Anorexia nervosa:- INTRODUCTION Anorexia nervosa is a syndrome characterized by 3 essential criteria: 1.) Self induced starvation to a significant degree 2.) Relentless drive for thinness or morbid fear of fatness 3.) Presence of morbid signs and symptoms resulting from starvation. Anorexia nervosa is often associated with disturbance of body image, the perception that one is distressingly large despite obvious thinness According to DSM Anorexia nervosa is characterized as a disorder in which person refuse to maintain a minimally normal weight, intensely fear gaining weight, and significantly misinterpret their body and its shape. Approximately half of a Anorexic person will lose weight by drastically reducing their total food intake. The other half of these patients will not only diet but will regularly engage in binge eating followed by purging behaviours Some patients routinely purge after eating small amount of food. Anorexia nervosa is much more prevalent in females than in males and usually has its onset in adolescence. Hypotheses of an underlying psychological disturbance in young women with the disorder include conflicts surrounding the transition from girlhood or womanhood. DIAGNOSIS :- The onset of Anorexia nervosa usually occurs between the ages of 10 and 30 years. It is present when 1.) An individual voluntarily reduces and maintains an unhealthy degree of weight loss or fails to gain weight proportional to growth. 2.) An individual experiences an intense fear of becoming fat, has a Relentless drive for thinness despite obvious medical starvation or both. 3.) An individual experiences significant starvation related medical symptomatology often, but also hypothermia, bradycardia, orthostasis, and severely reduced body fat stores. 4.) The behaviours and psychopathology present for at least 3 months.


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