Anorexia and Bulimia

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Each year millions of people in the United States are affected by serious and sometimes life-threatening eating disorders. The vast majorities are adolescents and young adult women. Approximately one percent of adolescent girls develops anorexia nervosa, a dangerous condition in which they can literally starve themselves to death. Another two to three percent develop bulimia nervosa, a destructive pattern of excessive overeating followed by vomiting or other " purging " behaviors to control their weight. These eating disorders also occur in men and older women, but much less frequently. The consequences of eating disorders can be severe. For example, one in ten anorexia nervosa leads to death from starvation, cardiac arrest, or suicide. Fortunately, increasing awareness of the dangers of eating disorders, sparked by medical studies and extensive media coverage, has led many people to seek help. Nevertheless, some people with eating disorders refuse to admit that they have a problem and do not get treatment. Family and friends can help recognize the problem and encourage the person to seek treatment.
Anorexia nervosa is a disorder where people intentionally starve themselves. It usually starts around the time of puberty and involves extreme weight loss. Sometimes they must be hospitalized to prevent starvation because food and weight become obsessions. For some, the compulsiveness shows up in strange eating rituals, some even collect recipes and prepare gourmet feasts for family and friends. Loss of monthly menstrual periods is typical in women with this disorder and men with this disorder usually become impotent.
People with bulimia nervosa consume large amounts of food and then rid their bodies of the excess calories by vomiting, abusing laxatives or exercising obsessively. Some use a combination of all these forms of purging. Many individuals with bulimia " binge and purge " in secret and maintain normal or above normal body weight, they can often successfully hide their problem from others for years. As with anorexia, bulimia typically begins during adolescence. The condition occurs most often in women but is also found in men. Many individuals with bulimia, do not seek help until they reach their thirties or forties. By then, their eating behavior is deeply ingrained and more difficult to change.
Medical complications can frequentl...

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Family members and friends can call local hospitals or university medical centers to find out about eating disorder clinics and clinicians experienced in treating the illnesses, for the college students, treatment programs may be available in school counseling centers.
Family and friends should read as mush as possible about eating disorders, so they can help the person with the illness understand his or her problem. Many local mental health organizations and the self help groups provide free literature on eating disorders. Some of these groups also provide treatment program referrals and information on local self-help groups. Once the person gets help, he or she will continue to needs lots of understanding and encouragement to stay in treatment.
NIMH continues its search for new and better treatments for eating disorders. Congress has designated the 1990's as the " Decade of the Brain, " making the prevention, diagnosis, and treatment of all brain and mental disorders a national research priority. This research promises to yield even more hope for patients and their families by providing a greater understanding of the causes and complexities of eating disorders.

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