No Thinspiration

A centre of excellence to treat a growing number of patients with eating disorders has been relaunched in Yorkshire as experts warn more young people than ever are in need of specialist care.
Chief Medical Officer Professor Sir Liam Donaldson officially marked the landmark at the Yorkshire Centre for Eating Disorders in Seacroft, Leeds.

The number of inpatient beds at the centre is being increased from 16 to 19 as it deals with an increasing number of referrals of seriously ill patients from across the North of England and further afield, treating as many as 200 people a year.

A link-up with the world-leading service provided at St George’s Hospital in London is also enhancing expertise and leading to new research into problems caused by anorexia nervosa and severe bulimia.
Doctors fear increasing pressures on both sexes are leading to more cases amid evidence one in five young women aged 14-30 now have eating binges, one in 20 have bulimia and one per cent are anorexic. A massive 80 per cent believe they are overweight while even girls as young as nine or 10 view their bodies in disparaging terms.

There are also signs more boys are suffering disorders. About 10 per cent of patients treated in Leeds are male.
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Doctors have been issued with controversial new guidelines which spell out for the first time when they are legally allowed to force-feed anorexic patients close to death.

The rules state that if two doctors believe an anorexic patient is mentally ill and in danger of dying, the patient can be sedated and tube-fed against their will.

The new Scottish guidelines, issued by the Mental Welfare Commission, also allow dangerously underweight children to be force-fed against the wishes of their parents.

Anorexia affects a growing number of Scots and there has been severe criticism of the lack of specialist services. Scotland on Sunday can reveal that each year around 30 patients are already tube-fed without consent north of the Border.

The practice is allowed under existing mental health laws, but until now there has been no specific guidance on when and how anorexic patients should be force-fed, leaving medics vulnerable to compensation claims.

Patients’ groups last night expressed concern about the guidelines because they fear doctors will be more likely to resort to force-feeding rather than trying to persuade patients to consent to treatment.

But Dr Flora Sinclair, medical officer for the Mental Welfare Commission, said they wanted to ensure the practice was only carried out as a last resort and under strict criteria.

Patients who become extremely ill as a result of their eating disorder need to be kept alive by artificial means, such as a tube inserted into the nose or stomach which gives the body vital nutrients.
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Dec. 18, 2006 (Newsweek)
If a food craving strikes, try a manicure to “keep your hands occupied.”
This kind of tip is common fare on pro-”ana” (anorexia) and pro-”mia” (bulimia) Web sites. Well intended or not, they’re not “benign,” says Dr. Rebecka Peebles of Stanford University, coauthor of “Surfing for Thinness,” published in Pediatrics last week. Stanford researchers surveyed patients treated for eating disorders, ages 10 to 22, and found that users of pro-eating-disorder sites were sick longer. And 96 percent of them reported learning new tips for weight loss or purging; 69 percent said they used them.

The sites tend to gloss over bad news: people with anorexia are 56 times more likely than their peers to commit suicide. (And they’re not broadcasting the November anorexia-related death of Brazilian model Ana Carolina Reston.)

Sites deny being harmful, saying they provide a community for those with eating disorders. The term “pro-ana” is broadly used, and sites vary greatly. “We offer them support, saying, ‘It will be. Continue going to your doctor’,” says five-foot, 89-pound proana.us owner Anna Robbins.

In November, the Academy for Eating Disorders suggested a mandatory warning statement: “Warning: anorexia nervosa is a potentially deadly illness. The site you are about to enter provides material that may be detrimental to your health.”

—Karen Springen

LONDON (Reuters) - Marg Oaten’s daughter was a happy, healthy girl who loved table tennis and drama until at the age of 10 she developed anorexia. Twelve years on she is still fighting the illness, which almost killed her.
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“I was absolutely distraught,” said Oaten, 54. “It is the worst thing in the world to know your daughter might die.”

At her darkest point, Oaten said her daughter existed on five flakes of cereal a day, washed down with a mouthful of water.

Children as young as seven can suffer from eating disorders. The illness also afflicts older women as well as men and boys, though it is most common in young women, health experts say.

In Britain, about five to ten percent of women aged 14 to 24 suffer from some form of eating disorder. The ratio falls to 1 percent for the whole female population, said Professor Janet Treasure, head of the eating disorders service and research unit at King’s College London.

Bulimia nervosa, when a person binges and vomits, is two to five times more common than anorexia nervosa, when someone restricts their intake of food and drink, she said.

Both psychiatric disorders, can be fatal — two models from Latin America died this year after becoming anorexic — or cause permanent health defects such as brittle bones and infertility.
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Binge eating disorder is a psychiatric disorder in which a subject:

* periodically does not exercise control over consumption of food
* eats an unusually large amount of food at one time
* eats much more quickly during binge episodes than during normal eating episodes
* eats until physically uncomfortable
* eats large amounts of food, even when they are not really hungry
* always eats alone during binge eating episodes, in order to avoid discovery of the disorder
* often eats alone during periods of normal eating, owing to feelings of embarrassment about food
* feels disgusted, depressed, or guilty after binge eating

Binge eating is an element of another eating disorder, bulimia nervosa. The formal diagnosis criteria are similar: at least two binges per week for an extended period of time.[1] In bulimia, however, episodes of binge eating are followed by purging, periods of fasting, or performance of strenuous exercise - indeed, “exercise bulimia,” in which a person eats normally but then engages in strenuous exercise, is an inverse form of bulimia. People with binge eating disorder, by contrast, do not purge, fast or engage in strenuous exercise after binge eating. Additionally, people with bulimia are typically of normal weight or may be slightly overweight (the purging, etc., have little to no effect on the subject’s body fat), whereas people with binge eating disorder are typically overweight or obese.

Binge eating disorder is similar to, but it is distinct from, compulsive eating. People with binge eating disorder do not have a compulsion to overeat and do not spend a great deal of time fantasising about food. On the contrary, some people with binge eating disorder have very negative feelings about food. As with other eating disorders, binge eating is an expressive disorder - that is, the disorder is an expression of a deeper, psychological problem.

It is actually hotly contested whether binge eating disorder has its own diagnosis. Some believe that it is a milder form, or subset of bulimia nervosa, but others argue that it is its own distinct disorder. Currently, the DSM-IV categorizes it under Eating disorder not otherwise specified (EDNOS), simply stating that more research is needed.

Via: Wikipedia

Bulimia nervosa, more commonly known as bulimia, is an eating disorder. It is a psychological condition in which the subject engages in recurrent binge eating followed by an intentional purging. This purging is done in order to compensate for the excessive intake of the food and to prevent weight gain. Purging typically takes the form of vomiting; inappropriate use of laxatives, enemas, diuretics or other medication; excessive physical exercise, or fasting.