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Understanding Anorexia Nervosa

MieraCurie March 5th, 2019

*TRIGGER WARNING* This post contains pieces of information that might affect your recovery. Read with caution.


Hello peeps! πŸ’• Today I would like to raise awareness about Eating Disorder (ED), specifically Anorexia Nervosa (AN). ED is not uncommon anymore but the stigma and misunderstanding are still in the air. For people who have been struggling with anorexia, you know the guilt and feeling of hopelessness for recovery and the shakes you get from relapses. You are not alone and what's more important is, IT IS NOT YOUR FAULT. Believe it or not, it is backed by neuroscience! Using functional magnetic resonance imaging (fMRI), researchers found that it is a disorder you are wired to, you did not choose to have it, it is more than that, something is actually going on! Let's get into it bit by bit! πŸ’ͺ🏻

🍎 What is Anorexia?

Anorexia Nervosa is one of ED characterized by significant underweight, having fear of gaining weight and food restriction or calorie counting. Anorexics may or may not have the desire to be thin as like models portrayed in mainstream media but they usually see themselves as overweight. Taking a very small amount of food and malnourishment can be seen in this disorder, but some might take it really far by excessive workout, forced vomiting after food and even using laxatives.

🍎 Statistics

🌍 ED affects all races and ethnicity.
🌍 Anorexia is more prevalent to young women but men suffer from it as well by 10%.
🌍 This might be shocking but 80% of 13-year-old girls are on diets and at risk of developing an ED.
🌍 0.9% of American women developed anorexia at least once in their lifetime.
🌍 Half of the anorexia patients have co-morbid mood disorders and anxiety disorder e.g Depression, Social Phobia.
🌍 The average onset of the disorder is at 17, but all ages can be affected.
🌍 20% of anorexia patient remains dangerously underweight, even with intervention, but 60% make to full recovery *high hopes*


🍎 Risk Factors and Causes

Genetic
πŸ”· Yes, anorexia is heritable by 30% to 58%.
πŸ”· DNA modifications can maintain anorexia but more clinical trials are needed.


Psychological
πŸ”· In early studies, theories of anorexia are proven linked with childhood sexual abuse and dysfunctional family but those are not always the case and research are still going to determine other possible causes.
πŸ”· Most anorexics suffer from low self-esteem, feeling of wanting to control a part of their life (hence, restriction of food), anxiety and depression.


Sociological
πŸ”· The social pressure to be skinny and thinspiration (skinny is beautiful).
πŸ”· Models and dancers are the most likely to develop anorexia.
πŸ”· Family pressure and bullying/teasing can cause low self-esteem and can trigger the "I am fat" self-talk.


Mass Media
πŸ”· Constant exposure to mainstream media that projects 'Body Ideals'
πŸ”· Pro-anorexia websites suggesting the importance of achieving unhealthy body ideals and the strong need to attain them.


🍎 Symptoms

πŸ”Ž Low body mass index (BMI)
πŸ”Ž Amenorrhea (Absence of menstruation)
πŸ”Ž Sudden weight loss
πŸ”Ž Strict calorie counting
πŸ”Ž Food rituals (Eating small and slow, cutting food into tiny pieces, 'Do not eat in front of others' rule, eating in front of a mirror etc.)
πŸ”Ž Lanugo (fine hair growth all over face and body)
πŸ”Ž Hair thinning
πŸ”Ž Constant stepping of weighing scale
πŸ”Ž Purging at any costs (laxative, diet pills, weight management pills etc)
πŸ”Ž Excessive exercise
πŸ”Ž Cold intolerance
πŸ”Ž Depression, anxiety, and insomnia
πŸ”Ž Chronic fatigue
πŸ”Ž Muscle cramps due to lack of potassium in the body
πŸ”Ž Self-loathing, self-harm and negative self-talk
πŸ”Ž Solitude
πŸ”Ž Skin discoloration (Yellow skin and orange feet)


🍎 What Anorexics' Brain Has to Say

In school and sports, anorexic kids learn and live to achieve perfection. Strict schedules of studying and sports practice might be the number one priority for these children. They need to be flawless! They don't know how to stop most of the times, if they do, they will feel like failures. At work, they are highly productive teammates and leaders. Ever wondered why?



Anorexics' brains are wired to
WILLPOWER and HEIGHTENED SELF CONTROL (for good and the worst ones).
It is not by choice!

🍎 Types of Treatment

🌼 Diet (Refeeding)

πŸ”Ά Introduce more food variety to get started.
πŸ”Ά Starting slowly and gradually increase the amount of food intake.

🌼
Family-based treatment therapy (FBT)
πŸ”Ά Conjoint family therapy (CFT) --> Parent and children seeing the same therapist.
πŸ”Ά Separated family therapy (SFT) --> Parent and children attend therapy appointments separately with different therapists.
πŸ”Ά Cognitive behavioral therapy (CBT) --> Acceptance and commitment therapy/Cognitive remediation therapy

🌼 Hospitalization
When hospitalized, refeeding is the only crucial treatment that will be given but it can be difficult with the patient consent since refeeding syndrome (RFS) can cause underfeeding and longer admission time. Therefore it is recommended for the medical team and psychiatric experts to team up to in severe AN disorder.

🍎 Conclusion

It is important for AN awareness to be spread because our society has portrayed a beauty standard, especially to women that not just unhealthy but unattainable. It's time to talk about it and starts early intervention especially for the affected and high-risk teenagers by encouraging them to get screened and seek help.

🍎 Resources for Anorexia Nervosa Disorder

National Eating Disorder Association
www.nationaleatingdisorders.org/get-involved/nedawareness

Recovery & Relapse
www.nationaleatingdisorders.org/learn/general-information/recovery

Helpline
www.nationaleatingdisorders.org/help-support/contact-helpline

Screening tool
www.nationaleatingdisorders.org/screening-tool

🍎 References

www.mirror-mirror.org/anorexia-statistics.htm

anad.org/education-and-awareness/about-eating-disorders/eating-disorders-statistics/

www.sciencedaily.com/releases/2015/02/150219101345.htm

www.sciencenews.org/article/anorexic-brain

πŸ’ž Discussion Questions πŸ’ž

1. What red flags you should be mindful of about developing an eating disorder?

2. What are the coping techniques you can suggest to help towards recovery?

3. How can you support someone
suffering from an eating disorder?

~Yass! We're done here! Thank you for reading and answering the questions!!! 🌹🌼 ~~~

Tagging some peepsies!~
@ber228 @dancingStrawberry34 @nothingisforever91 @LilyBlossom21 @IsraNMSL @PalmTreesNRainbows @BunnyZs @Glue @raspberryChestnut @kindSoul10 @HealingSinthia @supportiveMango76 @Whitenightfury @vroomvrooom @Hoodwink @Hope @Erato @Catssunset @liamasnemo @Isentropic @musicalMagic @CompassionateListener88 @onedirection1213 @WeGotThis211001 @InternalAcceptance @BunnieLuv @MelatiMel @Jennoa2017 @SadyaKarni22 @lyss123 @HelpfulVision @SoftAlpaca10 @Rainbowtime40 @lucy2 @laserpowerr @ItsHayden @jillianlee94 @Marya25 @dbaptiste @Survive808 @DivineSupport @Positiveanchor20 @katvscat @SoftAlpaca10 @Kitta7 @helpfulComfort0819 @AislynnQ @Fristo @Aismile @peacefulwriting36 @Pidge @sinceresebas21 @Dori22 @optimisticBlossom66 @madjanie @friendlyadvice4u @miraculousIris31 @Kurdistan @Yendi @bonjour25 @Clairedovey2018

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kindSoul10 March 5th, 2019

@MieraCurie oh wow! Awesome work, congratulations!

Well structured, easy to understand and nice research. I like how you mentioned where there's no evidence and more research needs to be done.

Well done, Miera!

1 reply
MieraCurie OP March 5th, 2019

@kindSoul10 Kindieee πŸ’“πŸ’“πŸ’“ I'm super glad you liked it! πŸ’• Really appreciate you spend some time to read and reply to this as well! *hugs* Yes, I really feel that in mental health studies, the more clinical trials the better to avoid bias results 🌼 thank you again kindie πŸ¦‹πŸ¦‹πŸ¦‹

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LilyBlossom21 March 5th, 2019

@MieraCurie I love it!! A lil too brain dead to answer questions. But you included brain stuffs and it mades me happy!

5 replies
kindSoul10 March 5th, 2019

@LilyBlossom21 πŸ€— (if you're okay with it)

1 reply
LilyBlossom21 March 5th, 2019

@kindSoul10 -biggest hug ever-

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MieraCurie OP March 5th, 2019

@LilyBlossom21 Aww Lilsie πŸ™ˆπŸ’“ Glad you like the neuroscience behind this. I wanted to add more but I feel that it's nicer to keep it simple so everyone can enjoy reading it without hassle 🌼🌼🌼 thankies for replying! πŸ¦‹

2 replies
LilyBlossom21 March 5th, 2019

@MieraCurie well I'm a Neuroscience enthusiast. If I wasn't rejected in honours then I'd actually have been doing neuroscience. Instead its psychology now :P

1 reply
MieraCurie OP March 5th, 2019

@LilyBlossom21 Aw lilsie *hugs* Maybe one day you'll work with neuroscientists in one collective team and I feel that you'll be beyond happy to reach that position πŸ’• Keep up the good work with your studies and Good Luckie! πŸ’“πŸŒΌπŸ¦‹

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kindSoul10 March 5th, 2019

1. What red flags you should be mindful of about developing an eating disorder?

Unhealthy eating habits and when eating habits become a coping strategy for stress.

2. What are the coping techniques you can suggest to help towards recovery?

Professional medical help since it's not easy to get out of it which can become unnecessary challenging and can also be harmful.

3. How can you support someone suffering from an eating disorder?

Listening, empathising, validating and sharing resources about eating disorders.

@MieraCurie

1 reply
MieraCurie OP March 5th, 2019

@kindSoul10 Wow kindie your answers are all helpful πŸ’• I agree that changed eating habit can caused by other moods such as stress and depression especially. ED serves as easy but unhealthy coping mechanism for sufferers. Professional help is always the best choice in combating any kind of illness including ED but since it's difficult to get consent for refeeding, family and friends' emotional support are needed to assist in the road to recovery πŸ’“πŸŒΌ Thank you for answering kindie! πŸ¦‹πŸ¦‹πŸ¦‹

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March 5th, 2019

@MieraCurie

Awesome job , really loved it Miera heart

The stigma and misconceptions surrounding Eating Disorders make it difficult to seek help , thank you for sharing and raise awareness

1. What red flags you should be mindful of about developing an eating disorder?

Changes in eating habits and/or loss interests in food

2. What are the coping techniques you can suggest to help towards recovery?

taking to a friend can be helpful and moderate exercises also help

3. How can you support someone suffering from an eating disorder?

Due to stigma and misconceptions , a person struggling with ED usually find it difficult to open up and talk about how they feel so being a little bit patient with them until they safe couco be really helpful

2 replies
MieraCurie OP March 5th, 2019

@ItsHayden Hayden sweetheart πŸ’“ thank you for your time reading this and answering the questions! 🌼 Actually I am a bit teary about the words 'Talk and Be Patient' as a way to support someone with AN or ED in general 😒 I find patience commonly very difficult to be given by ones we are close with. Good job on all your brilliant answers! Really appreciate your time writing them all 🌼🌼🌼

1 reply
March 5th, 2019

@MieraCurie

aww miera * hugs* heart

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laserpowerr March 5th, 2019

@MieraCurie So informative and so well written! Great job Miera! 🌸

1 reply
MieraCurie OP March 5th, 2019

@laserpowerr Laserr πŸ’“πŸ’“πŸ’“ Thank your for stopping by and taking your time reading! 🌼 Really appreciate it πŸ’•

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