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Anorexia Nervosa Diagnostic criteria for 307.1 Anorexia Nervosa
A. Refusal to maintain body weight at or above a minimally normal weight for age and height (e.g., weight loss leading to maintenance of body weight less than 85% of that expected; or failure to make expected weight gain during period of growth, leading to body weight less than 85% of that expected).
B. Intense fear of gaining weight or becoming fat, even though underweight.
C. Disturbance in the way in which one's body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight.
D. In postmenarcheal females, amenorrhea, i.e., the absence of at least three consecutive menstrual cycles. (A woman is considered to have amenorrhea if her periods occur only following hormone, e.g., estrogen, administration.)
Specify type:
Restricting Type: during the current episode of Anorexia Nervosa, the person has not regularly engaged in binge-eating or purging behavior (i.e., self-induced vomiting or the misuse of laxatives, diuretics, or enemas)
Binge-Eating/Purging Type: during the current episode of Anorexia Nervosa, the person has regularly engaged in binge-eating or purging behavior (i.e., self-induced vomiting or the misuse of laxatives, diuretics, or enemas) | Symptoms of Anorexia Nervosa: - dramatic weight loss; refusal to maintain the minimal normal body weight for one’s age and height
- basing self-worth on body weight and body image
- frequent skipping of meals, with excuses for not eating
- eating only a few foods, especially those low in fat and calories
- making meals for others, but not eating the meals themselves
- frequent weighing of oneself and focusing on tiny fluctuations in weight
- wearing baggy clothing to cover up thinness
- excessive focus on an exercise regimen
- frequent looking in the mirror for flaws
- avoidance of social gatherings where food is involved
- even when thin, complaining about being overweight
- in females, missing three consecutive menstrual periods; in males, decreased sexual desire
| Health and Emotional Risks of Anorexia Nervosa: - Lowered resistance to illness
- Hypersensitivity to heat
- Less need for sleep than normal eaters
- Severe dehydration, which can result in kidney failure
- Fatigue and overall weakness
- Difficulty in concentrating on anything else except weight
- Isolation from family and friends
- Emotional regression to a child-like state
- Feelings of guilt
- Dependence upon alcohol or drugs to handle the negative outlook
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