Oriogun validating an approach to examining cognitive


Of all the EDs, AN-R is the least compatible with SUDs since individuals with AN-R maintain the ability to consistently abstain, are less likely to exhibit cravings, and may not experience impaired behavioral control [), and for many of these patients the disorder is less “about the food” and more related to underlying psychological factors, i.e., irrational fears, distorted perceptions and beliefs (likely unrelated to food addiction), which varies from patient to patient.



FA has emerged as a clinical entity that is recognized within the spectrum of disordered eating, particularly in patients with bulimia nervosa, binge-eating disorder and/or co-occurring addictive disorders and obesity.Women with AN may engage in substances initially in an effort to lose weight, whereas women with BN may turn to drugs or alcohol to subdue bulimic urges [].The caloric contribution of alcoholic beverages may deter patients with AN from excessive use, although controlled and calculated consumption is not uncommon.BN results in altered reward sensitivity in the dopaminergic brain system, which may increase addictive potential [].

The DSM-5 now recognizes a purging disorder, which occurs in the absence of binge eating, suggesting that purging by itself can be a rewarding experience (also evidenced by AN-P).

While reduction of self-conflict (e.g., shame) is critical for ED recovery and the development of a sustainable relationship to food, the misinterpretation and misapplication of “moderation” can become counter-productive, particularly when there is addictive symptomatology.



Oriogun validating an approach to examining cognitive comments


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