dry skin, difficulty in maintaining proper body temperature, cardiovascular and renal disorders. The menstrual flow ceases and is developed early osteoporosis.
The signs include a psychological fear of undue weight, a distorted perception body weight and appearance of their bodies, experienced as inadequate-deformed (dismorfofobia). It also compromised the ability to reason and criticism, denial of the problem, and appear sleep disturbances, personality changes, depression or mood swings, anxiety, irritability, withdrawal.
The behavioral signs include extreme restriction on the quantity and variety of food, self-inflicted vomiting or taking laxatives and diuretics, intense physical activity, all in order to eliminate the calories / food from your body. Despite the poor physical condition is often present as hyperactivity, educational achievement is brilliant, person is never tired. SIB may also be present with injuries in areas of the body usually hidden.
Bulimia nervosa In this disease, which literally means "ox hunger" means the person (usually female) is forced beyond their will and regardless of feeling hungry, frantically swallowing and forced a huge amount of food, against whom you develop a real addiction, much like that to various types of drugs (alcohol, coffee, drugs).
The bulimic person tends to compensate for their inner troubles eating indiscriminately, but this act is not experienced as a pleasure, as in obesity, but as a defeat. This behavior, against which the subject retains a critical sense, severely undermines their self-esteem and create feelings of guilt immediately devastating practices require the use of "corrective" self-inflicted vomiting, taking laxatives and diuretics, the practice of a heavy training physical.
The difference is that with anorexia in this case the person wants to somehow "fix", "fix" the implications of a properly considered aberrant behavior, which is personally responsible for and has not been able to control: food intake in excess, used only as emotional support.
Some physical signs of bulimia include frequent fluctuations in body weight, sore throat, erosion of tooth enamel and abrasions on his hands, dry and dehydrated skin, menstrual irregularity, fatigue and sleepiness.
psychic signs include uncontrollable urges to take large amounts of food, mood swings, anxiety, depression, low self-esteem, feelings of shame and guilt.
The behavioral signs include frenzy and vomiting (often retreats to the bathroom to vomit) periods of fasting, excessive exercise, tendency apartment and refused to socialize, small theft of food in shops, theft of food in the house.
Although not clearly visible as bulimia, anorexia, because these people do not change in body weight and suspicious when I normally eat in the company, is a disease with equally devastating consequences on the lives and health of sufferers.
What to do? If someone in your family, perhaps your daughter or your wife, get one or several of these signs does not necessarily mean it is sick. In life anything can happen through moments of intense appetite or food cravings, especially during adolescence, these fluctuations are more often than physiological. In addition, teenagers have frequent mood swings, and may seek changes in their appearance even by dieting.
Please note that a vegetarian diet is not in any way related to such diseases, but it is possible that those who are developing an eating disorder the "camouflaging" pretending to be vegetarian: in this case, the shortage will get suspicious the food that you put in the pot and the monotony of the choices.
In any case, if you suspect that your daughter or your wife, you are deviating from what may be termed as a "normal behavior", do not hesitate to ask help and talk immediately with your family doctor. Remember that you must try to maintain at all costs contact with her, and for this main rule is to not leave your concern leaked against him, thus avoiding stress on food and his physical appearance, and letting freely express their emotions.
The chances of complete recovery are very high, especially if the disease is diagnosed early. For the treatment, which is often combined, that is aimed at solving the nutrition problems and psychological ones, we must turn to specialists with recognized expertise, otherwise we run the risk of losing valuable time and compromising the solution of the problem.
In Italy there is a network of hospitals affiliated with the NHS that have programs for the treatment of eating disorders
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Summary of the criteria for the diagnosis of anorexia nervosa (according to the DSM IV, the Diagnostic and Statistical Manual for the classification of mental disorders) 1. Refusal to maintain a normal weight generally below 85% compared to that provided in relation to height and age (which is maintained at less than normal on a voluntary basis and with considerable effort by the subject).
2. Intense fear of gaining weight and losing control, even if it is below the normal range, so that even an increase of a few ounces can cause serious discomfort and distress.
3. No worries for the underweight. The body shape, fat distribution become the primary source of anxiety to the point that all existence and the conduct of the person they are heavily affected. So the mood, self-esteem directly dependent on weight.
4. Absence of at least three consecutive menstrual cycles (amenorrhea) due to physiologically underweight, which involves the physiological inability to procreate.