Bulimia Nervosa Sample Clauses

Bulimia Nervosa. Bulimia Nervosa is characterised by cycles of binge-eating, alternating with compensatory episodes of purging/over-exercising/or food restriction. Binge eating is associated with a sense of loss of control, emotional distress and shame. Bulimia nervosa may be associated with significant physical risk including life threatening electrolyte disturbances – there are also a significant number of other physical sequalae associated with the condition. Bulimia nervosa is also associated with significant psychiatric co-morbidity, notably anxiety disorders, depression, impulse control disorders and substance misuse disorders (Xxxxxx et al 2007) and is often accompanied by many symptoms of wider physical and psychological discomfort and stress. Sufferers with bulimia nervosa are of normal weight or in the overweight range. In community-based studies, the prevalence of bulimia nervosa has been estimated between 0.5% and 1% in young women with an even social class distribution (Hay & 2 NHS England/C01/S/a Bacaltchuk, 2003). Eating Disorders not otherwise specified (EDNOS) and Binge Eating Disorder EDNOS is the most common form of eating disorder. Sufferers may closely resemble people with Bulimia Nervosa and Anorexia Nervosa without fitting the criteria for the diagnosis exactly. EDNOS is a disorder that may be as severe in presentation as that found in other diagnostic categories. Binge Eating Disorder is a specific sub set of EDNOS, whose sufferers tend to respond better to treatment. (The figures given for both prevalence and incidence should be treated with caution as they do not necessarily reflect the actual numbers of service users with the disorder presenting to services.) There is no reliable hard data on the proportion of people with an eating disorder or anorexia nervosa who will require intensive inpatient specialist service input. We have therefore included an estimate, based on estimated bed usage and average length of stay in specialist Eating Disorder (ED) units (estimated as not all bed activity is known). It is estimated that approximately 900 individuals need admission to Adult Inpatient services per year. (Population of England is 50 million, average length of stay is 18 weeks, Royal College Psychiatrists paper CR 170 recommends that 6 beds per million population is required). This equates to approximately 300 beds. Evidence base for Eating Disorders Mental Health National Service Framework. DH 1999 National Institute for Health and Care Excellence...

Bulimia Nervosa. Bulimia Nervosa (BN) is characterised by recurrent episodes of binge eating, namely eating a very large amount of food in short periods of time, with a sense of lack of control (American Psychiatric Association, 2013). The binge eating episodes are followed by recurrent compensatory behaviours in order to prevent weight gain, such as self-induced vomiting, misuse of laxatives, diuretics, or other medications, fasting, or excessive physical exercise (American Psychiatric Association, 2013). Binge behaviour is usually secretive and associated with feelings of shame or embarrassment. Individuals with BN are usually normal weight, overweight or even obese. The binge eating and compensatory behaviours can lead to rare but potentially fatal complications, including oesophageal tears, gastric rupture, and dangerous cardiac arrhythmias. BN tends to develop slightly later than AN, with the peak age of onset in late adolescence and early adulthood (National Institute Clinical Excellence, 2017)

Bulimia Nervosa. Within the DSM-IV TR (American Psychiatric Association, 2000) the main features of BN are characterised by recurrent episodes of binge eating, consuming an amount that is larger than most people would eat under similar circumstances within a two hour period and recurrent inappropriate compensatory behaviours. Binge eating is accompanied by a loss of control of eating during the episode. Recurrent inappropriate compensatory behaviours for the purpose of preventing weight gain include self-induced vomiting, misuse of laxatives, diuretics, enemas or other medication, fasting and excessive exercise. The binge eating and inappropriate compensatory behaviours both occur twice per week for three months on average. Cognitions about self-evaluation are unduly influenced by body shape and weight. BN does not occur exclusively during episodes of AN. There are two distinct subtypes of BN: (a) a purging type (BN-P) where the individual will engage in self-induced vomiting or the misuse of laxatives, diuretics or enemas and (b) a non-purging subtype (BN-NP) where the individual uses inappropriate compensatory behaviours, but will not regularly engage in purging (e.g. self-induced vomiting or the misuse of laxatives, diuretics or enemas).

Bulimia Nervosa. (e) For the purposes of this section, a child suffering from, “serious emotional disturbances of a child” shall be defined as a child who (1) has one or more mental disorders as identified in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders, other than a primary substance use disorder or developmental disorder, that result in behavior inappropriate to the child’s age according to expected developmental norms, and (2) who meets the criteria in paragraph (2) of subdivision (a) of Section 5600.3 of the Welfare and Institutions Code.