F50.02

Clinical Causes: Genetic factors that increase vulnerability to eating disorders Psychological influences such as low self-esteem, perfectionism, or controlling tendencies Environmental factors including family dynamics, media influence, and societal pressures Trauma or stressful life events that trigger symptoms

Key Symptoms: Significant weight loss or maintaining a weight below what's expected for age and height Preoccupation with weight, dieting, and food Distorted body image, perceiving oneself as overweight despite being underweight Frequent episodes of binge eating—consuming large amounts of food in a short period Purging behaviors like self-induced vomiting, misuse of laxatives, diuretics, or enemas Anxiety about gaining weight or becoming fat Physical signs such as swollen cheeks, dental erosion, or electrolyte imbalances Mood disturbances including anxiety, depression, or irritability Amenorrhea or irregular menstrual periods

Diagnosis Path: Diagnosis typically involves a comprehensive clinical evaluation, including physical examinations, medical history, and psychological assessment. Healthcare providers look for evidence of significant weight loss, binge-purge behaviors, and distorted body image. Additional tests may include blood tests to identify electrolyte imbalances or other complications related to the disorder. The diagnosis follows criteria outlined in the DSM-5, emphasizing the pattern of behaviors specific to the binge eating/purging subtype.

Treatment Protocols: Treatment for anorexia nervosa, binge eating/purging type, often involves a multidisciplinary approach, combining medical, nutritional, and psychological interventions. Key components include: - Nutritional counseling to restore healthy weight and establish regular eating patterns - Medical monitoring to address physical health issues and prevent complications - Psychotherapy, such as cognitive-behavioral therapy (CBT), aimed at altering distorted thoughts and behaviors - Medical management for any co-occurring mental health conditions like depression or anxiety - In some cases, medications may be prescribed to manage symptoms or underlying mood disorders The goal of treatment is to stabilize physical health, promote healthy attitudes toward food and body image, and support long-term recovery.