EDNOS

26 10 2008

 

EDNOS

 

Eating Disorder Not Otherwise Specified includes disorders of eating that do not meet the criteria for any specific eating disorder. Examples include: 

A. For females, some of the criteria for anorexia nervosa are met except that the individual has regular menses. 
B. Some of the criteria for anorexia nervosa are met except that, despite significant weight loss the individual’s current weight is in the normal range. 
C. Some of the criteria for bulimia nervosa are met except that the binge eating and inappropriate compensatory mechanisms occur at a frequency of less than twice a week or for duration of less than 3 months. 
D. The regular use of inappropriate compensatory behavior by an individual of normal body weight after eating small amounts of food (eg, self-induced vomiting after the consumption of two cookies). 
Repeatedly chewing and spitting out, but not swallowing, large amounts of food. 
E. Binge-eating disorder: recurrent episodes of binge eating in the absence if the regular use of inappropriate compensatory behaviors characteristic of bulimia nervosa. 

There are variants of disordered eating that do not meet the diagnostic criteria for anorexia nervosa or bulimia nervosa. These are still eating disorders requiring necessary support. A substantial number of individuals with eating disorders fit into this category. Individuals with eating disordered behaviors that resemble anorexia nervosa or bulimia nervosa but whose eating behaviors do not meet one or more essential diagnostic criteria may be diagnosed with EDNOS. Examples include: individuals who meet criteria for anorexia nervosa but continue to menstruate, individuals who regularly purge but do not binge eat, and individuals who meet criteria for bulimia nervosa, but binge eat less than twice weekly, etc. Being diagnosed as having an “Eating Disorder not Otherwise Specified” does not mean that you are in any less danger or that you suffer any less. 

Profile of “Eating Disorder Not Otherwise Specified”: 
Having an “Eating Disorder not Otherwise Specified” can mean a variety of things. The individual may have symptoms of Anorexia but still have their menstrual cycle. It can mean the individual can still be an “average/normal weight” but still be suffering Anorexia. It can mean the individual equally participates in some Anorexic as well as Bulimic behaviors (referred to as Bulimiarexic by some). 

Just as it is important to remember that doctors can make mistakes, it is also important to keep in mind that it has only been until very recently (in the last 10 years) that awareness on the subject Eating Disorders has really begun to surface. People are frequently confused (including doctors) about the real differences between Anorexia and Bulimia (Anorexia essentially being self-starvation, and Bulimia being defined as going through binge and purge cycles – simply put), and often times know nothing at all about Binge-Eating Disorder. 

For example, a doctor relies completely on his diagnostic manuals and reads the criteria to diagnose an individual as having Anorexia. He finds that his patient has regularly practiced self-starvation techniques, thinks of herself unrealistically as overweight, and seems to be hard on herself… BUT she still has her monthly period (the diagnostic criteria states that there must be loss of monthly menstrual cycles). He may technically diagnose the patient as having “An Eating Disorder not Otherwise Specified”. 

Another example would be that of a person suffering through binge and purge cycles once a week, who feels that they are overweight and who feels depressed. (The diagnostic criteria states that the sufferer must binge and purge, on average, at least twice a week.) 

Practically speaking, in the first example the person suffers from Anorexia and the second suffers from Bulimia. Clinically speaking, according to the “text book” they would suffer from “An Eating Disorder not Otherwise Specified”. In either case, both people are suffering with an Eating Disorder, both are in danger of potentially deadly physical complications, and both need seek support. 

The most important thing to remember is that Eating Disorders, Anorexia, Bulimia, Compulsive Overeating, or any combination of them, are all very serious psychological illnesses. They all have their physical dangers and complications. They all present themselves through a variety of disordered eating patterns. They stem from issues such as low self-esteem, a need to ignore emotional states such as depression, anger, pain, anger, and most of all. They have developed as a means to cope with one’s current state. Support is always available… 

Diagnostic Criteria: EDNOS 
The following definition of an Eating Disorder Not Otherwise Specified is meant to assist mental health professionals in making a clinical diagnosis. This clinical category of disordered eating is meant for those who suffer but do not meet all the diagnostic criteria for another specific disorder. 

Examples Include: 

1. Some of the criteria for Anorexia Nervosa are met except the individual has regular menses. 

2. Some of the criteria for Anorexia Nervosa are met except that, despite substantial weight loss, the individual’s current weight is in the normal range. 

3. Some of the criteria for Bulimia Nervosa are met except binges occur at a frequency of less than twice a week or for duration of less than 3 months. 

4. An individual of normal body weight who regularly engages in inappropriate compensatory behavior after eating small amounts of food (e.g., self-induced vomiting after the consumption of two cookies.) 

5. An individual, who repeatedly chews and spits out, but does not swallow, large amounts of food. 

6. Recurrent episodes of binge eating in the absence of the regular use of inappropriate compensatory behaviors characteristic of bulimia nervosa. 

Summary: 

The diagnosis of an eating disorder can be difficult. The boundaries between normal and disordered eating are difficult to delineate at times. Many individuals with clearly disordered eating do not meet the formal diagnostic criteria for one of the specific disorders and are classified as having Eating Disorder NOS. The failure to meet formal criteria does not necessarily mean that the individual does not have a serious and significant disorder. 

 

 

**Disclaimer–I am in no way shape or for diagnosing anyone, I am not a doctor.  I am only supplying the information that I found useful to me!

Resource:Fading Obsession

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Mid-Week….and tidbits

23 10 2008

I am down 1 pound from yesterday, so  total of of 5.5 pounds so far.  I hardy ate yesterday, I didn’t make it all liquid tho.  I almost did but I got so sick to my stomach at 930 I couldn’t sleep so I ate a Smart Ones for 230 calories…I drank some beers too.  But my total food cals was just the 230+ the cals in V8…I am glad I am down today, seeing the scales move down and not up is helping me stay motivated.  

You know it is hard when we are going to the cafe everyday for bfast…the first day I got a boiled egg and wheat toast, yesterday I didn’t eat at all.  I love eating there too 😦  I have to control this I need to get rid of this nasty fat.  I think today will be slower than yesterday, so I hope I can get my juices on.  I got some of that V8 fusion light and I am gonna try to just drink that when I am feeling hungry.  If I can get down to just one meal a day then I feel like I have accomplished something.  Esp. since I was eating even when I wasn’t hungry b4.  I didn’t exercise yesterday, but I did some cleaning around the house and that was like a work out, trust me!!  I might walk today, I will see how I am feeling at nap time.  

Where did u get your ephedra from?  Can you still buy it at the gas stations there?  They stopped doing that here 2 years ago, but I couldn’t remember if IL went first or after.  I am gonna have to order some today, I know that it helps me.  Do you think your headaches are from not eating or from no caffeine?  Try going to Wally World and getting a hoodia pill, most of them have caffeine in them and take one when you get a headache.  

I did horrible with water yesterday, not sure why either.  I have to drink more today…I hope to catch you IM today…missed you yesterday! XOXO





Going to the store

21 10 2008

Yesterday wasn’t great I ate 1290 calories, 570 of which was beer…I know!  But I am still down 2 pounds for a total of 5 since Sunday.  You last post got our first comment.  I think it was geared towards me, they found us via a comment I made on another blog…But still yay for our first commenter!!  Today my only plan is for 1000 or less…I really would like to see a 10 pound loss this week.  I know it will come of fast at first then slow, but I stay motivated with the scales going down.  I am going to the grocery store for more celery and some skim milk.  I think milk makes me feel full and all we have is whole milk.

The liquid fast would need to be juices and water…maybe some broths or soups, but that is it.  I love V8 and I will use that and water.  V8 fills me up like a meal so it works for me.  Also hot teas, they really are a God send.  Just no soda or carbonation.  Can you do that?  I would say no coffee, but then you surely wouldn’t do it, LOL.  Let me know which weekend works for you and I will try to write out my 3 day liquid plan…

 

XOXO