Q. And what is the difference between purge type anorexia and bulimia?
I thought if you throw up what you eat, it's bulimia, and if you starve, it's anorexia?
I thought if you throw up what you eat, it's bulimia, and if you starve, it's anorexia?
A. Actually, the other person is totally wrong. Non-purging bulimia (which I've recently been told I might have---I've just started ED treatment) is where you binge and then compensate for the binge by excessively exercising OR fasting/extreme calorie restriction. Those behaviors are meant to compensate for the binge. Binge Eating Disorder (not an actual DSM-IV-TR recognized diagnosis) is defined as binge eating with NO compensatory behaviors. Anorexia Nervosa Binge-Purge type is defined as meeting DSM-IV-TR criteria for Anorexia Nervosa (including a refusal to maintain a minimally acceptable weight aka having a BMI at or below 18.5) AND having binge/purge patters. The binging can be primary, meaning that it is the main ED behavior, or it can be secondary to the extreme restriction that characterizes Anorexia Nervosa as a whole. Unlike Anorexia patients, Bulimia patients typically are of a normal weight or slightly overweight. Anorexia patients are underweight (severely underweight). Thus, to sum it all up, BED and non-purging bulimia are two COMPLETELY different things. Not to be overly critical here, but I'd expect someone w/ Bulimia to KNOW what Bulimia IS and what it is NOT.
***Also, some Anorexia patients purge after eating even the tiniest amounts of food. Many of them do this w/out exhibiting binging behaviors.***
***I forgot to address the other part of your question. I apologize. With Bulimia, the patient binge eats whereas Anorexia patients who purge do not necessarily (and often do not) binge. That is to say, both Bulimia and Anorexia patients can purge but binging is the behavior that fits into the Bulimia diagnostic picture. Again, though, Anorexia patients CAN binge & purge, but as long as they are underweight and refuse to maintain a minimally acceptable weight & fit enough of the DSM-IV-TR diagnostic criteria for Anorexia Nervosa, they will be diagnosed with Anorexia rather than Bulimia.***
***Also, some Anorexia patients purge after eating even the tiniest amounts of food. Many of them do this w/out exhibiting binging behaviors.***
***I forgot to address the other part of your question. I apologize. With Bulimia, the patient binge eats whereas Anorexia patients who purge do not necessarily (and often do not) binge. That is to say, both Bulimia and Anorexia patients can purge but binging is the behavior that fits into the Bulimia diagnostic picture. Again, though, Anorexia patients CAN binge & purge, but as long as they are underweight and refuse to maintain a minimally acceptable weight & fit enough of the DSM-IV-TR diagnostic criteria for Anorexia Nervosa, they will be diagnosed with Anorexia rather than Bulimia.***
can binge eating disorder turn into bulimia?
Q. I have binge eating disorder for awhile, i think its turning into bulimia. Does this happen commonly? Or sometimes?i just don't know.
A. It can happen. When you are binge eating, you will eventually gain weight and when this happens, you try to stop it but everything is done in extremes which becomes very unhealthy. Individuals suffering from bulimia find themselves caught in the devastating and addictive binge-purge cycle. Bulimia is characterized by binge eating followed by harmful compensatory behaviors in an effort to prevent weight gain. A binge episode is defined as the intake of an inordinately large amount of food, in a discrete amount of time (usually less than two hours), in which the individual experiences a sense of a lack of control over eating. Inappropriate compensatory behavior to prevent weight gain includes self-induced vomiting, fasting, excessive exercise, laxatives, diuretics, enemas, and/or medications. Similar to anorexia, the individual is overly concerned with body shape and weight and experiences a distorted body image.
How do you know you have an eating disorder?
Q. besides anorexia and bulimia, what are other types of eating disorders are there?
A. As described in the Diagnostic and Statistal Manual, edition IV (DSM-IV), eating disorders include Anorexia nervosa (AN), Bulimia nervosa (BN), and Eating Disorder Not Otherwise Specified (ED-NOS). Some experts also categorize Binge Eating Disorder (BED) as distinct from BN; in this disorder, sufferers binge in the same manner as bulimics, but do not "compensate" with vomiting, exercise, or other "purging" behaviors. Compulsive Over-Eating (COE) is similar to BED, but is not always limited to "binges" (which are defined by excessive consumption of food within a finite and unusually brief amount of time) and may include individuals who chronically overeat without necessarily engaging in binges.
ED-NOS may include anything from only eating foods of a certain color or shape to the more standard definition, which is meeting some but not all of the criteria for AN or BN. For example, someone with ED-NOS might restrict intake and have reached a weight below BMI 17.5, but falls short of AN diagnosis because she still menstruates; she also might engage in bingeing and purging only 1-2 times per week, rather than the 3+ required for full BN diagnosis.
If you're concerned you may have an eating disorder or disordered eating, see a psychologist for an evaluation. Do NOT let this take control of you.
ED-NOS may include anything from only eating foods of a certain color or shape to the more standard definition, which is meeting some but not all of the criteria for AN or BN. For example, someone with ED-NOS might restrict intake and have reached a weight below BMI 17.5, but falls short of AN diagnosis because she still menstruates; she also might engage in bingeing and purging only 1-2 times per week, rather than the 3+ required for full BN diagnosis.
If you're concerned you may have an eating disorder or disordered eating, see a psychologist for an evaluation. Do NOT let this take control of you.
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