Eating &
Feeding
Disorder
Harith Vinoth. A
1st Msc Applied psychology
Table of Contents
01 02 03
Feeding and Eating
Types of disorders Dsm-5 criteria
Disorders
04 05 06
Symptoms Treatment Other disorders
Introduction
Feeding and Eating disorders are a
group or disorders characterized by a
persistent disturbance of eating or
related behaviors that results in an
altered consumption of food and/or
altered absorption of food. The
symptoms of these disorders lead to
significantly impair physical health
and psychosocial function.
DSM-V recognizes the following
disorders:
Pica – eating of nonnutritive, nonfood substances
Rumination Disorder – repeated regurgitation (re-chewed,
re-swallowed, or spit out)
Avoidant/Restrictive Food Intake Disorder
Anorexia Nervosa
Bulimia Nervosa
Binge-eating Disorder
PICA
A standard definition of pica, an eating disorder, is the persistent
consumption of nonnutritive items for at least one month during a
time when this behavior is developmentally inappropriate (for
example, between the ages of 18 and 24 months). More young
children than adults experience it.Between 10% and 32% of kids
between the ages of 1 and 6 engage in these behaviors.
Children with Pica may eat:
1. Animal feces
2. Clay
3. Dirt
4. Hairballs
5. Ice
6. Paint
7. Sand
RUMINATION DISORDER
The term rumination is derived from the Latin word ruminare,
which means to chew the cud. Rumination disorder is the
repeated regurgitation and re-chewing of food. With this
disorder, the child brings the partially digested food up into
the mouth and usually re-chews and re-swallows the food.
This regurgitation appears effortless, may be preceded by
a belching sensation, and typically does not involve retching
or nausea.
Symptoms
1. Repeated regurgitation of food
2. Repeated re-chewing of food
3. Weight loss
4. Bad breath and tooth decay
5. Repeated stomach aches and indigestion
6. Raw and chapped lips
Avoidant/Restrictive Food Intake
Disorder
DSM-V Criteria
A. An eating or feeding disturbance that manifests as persistent failure to
meet nutritional and/or energy needs with one or more of the following
• Significant weight loss – or failure to achieve expected weight gain
• Significant nutritional deficiency
• Dependence on enteral feeding or oral supplements
• Marked interference with psychosocial function
B. Not due to lack of food or culturally sanctioned practice
C. Does not occur exclusively during AN or BN, not related to disturbance in
body appearance or weight
D. Not attributable to medical condition or other mental disorder
Symptoms:
Weight loss or inability to gain weight
Constipation, abdominal pain, cold intolerance, lethargy
Dramatic restriction in types or amount of food eaten
Will only eat certain textures of food
Fears of choking or vomiting
Lack of appetite or interest in food
Anorexia
Nervosa
DSM-V Criteria
A. Restriction of energy intake relative to requirements , leading to
significantly low body weight in the context of age, sex, developmental
trajectory, and physical health.
B. Intense fear of gaining weight or of becoming fat , or persistent behavior
that interferes with weight gain, even though at a significantly low weight.
Symptoms
• Excessive exercise – despite illness, bad weather, injury
• Odd eating behaviors or rituals
• Hoards food in room
• Obsession with food, calories, carbs etc.
• Eats excessively slow
• Avoids family meals
• Prepares food for others but won’t eat
• Excessive interest in nutrition
Bulimia Nervosa
DSM-V Criteria
A. Recurrent episodes of binge eating. Binge eating is characterized by both:
1. Eating, in a discrete period of time (2-hour period), an amount of food that is definitely
larger than what
most would eat in that setting
2. A sense of lack of control overeating during the episode (feeling that one cannot stop
eating)
B. Recurrent inappropriate compensatory behaviors in order to prevent weight gain (self-
induced vomiting, misuse
of laxatives, diuretics, other medications, fasting, excessive exercise)
C. The binge-eating & inappropriate compensatory behaviors both occur, on average, at
least once/week for 3
months
D. Self-evaluation is unduly influenced by body shape and weight
E. The disturbance does not occur exclusively during episodes of AN
Symptoms
Do not eat regular meals
Often eats alone (conceal the binging)
Arrange complex schedules to accommodate binging/purging
Excessively exercise after binge, misuse laxatives or diuretics
Do not recognize satiety cues
Impulsive behaviors
Interpersonal problems
Low self-concept
Suicide Risk is elevated
Binge-Eating Disorder
Binge-eating disorder can occur in normal weight, overweight, and obese
individuals. It is associated with overweight and obesity but is distinct from
obesity
DSM-V Criteria:
A. Recurrent episodes of binge eating. An episode is characterized by both:
1. Eating, in a discrete period of time, an amount of food that is definitely larger
than what most eat in that
setting
2. A sense of lack of control overeating during the episode
B. The binge-eating episodes are associated with 3 or more of the following:
1. Eating more rapidly than normal
2. Eating until feeling uncomfortably full
3. Eating large amounts of food not hungry
4. Eating alone out of embarrassment
5. Feeling disgusted with self afterward
C. Marked distress regarding binge eating
D. Binging eating occurs on average at least once a week for 3 months
E. Not associated with compensatory behavior as in BN, does not occur
exclusively during BN or AN
Other disorders
Childhood on set Language disorder Social (pragmatic) Tourette’s disorder
fluency disorder communication
disorder
Childhood-Onset Fluency Language Disorder Social (Pragmatic) Tourette syndrome
Disorder (Stuttering) Communication Disorder (TS)
Standard fluency and Children have Social (pragmatic) communication Neurological disorder
rhythm of speech is problems. disorder (SCD or SPCD) is a that may cause sudden
interrupted, often causing Communication disorder where individuals have unwanted and
the repetition of whole disorders include difficulties with verbal and uncontrolled rapid and
words and syllables; may speech disorders and nonverbal social communication. repeated movements
also include the language disorders. or vocal sounds called
prolongation of words and Language disorders tics. TS is one of a
syllables, pauses within a are discussed in this group of disorders of
word, and/or the avoidance article. Some general the developing nervous
of pronouncing difficult guidelines are also system called tic
words and replacing them given. This will help disorders.
with easier words that the you decide if your child
individual is better able to needs to be evaluated
pronounce by a speech-language
pathologist.
Thank You
