Posts Tagged ‘Physical Health’

What is ARFID?

Avoidant/restrictive food intake disorder (ARFID) is an eating disorder characterized by food avoidance or restriction that results in nutritional deficiencies and interferes with daily functioning. As in anorexia, ARFID can lead to significant weight loss or a failure to gain weight. It does not include concerns about body weight and shape, however. Instead, ARFID primarily manifests as avoidance related to the sensory properties of food and fear about eating.

Previously known as selective eating disorder (SED), ARFID was introduced in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The following criteria must be met for an individual to be diagnosed with this eating disorder:

Diet culture wreaks havoc all year long, compromising our joy, peace of mind, health, and trust in our bodies. And now, as in years past, it has hit its peak season. Dieting’s unfounded claims and empty promises show up with renewed energy after the holidays, as if right on schedule every year.

With the ring of the new year comes diet talk suggesting that we should “get back on track” after holiday eating or “jumpstart” the year with weight loss resolutions. Cleanses and detoxes and fasts galore, the clamor implies that we must change our bodies with the turn of the calendar. It sets an expectation that controlling our bodies will lead to happier, healthier lives via “new year, new me” goals.

But weight-loss dieting is a misguided approach to happiness and health. Not only is it ineffective for most people, but it can actually cause harm to our bodies.

We in the eating disorder field are generally wary of restriction. Dieting is a key risk factor in the development of eating disorders, and eliminating it and other disordered behaviors is central to healing. One of the biggest gifts of recovery is the opposite of restriction: a life where food is just food, and all foods fit.

Even so, “all foods fit” does not necessarily mean that all foods fit for all people at all times. Like any pithy “all” statement, this generalization does not represent any unique considerations. For those with special dietary restrictions, all foods quite literally do not fit. For those with allergies and intolerances, some foods are forever off-limits, and those with conditions like type 1 diabetes or celiac disease need to closely monitor ingredients to avoid triggering their physical illness.

Similarly, gastrointestinal disorders such as inflammatory bowel disease (IBD) often require dietary restriction as part of their treatment. The relationship with food is especially complicated for people in this situation. IBD symptoms can overlap and interact with eating disorder ones, and there is no one nutritional plan proven to work for all of those suffering.

**Content warning: This post includes discussion of purging behaviors. Please use your discretion when reading and speak with your support system as needed. The following information is not intended as dental or medical advice or as a substitute for professional treatment.

By Dr. Kumar Kolar

With over 14 years’ experience, Dr. Kumar Kolar is a dentist in London, England. He is focused on empowering readers to learn about their dental health and have confidence in their teeth and smile. You can learn more about him on his website and read more of his articles on his blog. 

Like all eating disorders, bulimia nervosa is a mental health disorder that also affects the well-being of our physical bodies. One of the first places that exhibits physical signs of damage is the mouth and teeth. People with bulimia may experience pain, discomfort, and sensitivity when chewing as a result of bulimic behaviors.

The question of what constitutes recovery from an eating disorder is one that has been debated in many places by many people. Providers, families, and clients often have different perspectives, and there is a wide spectrum of beliefs within each of these groups. A key reason for this is that eating disorders have distinct physical and psychological manifestations. 

The physical manifestations of eating disorders are usually what drive people to the highest level of care. That is because these manifestations often carry an immediate risk to one’s physical health and require intensive clinical support. Recovery from physical manifestations is very important, but it does not constitute full recovery.

By Dr. Mary Bretzman, physician at The Emily Program

“Why an EKG?”

“Why do you check my blood pressure lying down AND standing up?”

“Why am I dizzy when I stand?”

We often hear these questions from our clients with eating disorders. The answer? Because eating disorders can affect every part of the body, including the heart. Cardiac complications may occur as a result of the malnutrition, dehydration, and electrolyte imbalances commonly associated with these disorders.