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val | 22 | ig: @val_kitty

3 days ago

8:31

I think I feel sick. I woke up this morning elated. For once I wasn’t nauseated but now that what I know is true I feel some type of way. Two kids you don’t see.. will we ever be able to start some type of family? I don’t know anymore. I don’t know if you’re the right one for me. Everything about you is perfect but how could you make the same mistakes over again? And why hide them?

3 days ago

7:40 pm

I don’t know how I feel about what I just found out. I feel strange. I don’t know. It makes me wonder if you’re gonna be what I need. I feel so anxious and my chest is tight.

3 days ago
31 notes

pancake-fairie:

there are eating disorders besides bulimia and anorexia and they deserve awareness. here are some

binge eating disorder  

(recurrent episodes of eating large quantities of food in a short period of time, accompanied by distress or guilt; and not regularly using unhealthy compensatory measures [e.g., purging] to counter the binge eating).
  • Eating, in a discrete period of time an amount of food that is definitely larger than what most people would eat in a similar period of time under similar circumstances.
  • A sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating).
  • The binge eating episodes are associated with three (or more) of the following: 
    • Eating much more rapidly than normal.
    • Eating until feeling uncomfortably full.
    • Eating large amounts of food when not feeling physically hungry.
    • Eating alone because of feeling embarrassed by how much one is eating.
    • Feeling disgusted with oneself, depressed, or very guilty afterward.
  • Marked distress regarding binge eating is present.
  • The binge eating occurs, on average, at least once a week for 3 months.
  • The binge eating is not associated with the recurrent use of inappropriate compensatory behaviors as in bulimia nervosa and does not occur exclusively during the course of bulimia nervosa or anorexia nervosa.
  • BED can be diagnosed at any weight.

It is the most common eating disorder in the United States

x x x

otherwise specified eating disorder

-previously eating disorder not otherwise specific- 
(encompasses individuals who do not meet strict diagnostic criteria for other eating disorders but still have a significant eating disorder).
  • Atypical Anorexia Nervosa: All criteria are met, except despite significant weight loss, the individual’s weight is within or above the normal range.
  • Binge Eating Disorder : All of the criteria for BED are met, except at a lower frequency and/or for less than three months.
  • Bulimia Nervosa: All of the criteria for bulimia nervosa are met, except that the binge eating and inappropriate compensatory behavior occurs at a lower frequency and/or for less than three months.
  • Purging Disorder: Recurrent purging behavior to influence weight or shape in the absence of binge eating.
  • Night Eating Syndrome: Recurrent episodes of night eating. Eating after awakening from sleep, or by excessive food consumption after the evening meal. 
  • people with OSFED are just as likely to die as a result of their eating disorder as people with anorexia or bulimia
  • it was found that children hospitalized for OSFED had just as many medical complications as children hospitalized for anorexia nervosa

x x x x

avoidant restrictive food intake disorder 

(Involves limitations in the amount and/or types of food consumed. ARFID does not involve distress about body shape or size, or fears of fatness).
  • An eating or feeding disturbance as manifested by persistent failure to meet appropriate nutritional and/or energy needs associated with one (or more) of the following:
    • Significant weight loss (or failure to achieve expected weight gain or faltering growth in children).
    • Significant nutritional deficiency.
    • Dependence on enteral feeding or oral nutritional supplements.
    • Marked interference with psychosocial functioning
  • not due to lack of available food or or a culturally sanctioned practice.
  • does not occur exclusively during the course of anorexia nervosa or bulimia nervosa, and there is no evidence of a disturbance in the way in which one’s body weight or shape is experienced.
  • not attributable to a concurrent medical condition or not better explained by another mental disorder. 
  • People with autism spectrum conditions are much more likely to develop ARFID.
  • Many children with ARFID also have a co-occurring anxiety disorder.

x x x

pica

(involves eating items that are not typically thought of as food and that do not contain significant nutritional value, such as hair, dirt, and paint chips).
  • The persistent eating, over a period of at least one month, of substances that are not food and do not provide nutritional value.
  • The ingestion of the substance(s) is not a part of culturally supported or socially normative practice (e.g., some cultures promote eating clay as part of a medicinal practice).
  • The eating of these substances must be developmentally inappropriate. 
  • Generally, those with pica are not averse to ingesting food.
  • Iron-deficiency anemia and malnutrition are two of the most common causes of pica, followed by pregnancy. In these individuals, pica is a sign that the body is trying to correct a significant nutrient deficiency. Treating this deficiency with medication or vitamins often resolves the problems.

x x 

rumination disorder 

(Involves the regular regurgitation of food. When someone regurgitates their food, they do not appear to be making an effort, nor do they appear to be stressed, upset, or disgusted).
  • Repeated regurgitation of food for a period of at least one month. 
  • The repeated regurgitation is not due to a medication condition (e.g., gastrointestinal condition). Occurs without any sort of nausea or retching.
  • The behavior does not occur exclusively in the course of anorexia nervosa, bulimia nervosa, BED, or avoidant/restrictive food intake disorder.
  • If occurring in the presence of another mental disorder it is severe enough to warrant independent clinical attention.
  • appears to be a behavior that is calming and soothing to the person who experiences it.

x x x

dual diagnosis of eating disorder and diabetes mellitus type 1 (diabulimia).

(intentional misuse of insulin for weight control)
  • a person suffering from ED-DMT1 may have have other symptoms of bulimia, such as binge eating and self-induced vomiting.
  • Some individuals may only withhold insulin after they have binged as a method of purging. 
  • People suffering from ED-DMT1 may exhibit any number of eating disorder behaviors—or they may only manipulate their insulin and otherwise have relatively normal eating patterns. 

x x x