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does not fully meet the detailed criteria for the more concrete descriptive disorders
can be a combination of all or most of the other eating disorders
EDNOS stands for Eating Disorder Not Otherwise Specified
EDNOS sufferers participate in the same life-threatening habits seen in other more categorically defined eating disorders
Over 60 % of EDNOS patients are more medically eligible for immediate hospitalization than those with full-blown bulimia
Because it is easily overlooked & hard to identify makes it so deadly
Out of 24 million Americans with eating disorders 70% have EDNOS
Mortality rate’s (5.2%) highest of all eating disorders
spotting EDNOS can be difficult since all the signs and symptoms associated aren’t always expressed
Purging (laxatives, self-induced vomiting)
Fear of weight gain
a need to control weight
Does not have to exhibit a dramatic weight change
still has menstrual cycles and maintains a normal weight
Other Eating Disorders
Most EDNOS patients had a criteria meeting eating disorder in past
a way-station for those moving from a full eating disorder/from remission to another one
EDNOS patients use most of treatment resources versus other eating disorders
Anorexic/Bulimic patients were considered first for treatment instead of EDNOS
Types of EDNOS
Orthorexia Nervosa- a person has an extreme obsession with eating only healthy /‘pure’ food
Pica - an individual “craves and eats non-food items”
Nocturnal Sleep-Related Disorder (NSSED)- person eats in their sleep, often waking up with food remnants around with no recollection of episode
Body Dysmorphic Disorder (BDD)- an obsession with a perceived defect in a person’s body or appearance
Muscle Dymorphia (‘bigorexia’)- person believes they’re unacceptably small
Anorexia Athletica- compulsion to exercise for amount of time/act on an intensity that is beyond normal and frequently beyond healthy
What causes EDNOS?
a combination of “cultural, social, family, personality and physical factors (including genetic factors)”
Genetic, sociological, and psychological determinants can all combine to contribute to the growth of an eating disorder
Scientific Nature of EDNOS
Study between fraternal/identical twins proved genetic factor
Brain signals and chemicals
neurotransmitter serotonin is in charge of feeling full after eating and physical/ emotional satisfactory feelings
Low levels of cholecystokinin (CCK) from stress causes an experience of fullness and stop eating
Type of self expression/ survival mechanism
depression, strained family connection, or inability to control emotions
dysfunctional families, all abuse, controlling relationships
Societal norms/peer pressure
1 in 10 people with an eating disorder are males
Told to gain more muscle to maintain status of being a ‘real’ man and gain success/happiness
Women should be thin, frail beings that eat lightly
Since eating disorders are commonly seen in females, men are commonly overlooked/diagnosed when deadly
What is the trouble with EDNOS?
EDNOS category is too diverse for specific diagnostic checklist
Health insurers will not cover treatment
EDNOS can be mistaken as a good thing
the need for better access to specific medical treatment for disordered eating habits
The Name Game
The name confuses people and does not display the severity
Some doctors prefer the term “mixed eating disorder”
EDNOS has now become a “mosh pit” to group patients with dissimilar disordered eating habits
Criteria to be met
A criterion that must be met for the diagnosis of eating disorders is that there must be “evidence of an existing and effective treatment”
behavior is close to other normal behavior patterns in everyday peoples’ lives
A certain percentage of people diagnosed to provide proof that it’s a problem
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