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CalifChick -> RE: My doctors are trying to take control of my life. (2/26/2008 9:48:01 AM)
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Just cuz I'm so helpful...You'll notice that criteria one does NOT say "must be currently underweight", but just says "refusal to maintain body weight." That can be interpreted more than one way. It could be six months of underweight, then a person gains just enough to hit 86% when they see the doctor, but declares their intent to go back... you could interpret that as "refusal to maintain." Also, the narrative for that chapter of the diagnostic manual says the 85% cited is just a guideline and not a strict rule. --Cali
Diagnostic criteria for Anorexia Nervosa:
1. Refusal to maintain body weight at or above a minimally normal weight for age and height (e.g., weight loss leading to maintenance of body weight less than 85% of that expected; or failure to make expected weight gain during period of growth, leading to body weight less than 85% of that expected).
2. Intense fear of gaining weight or becoming fat, even though underweight.
3. Disturbance in the way in which one's body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight.
4. In postmenarcheal females, amenorrhea, i.e., the absence of at least three consecutive menstural cycles. (A woman is considered to have amenorrhea if her periods occur only following hormone, e.g., estrogen, administration).
There are two types:
1. Restricting Type: during the current episode of Anorexis Nervosa, the person has not regularly engaged in binge-eating or purging behavior (i.e., self-induced vomiting or the misuse of laxatives, diuretics or enemas).
2. Binge-Eating/Purging Type: during the current episode of Anorexia Nervosa, the person has regularly engaged in binge-eating or purging behavior (i.e., self-induced vomiting or the misuse of laxatives, diuretics or enemas).
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