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Adolescent Eating Disorders
of shame at having failed to maintain a low weight despite a strong cognitive drive to. Ssris are less effective in those that are acutely ill and underweight. 22 There may be a subgroup of patients where antipsychotic medication is a short-term adjunct to help manage dysregulated behaviour and emotions. 113, 138 Body composition and activity changes will mandate changes in weight even if a final adult linear height has been achieved. The International Classification of Diseases (ICD) 10 criteria are currently under revision.
Hospitalisation or day patient treatment should only be considered for management of medical risk, suicide risk or severe self-harm. Siblings are also supported in this treatment because they frequently have numerous concerns about their sick brother or sister. Yager J, Andersen A, Devlin M, Mitchell J, Powers P, Yates. An epidemiological study of anorectic and bulimic symptoms in adolescent girls: Implications for pediatricians. Young people are typically brought to a health professional by concerned parents with a history of restricting energy dense, fatty or sugar-containing foods, accompanied by increasingly rigid eating patterns. A small but important minority will have comorbid autism spectrum disorder. Arfid sufferers often show the same complications secondary to being underweight analyzing sexism and present at similar body weight as individuals with AN but the weight loss is not driven by weight or shape concerns. The evidence base for the treatment of both disorders in adolescence is limited. Medical complications of anorexia and bulimia nervosa. Textbook of Pediatric Nutrition. The prevalence of bulimia nervosa in the US college student population.
Chronic illness and disordered eating: a discussion of the literature. Diagnostic and Statistical Manual, 5th edition diagnostic criteria because early intervention can affect prognosis.