FROM
FROM EXCESSIVE DIETING TO EXCESSIVE WORKOUTS THE PRESSURE TO BE
THIN CAN BE OVERWHELMING SOME
CASES CAN TURN TO UNHEALTHY
EATING HABITS TO TRY TO ACHIEVE
A BODY IMAGE THEY THINK THEY
NEED. DR. GINA SYKES A COHN
HEALTH FAMILY MEDICINE JOINS US
TODAY TO TALK ABOUT EATING
DISORDERS. AND DR. SYKES LET'S
JUST START OFF WITH A
DEFINITION OF AN EATING
DISORDER. WHAT IS IT. WELL
EATING DISORDERS CAN TAKE A LOT
OF DIFFERENT FORMS AND YOU CAN
HAVE CERTAIN EATING DISORDER
BEHAVIORS. AT ONE POINT THAT
CAN SORT OF MORPH INTO OTHER
TYPES OF EATING DISORDERS SO
TYPICALLY WE THINK OF ANOREXIA
NERVOSA WHICH IS WHERE FOOD IS
VERY RESTRICTED AND PEOPLE ARE
NOT GETTING ENOUGH FOOD INTAKE.
AND THEN ALSO THERE'S BELLINI
NERVOSA WHICH IS WHERE FOOD IS
EATEN BUT THEN PURGED AND THAT
CAN BE SELF-INDUCED VOMITING OR
IT CAN BE LAXATIVE OR SOMETIMES
EVEN DIE REDDICK. ABUSE IS
ANOTHER TYPE OF PURGING. IT'S
SORT OF CONTROVERSIAL AS TO
WHETHER IT'S REALLY PURGING BUT
COMPULSIVE EXERCISE CAN BE PART
OF THAT TOO. YEAH WE'RE GOING
TO DIG INTO ALL THOSE IN JUST A
FEW MINUTES BUT I WANT TO GET
PEOPLE AT HOME INVOLVED IN
THIS. GO TO OUR WEB APP WFMY
NICU OR WFMY DOT COM AND WEIGH
IN. WHERE DO YOU THINK THE
PRESSURE SURROUNDING CONTROL
COMES FROM MOST IS IT FROM
SOCIAL MEDIA PEERS
ENTERTAINMENT FAMILY MEMBERS OR
PERHAPS YOURSELF. WFMY DOT
SLASH VOTE NOW AND GET THOSE
VOTES COMING IN. SO WHEN IT
COMES TO EATING DISORDERS MOST
OF THEM ARE ABOUT FOOD. SO TALK
ABOUT THAT. WELL YOU KNOW WE
LOVE TO SAY THAT EATING
DISORDERS ARE ALL ABOUT FOOD
AND NOT AT ALL ABOUT FOOD
BECAUSE WE SEE THE BEHAVIORS
WHAT AN EATING DISORDER IS
MANIFESTED AS IS BEHAVIORS
RELATED TO FOOD EITHER EATING
TOO MUCH OF IT OF COURSE I
DIDN'T MENTION BINGE EATING
DISORDER. THAT'S ANOTHER TYPE
OF DISORDER BUT EATING TOO MUCH
EATING AN APPROPRIATELY OR
RESTRICTING. BUT THE UNDERLYING
CAUSES OF EATING DISORDERS ARE
REALLY NOT ABOUT APPETITE AND
FOOD AT ALL AND THEY ARE
USUALLY ABOUT WHAT WE WOULD
CALL EMOTIONAL DIS REGULATION.
SO FOOD GETS USED AS A TOOL OR
A COPING MECHANISM FOR DEALING
WITH DIFFICULT EMOTIONS AND
FEELINGS ABOUT YOURSELF. YEAH
I'D SAY IT'S PRETTY UNIVERSAL
THAT PEOPLE WITH EATING
DISORDERS DON'T FEEL GOOD
ENOUGH SMART ENOUGH A GOOD
ENOUGH ATHLETE GOOD ENOUGH
STUDENT JUST ADEQUATE. RIGHT
BUT THERE IS SO MUCH HELP OUT
THERE. YES. AND AT CONE HEALTH
WE HAVE DIETITIANS WHO
SPECIALIZE EATING DISORDERS.
AND THERE ARE THERAPISTS AND
USUALLY WHAT I LIKE TO SEE IF
SOMEONE IS DEALING WITH AN
EATING DISORDER IS THAT THEY
GET HELP BY THEIR FAMILY
PHYSICIAN A DIETICIAN AND A
THERAPIST OR COUNSELOR OR SOME
TYPE ABSOLUTELY. WELL YOU'VE
ALREADY GIVEN US SO MUCH GREAT
INFORMATION IS THERE A SYMPTOM
THAT'S ATTACHED TO AN EATING
DISORDER THAT SOMEONE SHOULD BE
ABLE TO LOOK OUT FOR. WELL IT
CAN BE SUBTLE AND SOME OF THE
SYMPTOMS THAT ARE REALLY MOST
CONCERNING CAN BE THE MOST
SUBTLE INITIALLY AND THAT IS
COGNITIVE CHANGE FOR EXAMPLE
WITH EITHER ANOREXIA OR BULIMIA
UNDERVOTE SAY YOU CAN HAVE
MALNUTRITION HAPPENING. AND SO
IF YOU HAVE MALNUTRITION YOUR
SHORT TERM MEMORY YOUR ABILITY
TO FOCUS YOUR YOU ARE JUST
FATIGUE CAN GET IN THE WAY OF
DOING BETTER AT SCHOOL OR AT
WORK. AND THOSE SIGNS CAN BE
VERY VERY SUBTLE. INITIALLY
THEY EVENTUALLY CATCH UP WITH A
PERSON BUT THOSE ARE THINGS TO
BE LOOKING OUT FOR AND
OBVIOUSLY WHEN IT'S NOTICEABLE
THAT A PERSON IS JUST NOT
EATING MUCH PUSHING THE FOOD
AROUND ALONG ON THE PLATE A LOT
AND NOT REALLY CONSUMING MUCH.
NATS THAT'S A RED FLAG OR
NEEDING TO USE THE BATHROOM
IMMEDIATELY AFTER THE MEAL.
WEIGHT LOSS OBVIOUSLY IS GOING
TO BE ONE SIGN BUT YOU DON'T
ALWAYS SEE WEIGHT LOSS BECAUSE
YOU SEE SUCH FLUCTUATIONS OF
INTAKE OVER TIME SOMETIMES.
WELL THANK YOU SO MUCH WE
REALLY APPRECIATE IT. AND LET'S
KEEP THIS CONVERSATION GOING.
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