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BN is characterized by recurrent episodes of eating an objectively large amount of food ie, binge with an associated loss of control, as well as inappropriate compensatory behavior eg, self-induced vomiting, misuse of laxatives or diuretics, fasting, or excessive exercise and overvaluation of shape and weight. Their study, conducted in the UK, sought to compare the efficacy and cost-effectiveness of two treatments. References 1. While the field has advanced the understanding of treatment approaches for adolescents with AN and adults with BN in particular, evidence to guide the treatment of BN in youth lags behind. Unfortunately, many of us have been abused emotionally and physically by the very people entrusted with our lives. Mood swings and lying are common characteristics. I also know from personal experience how binge eating disorder and food addiction played havoc with all relationships — not just romantic ones.

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Br J Psychiatry.

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6 Ways Eating Disorders Can Affect Your (Romantic) Relationships

Although the dynamics are different in each relationship, we can be sure that where there is an eating disorder, shame, and low self-esteem will be part and parcel of the fabric of daily living no matter how much love is shared between partners. Nature, Assessment, and Treatment. The binge and purge behaviors are done secretly, usually shrouded by feelings of guilt and shame. However, the survey did not include sufficient information to report on subthreshold presentations of DSM-IV BN, such as those who did not meet the duration or frequency criterion or those who experienced only subjective binge episodes. Early identification and treatment of eating disorders: Many population-based studies have focused on youths who meet full-threshold criteria for an ED without reporting on the cases who may have clinically significant presentations, but fall below the diagnostic threshold. Conclusion and future directions Despite the increasing number of RCTs for treatment of adolescents with AN and adults with BN, there continues to be few systematic studies of treatment of BN in adolescents.

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