Defined by disturbances in eating patterns that stem from an intense fear of being overweight and a preoccupation of body image related to weight which can lead to difficulties in participating daily activities such as ADLs, IADLs, work, and leisure.
Anorexia
Bulimia
Binge eating
••Intense fear of being overweight, obsession with body image, and refusal to maintain appropriate BMI for height and age
•Obsessions lead to severe food restriction & extreme weight control behaviors
oLeads to major weight loss
DSM-5 Criteria:
oTraits include intense fear of being overweight and a distorted body image
oPerson must be significantly underweight
Cite PPT
Fear of obesity with apparently normal BMI or weight will fluctuate rapidly
Episodes of binging (i.e., overeating) and purging (i.e., self-induced vomiting)
DSM-5 Criteria:
Recurrent binge eating and compensatory behaviors
Ranges from mild to extreme
cite PPT
Binge eating without purging
Fear of obesity with apparently normal BMI or weight will fluctuate rapidly
Episodes of binging (i.e., overeating) and purging (i.e., self-induced vomiting)
DSM-5 Criteria:
Recurrent binge eating and compensatory behaviors
Ranges from mild to extreme
DSM-5 Criteria:
o Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is larger than most people would eat in a similar period of time
o Accompanied by a feeling of lack of control during eating period
Cite PPT
not based around food, overcompensation for exercise to take out, planning a morning or night routine,
Audience: client
Diagnosis(es)/Condition(s) & Age Range/Population: eating disorders - adults or teens
Purpose: Support planning healthy habits into your routine and taking out habits or activities that are overcompensated for and take up too much time in a morning or night routine.
Instructions:
Discuss what the client's morning looks like
Write out times it takes for activities in the day on visual
Discuss what activity takes too much time in the day and what needs to be taken out or reduce such as overcompensating exercise
Discuss activities they can add to their day that they are interested and if there are leisure activities they can add if or if they want to explore it
Make sure when using this intervention to be nonjudgemental, remind them of their strengths, and make the planning meaningful to them.
Rationale & Impact on Function: People with eating disorders often have difficulty with having a functional schedule and may overcompensate for an activity in a day such as exercise. A visual for planning their routine can help bring awareness of their time management as well as help explore leisure and healthy habits to bring into their day.
Reference(s): include APA reference & weblink for each resource
Audience: client
Diagnosis(es)/Condition(s) & Age Range/Population: any age - eating disorder
Purpose: Purpose is to support emotional regulation and coping skills when self-reflecting and giving advice to one's younger self to build self-esteem and positive body image. when feeling insecure about body image when socializing with peers or friends, going to school, going to work, spending time with family, and having doubt about what others will see you as, write a letter to your younger self and think about the insecurities your younger self felt and what advice you would give your younger self now.
Instructions:
Use visual for letter to your younger self with the client
Discuss what advice the client would give to their younger self that they use for themselves
Discuss what occupations the client would use this activity in such as social participation, leisure exploration, physical activity, ADLs.
Rationale & Impact on Function: Clients with eating disorders often have problems with body image. Using a letter to a younger self can help reflect on how much the client has grown and be used as a reminder of coping strategies to use when having body image difficulties during their ADLs.