Compare and contrast anorexia nervosa and bulimia. In what ways are they similar? In what ways are they different?
What will be an ideal response?
Answers will vary.
| Table 10-8 Typical Characteristics of Those with Eating Disorders | ||
| Anorexia Nervosa | Bulimia Nervosa | |
| • Rigid dieting, causing dramatic weight loss, generally to less than 85% of what would be expected for one's age (or BMI of 17.5 or less) | • Secretive binge eating; generally not overeating in front of others | |
| • False body perception-thinking "I'm too fat;' even when extremely underweight; relentless pursuit of control | • Eating when depressed or under stress | |
| • Rituals involving food, excessive exercise, and other aspects of life | • Bingeing on a large amount of food, followed by fasting, laxative or diuretic abuse, self-induced vomiting, or excessive exercise (at least weekly for 3 months) | |
| • Maintenance of rigid control in lifestyle; security found in control and order | • Shame, embarrassment, deceit, and depression; low self-esteem and guilt (especially after a binge) | |
| • Feeling of panic after a small weight gain; intense fear of gaining weight | • Fluctuating weight (+10 lb or 5 kg) resulting from alternate bingeing and fasting | |
| • Feelings of purity, power, and superiority through maintenance of strict discipline and self-denial | • Loss of control; fear of not being able to stop eating | |
| • Preoccupation with food, its preparation, and observing another person eat | • Perfectionism, "people please?'; food as the only comfort/escape in an otherwise carefully controlled and regulated life | |
| • Helplessness in the presence of food | • Erosion of teeth; swollen glands from vomiting | |
| • Typically lack of menstrual periods after what should be the age of puberty | • Purchase of syrup of ipecac, a compound sold in pharmacies that induces vomiting | |
| • Some binge eat and purge | Binge Eating Disorder | |
| • Same characteristics as bulimia nervosa without purging | ||
| • Eats faster than normal | ||
| • Eats even when full or not hungry | ||
| • Feels unpleasantly full after binge eating | ||
| • Eats alone to hide binge eating from others | ||
| People who exhibit only a few of these characteristics may be at risk but probably do not have a disorder. They should, however, reflect on their eating habits and related concerns and take appropriate action, such as seeking a careful evaluation by a physician. | ||
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