journey to recovery · mental health · mental health blogger · mental illness · personal journey · Uncategorized

The Most Deadliest and Less Talked About Eating Disorder

When it comes to eating disorders, everyone has heard of Anorexia Nervosa and  Bulimia Nervosa. However, these are not the only types of eating disorders that exist.

EDNOS (eating disorder not otherwise specified) or now recognised as OSFED (other specified feeding or eating disorder) is the most common type of eating disorder and the most deadly – but no one seems to know about it or its consequences!

A person with OSFED may present with many of the symptoms of other eating disorders such as Anorexia Nervosa, Bulimia Nervosa or Binge Eating Disorder but will not meet the full criteria for diagnosis of these disorders. Diagnoses that fit within this criteria include atypical anorexia (anorexic behaviours but a normal weight), atypical bulimia (less frequent behaviours), purging disorder (vomiting without binging), and night eating syndrome (excessively eating after bed time).

This does not mean that the person has a less serious eating disorder.

OSFED is the most common eating disorder and the most deadliest.

It has a mortality rate of 5.2 percent — higher than both anorexia and bulimia — despite the fact its sufferers often look healthy.

Signs that a person is struggling with OSFED

The warning signs of OSFED can be physical, psychological and behavioural. It is possible for someone with OSFED to display a combination of these symptoms:

Physical Signs:
  • Weight loss, weight gain or weight fluctuations
  • Loss of or disturbance of menstrual periods in girls and women and decreased libido in men
  • Compromised immune system (e.g. getting sick more often)
  • Signs of damage due to vomiting including swelling around the cheeks or jaw, calluses on knuckles, damage to teeth and bad breath
  • Fainting and dizziness as a result of dehydration
Psychological:
  • Preoccupation with food and eating
  • Preoccupation with body shape and weight (in men this can be a preoccupation with increasing muscle bulk)
  • Extreme body dissatisfaction
  • Having a distorted body image (e.g. seeing themselves as overweight even if they are in a healthy weight range for their age and height)
  • Sensitivity to comments relating to food, weight, body shape or exercise
  • Heightened anxiety and/or irritability around meal times
  • Depression, anxiety or irritability
  • Low self esteem and feelings of shame, self loathing or guilt
  • ‘Black and white’ thinking – rigid thoughts about food being ‘good’ or ‘bad’
Behavioural signs:
  • Dieting behaviour (e.g. fasting, counting calories/kilojoules, avoiding food groups such as fats and carbohydrates)
  • Evidence of binge eating (e.g. disappearance or hoarding of food)
  • Frequent trips to the bathroom during or shortly after meals which could be evidence of vomiting or laxative use
  • Compulsive or excessive exercising (e.g. exercising in bad weather, continuing to exercise when sick or injured, and experiencing distress if exercise is not possible)
  • Eating at unusual times and/or after going to sleep at night
  • Changes in food preferences (e.g. claiming to dislike foods previously enjoyed, sudden preoccupation with ‘healthy eating’, or replacing meals with fluids)
  • Obsessive rituals around food preparation and eating (e.g. eating very slowly, cutting food into very small pieces, insisting that meals are served at exactly the same time everyday)
  • Anti-social behaviour, particularly around meal times, and withdrawal from social situations involving food
  • Secretive behaviour around food (e.g. saying they have eaten when they haven’t, hiding uneaten food in their rooms)
  • Increased interest in food preparation (e.g. planning, buying, preparing and cooking meals for others but not actually consuming; interest in cookbooks, recipes and nutrition)
  • Increased interest and focus on body shape and weight (e.g. interest in weight loss websites, books, magazines or images of thin people)
  • Repetitive or obsessive behaviours relating to body shape and weight (e.g. weighing themselves repeatedly, looking in the mirror obsessively and pinching waist or wrists)
  • Increased isolation, spending more and more time alone and avoiding previously enjoyed activities

Where to go for help:

If you suspect that you or someone you know has OSFED, it is important to seek help immediately. The earlier you seek help the closer you are to recovery. While your GP may not be formally trained in detecting the presence of an eating disorder, he/she is a good ‘first base.’ A GP can refer you on to a practitioner with specialised knowledge in eating disorders.

find your local eating disorder service here

https://www.b-eat.co.uk/

https://eatingdisorder.org/eating-disorder-information/osfed/

http://eating-disorders.org.uk/

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journey to recovery · mental health · mental health blogger · mental illness · Uncategorized

Eating Disorder Awareness Week 2017

Today marks the first day of eating disorder awareness week 2017. This is such an important week for me as most people know and I will be sharing lots of information about eating disorders to try and raise as much awareness as possible.

Awareness is key to diagnosis and recovery. Because of a lack of awareness, my eating disorder went undetected for 14+ months until my life was at risk. People deserve to get the care and treatment they need in terms of their eating disorders from the moment they develop one.

Eating disorders are characterised by an abnormal attitude towards food that causes someone to change their eating habits and behaviour. A person with an eating disorder may focus excessively on their weight and shape, leading them to make unhealthy choices about food with damaging results to their health.

Eating disorders include a range of conditions that can affect someone physically, psychologically and socially. The most common eating disorders are:

  • anorexia nervosa – when a person tries to keep their weight as low as possible; for example, by starving themselves or exercising excessively
  • bulimia – when a person goes through periods of binge eating and is then deliberately sick or uses laxatives (medication to help empty the bowels) to try to control their weight
  • binge eating disorder (BED) – when a person feels compelled to overeat large amounts of food in a short space of time

Some people, particularly those who are young, may be diagnosed with an eating disorder not otherwise specified (EDNOS). This means you have some, but not all, of the typical signs of eating disorders like anorexia or bulimia.

I was diagnosed with Anorexia in 2014. Anorexia Nervosa is currently the most lethal psychiatric disorder, carrying a sixfold increased risk of death. Although Anorexia is by far the deadliest eating disorder, death rates are also higher than normal in people with bulimia and “eating disorder not otherwise specified” (EDNOS, a common diagnosis for people with a mixture of atypical anorexia and atypical bulimia). Suicide is also a particular risk as 1 in 5 Anorexia death are due to suicide. People diagnosed with Anorexia between the ages of 20 to 29 had a higher death rate (18-fold) with the age group 15-19 following close behind with a ten fold.

Spotting the signs of an eating disorder can be difficult. Remember – a person with an eating disorder does NOT have to appear thin or underweight.

Warning signs to look out for include:

  • missing meals
  • complaining of being fat, even though they have a normal weight or are underweight
  • repeatedly weighing themselves and looking at themselves in the mirror
  • Losing interest in social events, not attending classes or school, becoming withdrawn
  • making repeated claims that they’ve already eaten, or they’ll shortly be going out to eat somewhere else and avoiding eating at home
  • cooking big or complicated meals for other people, but eating little or none of the food themselves
  • only eating certain low-calorie foods in your presence, such as lettuce or celery
  • feeling uncomfortable or refusing to eat in public places, such as at a restaurant
  • the use of “pro-anorexia” websites
  • Use of dietary aids such as weight loss products, diuretics and laxatives
  • eating in secret or having days of ‘normal’ eating
  • Using the bathroom frequently after eating

Eating disorders cause a wide variety of complications, some of them life-threatening. The more severe or long lasting the eating disorder, the more likely you are to experience serious complications, such as:

  • Significant medical problems
  • Depression and anxiety
  • Suicidal thoughts or behavior
  • Problems with growth and development
  • Social and relationship problems
  • Substance use disorders
  • Work and school issues
  • Death

So, whose affected by eating disorders?

A 2015 report commissioned by Beat estimates more than 725,000 people in the UK are affected by an eating disorder. Eating disorders tend to be more common in certain age groups, but they can affect people of any age.

Around 1 in 250 women and 1 in 2,000 men will experience anorexia nervosa at some point. The condition usually develops around the age of 16 or 17.

Bulimia is around two to three times more common than anorexia nervosa, and 90% of people with the condition are female. It usually develops around the age of 18 or 19.

Binge eating affects males and females equally and usually appears later in life, between the ages of 30 and 40. As it’s difficult to precisely define binge eating, it’s not clear how widespread it is, but it’s estimated to affect around 5% of the adult population.

Be disorder aware this week and reach out to those you feel may be suffering with an Eating Disorder

[credit: NHS UK]

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