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Check, check, check, check, check. I stand far away now.

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Check, check, check, check, check.

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Hello!

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Hello!

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How is it going?

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I feel like I ask that every time.

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How's it going?

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My name is Kenna.

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I'm Koelle.

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That was a baby dip.

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And welcome back to another episode of Diagnosing a Killer, the mental breakdown edition.

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So content warning, just before we do start this episode, I wanted to make sure that everyone

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was aware this episode includes a lot of talk about eating disorders and signs and symptoms,

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as well as treatment options for that.

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If that is something that is a sensitive topic for you or someone that you know,

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we encourage you to listen to one of our other mental breakdowns.

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And we have also included the number for a helpline you can call or text in the show notes

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if you want to utilize that resource as well.

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Thank you for joining us and we will see you in our next episode.

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I have a one that I didn't even think was.

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I feel like I can't hear myself at all.

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Really?

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Is this better?

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I don't know.

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I think this is better.

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Does it?

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I think it's better.

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Do you think that maybe like because you're on one side of the microphone,

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you're hearing like the left or the right?

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I don't know.

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And then you know, vice versa?

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I don't know.

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We still haven't figured this shit out.

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It's like how many episodes?

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One microphone.

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How long?

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We've been doing this for like a year and a half now.

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We still can't figure out how the fuck to make our microphone not sound weird.

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Well, it sounds fine every time we post it,

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but when we're actually recording and listening to it, it sounds weird.

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I feel like I was a little quiet on last time.

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Yeah.

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Was it the mental breakdown?

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I think one of them I sounded a little quiet.

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Oh, I never realized when it sounds differently.

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When I've ever it's posted, but I'm pretty noticed when we're actually recording.

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I'm pretty sure we recorded those episodes together though.

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So it was like, did we?

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Or were they different days?

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No, that was the same day, the last two mental breakdowns we recorded on the same day.

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Yeah, but the case, because it sounded different than the case,

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because I listened to the case.

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Oh, that was a different day.

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Yeah, the Gary, I was going to say Gary Sinise.

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No, not Gary Sinise.

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Gary Ridgway.

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Yeah, Gary Ridgway.

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Yes.

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Who is it?

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It's your son.

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I just wanted to tell you something.

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What's up?

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I need to change the calendar to February.

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February.

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Okay, go ahead and do that on your own.

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Okay.

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Okay.

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Love you.

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Love you.

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See you in a little bit.

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We'll go back down really quickly.

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This is going to be a short one.

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Yeah.

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Okay.

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Yeah.

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I'll be right back.

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Okay.

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Okay, back to the episode.

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We do this thing where we don't,

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like if something happens outside of us recording,

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we don't like stop the recording.

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We just let it go and then I'll just edit it out later.

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Yeah.

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Yeah, that was a real raw footage that I just heard.

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But yeah, I hope everyone liked the Gary Ridgway episode.

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I was really excited about that one.

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It was a lot, but I think that we got a lot of really good

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positive feedback from it.

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A lot of Instagram messages and stuff.

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So that was really great.

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We're getting up there.

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We have like a little over 300 followers on Instagram.

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Yay.

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I was like, that's pretty cool.

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And that's why it sounds so quiet.

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Yeah.

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The computer was turned on.

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So yeah, that's pretty cool.

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And I'm looking forward to continuing to put content out for you guys.

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I have another Instagram post comment I'd like to read.

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I'm reading off of the Instagram post comments

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because no one's emailing us.

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So email us.

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Email.

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Use the email.

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So on the Gary Ridgway episode, we posted on Instagram,

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someone commented, new fan of the podcast,

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such an informative episode.

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I actually got a chance to speak with the FBI

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profiler, Mario Tool, that spoke to Ridgway herself

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to try to get him to confess.

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Amazing work.

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Keep the cases coming.

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So that's really, really interesting.

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That's awesome.

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Yeah, we're able to...

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I was like, DMS, give us all that info.

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Like we want to know.

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So if you're listening, go ahead and DMS if you want.

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I want to hear all about the conversation that you had with her.

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If anybody else out there has an interesting

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perspective from a case, or if you were closely related to a case,

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or you know of a case, or you know somebody who knows a case,

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email us.

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Yeah, let us know.

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Give us that information.

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I'd like to maybe do an episode or two where we comment on people's emails

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and stuff and we read them and we kind of just go through personal stories.

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Like that would be cool.

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That would be cool.

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Just personal brushes with anybody that has come in contact with any of these cases.

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So that being said, this is a mental breakdown episode,

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so we're going to talk about a mental breakdown.

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And I chose actually this week to do eating disorders as my mental breakdown.

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So when I was thinking about it, I was like, you know, eating of course is in the name.

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But actually eating disorders are in the DSM-5 and they are considered mental health conditions.

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So in the United States alone, there's an estimated 28 million Americans that have reported to have

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or have had an eating disorder at some point in their life.

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There is treatment for things like this as well.

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So this is have or have had people that have sought treatment and stuff like that.

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And of course age range is a thing as well when it comes into this.

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We are going to talk about the six most common eating disorders.

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Okay.

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Just as just straight out of the DSM.

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Eating disorders are a range of psychological conditions that cause unhealthy eating habits to develop.

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They might start with an obsession with food, body weight, or body shape.

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In severe cases, eating disorders can cause serious health consequences

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and even may result in death if left untreated.

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I know.

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That's scary.

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I know.

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That's scary.

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In fact, eating disorders are among the deadliest mental illnesses second to opioid use.

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I believe it.

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Yeah.

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I'm pretty good.

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That was or opioid overdose.

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Corrected.

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Correction.

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But yeah, I saw that and I was like, dang, that's really prevalent.

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Like I didn't realize how much it affects, you know, a lot of people, especially women.

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Then I'm sure in America, which I'm sure you're going to get to all those statistics as well.

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Now, experts believe that a variety of factors may contribute to eating disorders,

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one being genetics, actually.

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So people who have like a sibling or a parent with an eating disorder actually seemed to be at increased risk to developing one themselves.

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Interesting.

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Because of course you relate closely with those people in your life.

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Yeah.

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Personality traits are another factor.

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A couple of things that are often linked to a higher risk of developing an eating disorder are neuroticism, perfectionism, and impulsivity.

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You know, I don't think it's Scott Peterson, but there's another, maybe it was Chris Watts that struggled with eating disorders.

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Oh really?

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Like a male who was narcissistic.

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Yeah, I thought it was Raymond Fernandez.

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I don't know if I knew anything about him being a...

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Oh, I just know he's like all about image and stuff like he was, so maybe that's why I was...

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Yeah, he did wear a toupee.

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Well, I don't know.

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It's not the same.

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It's not the same thing. I'm not saying.

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Your eye roll was really distinct.

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Yeah, but I just, I know that he was very thin, but that probably doesn't have to do with an eating disorder.

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It mostly had to do with like his hermitism.

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Like he was like a hermit in the house and stuff.

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Yeah, but I'm pretty sure it was either, like I said, Scott Peterson or Chris Watts or one of those guys who was like the ultimate narcissist.

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Yeah.

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And he struggled with an eating disorder.

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Yeah, I believe it, honestly.

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Now, other potential causes, I'm sure that this is kind of a given is exposure to like social media or promoting ideas that you have to look a certain way.

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Even cultural ideas are also included in that, which is, I didn't, I was surprised to read that.

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So preference for thinness or, you know, preferences for being, you know, heavier, because in some cultures,

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if you are heavier, then that means that you're wealthy, because you can afford to.

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Right, you're wealthier, you're healthier, you can provide.

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Yeah, exactly.

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Also, more recently, experts have proposed that differences in brain structure and biology may also play a role in the development of eating disorders,

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which I thought that was interesting.

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This being the case, levels of the brain messaging chemicals like serotonin and dopamine maybe factors as well.

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This is just new studies that they're trying to like that you get like dopamine from overeating, like eating in abundance.

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Like you get the, yeah, you get that reaction.

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Interesting.

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So the first type of eating disorder that I would like to speak on is anorexia nervosa.

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This is likely the most well-known eating disorder.

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It generally develops during adolescence or young adulthood, and it tends to affect more women than men.

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People with anorexia generally view themselves as overweight, even though they are usually underweight.

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They tend to constantly monitor their weight and avoid eating certain types of food, severely restricting calorie intake in some instances as well.

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Common symptoms include a very restricted eating pattern, an intense fear of gaining weight or persistent behaviors to avoid gaining weight,

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a relentless pursuit of fitness and unwillingness to maintain a healthy weight,

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a distorted body image including denial of being seriously underweight, and a heavy influence of body weight or perceived body shape on self-esteem.

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Again, this is all straight out of the DSM.

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Assessive compulsive symptoms are also present in people that have anorexia nervosa. For instance, many people are preoccupied with constant thoughts about food,

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and some may obsessively collect recipes or even hoard food.

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Interesting.

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I didn't know that. I thought that was interesting.

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I find that, yeah, especially the hoarding food, I find that interesting.

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Yeah.

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But is it just like, I'm going to eat it later? More like, hanging on to leftovers too long?

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Yeah, maybe. Or, I mean, I'll get into the different types actually.

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So it's officially categorized into two subtypes, the restricting type and then the binge eating and purging type.

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Okay.

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Individuals with restricting type lose weight solely through dieting, fasting, or extensive exercise,

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and individuals with the binge eating and purging type may binge on large amounts of food or eat very little.

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So it's both, kind of.

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So that would, may explain the hoarding because they're going to, in the privacy of wherever, you know, consume a large amount of food.

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Yeah, OICIC, okay.

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In both cases, after they eat, they purge using activities such as vomiting, taking laxatives, or diuretics, or excessively exercising.

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It can be very damaging to the body, of course.

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And over time, individuals living with anorexia nervosa may experience thinning of their bones,

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infertility, and brittle hair and nails.

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In severe cases, it can result in heart, brain, or multi-organ failure and death.

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Oh my gosh.

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I know, it's a lot. It's really hard to listen to and it's really serious, you know.

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That was number one.

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We're going to move on to number two.

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So number two is bulimia nervosa.

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I'm sure this is the most common heard one as well.

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Like anorexia, bulimia tends to develop during adolescence and early adulthood and appears to be less common among men than women.

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People with bulimia frequently eat unusually large amounts of food in a specific period of time.

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Each binge eating episode usually continues until the person becomes painfully full.

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Now this is not every case, of course, but...

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on average.

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During a binge, the person usually feels like they cannot stop eating or control how much they are eating.

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Now, binges can happen with any type of food, but most commonly occur with foods that the individual would usually avoid.

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So almost like sweets or guilt, maybe like a cheat day food or something like that.

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Yeah, like fast food or...

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Okay.

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Now, individuals with bulimia then attempt to purge, to compensate for the calories consumed and to relieve the discomfort in their stomach.

247
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Common purging behaviors include forced vomiting, fast acting laxatives, diuretics, enemas, and even excessive exercise, like I said earlier.

248
00:11:56,880 --> 00:12:02,880
Symptoms may appear very similar to those of the binge eating or purging subtypes of anorexia nervosa.

249
00:12:02,880 --> 00:12:08,880
However, individuals with bulimia usually maintain a relatively typical weight rather than losing a large amount of weight.

250
00:12:08,880 --> 00:12:14,880
So, is it... do you think that it's more of the satisfaction of eating the foods that they prefer?

251
00:12:14,880 --> 00:12:18,880
The satisfaction of eating the foods that they feel guilty about consuming?

252
00:12:18,880 --> 00:12:19,880
Yeah, I think it's...

253
00:12:19,880 --> 00:12:23,880
It's not necessarily like about like a body dysmorphic situation.

254
00:12:23,880 --> 00:12:32,880
Yeah, I think it's... I think it almost comes with like the guilt of eating so much or eating the food that you would typically avoid, like it said.

255
00:12:32,880 --> 00:12:34,880
So that's where the purging comes in.

256
00:12:34,880 --> 00:12:37,880
It's because, oh crap, like what have I done kind of.

257
00:12:37,880 --> 00:12:43,880
Now, common symptoms of bulimia nervosa include recurrent episodes of binge eating with a feeling of lack of control,

258
00:12:43,880 --> 00:12:50,880
self-esteem overly influenced by body shape and weight, a fear of gaining weight despite having a typical weight,

259
00:12:50,880 --> 00:12:55,880
and recurrent episodes of inappropriate purging behaviors to prevent weight gain.

260
00:12:55,880 --> 00:13:02,880
Now, side effects of bulimia may include an inflamed and sore throat, swollen salivary glands,

261
00:13:02,880 --> 00:13:12,880
severe dehydration, irritation of the gut, worn tooth enamel, tooth decay, acid reflux, and hormonal disturbances.

262
00:13:12,880 --> 00:13:14,880
And it makes sense with the...

263
00:13:14,880 --> 00:13:15,880
Yeah, right.

264
00:13:15,880 --> 00:13:16,880
Yeah.

265
00:13:16,880 --> 00:13:19,880
Well, that could eventually lead to like esophageal cancer.

266
00:13:19,880 --> 00:13:20,880
It really can.

267
00:13:20,880 --> 00:13:21,880
With all of that acid.

268
00:13:21,880 --> 00:13:22,880
Yeah.

269
00:13:22,880 --> 00:13:23,880
Yeah.

270
00:13:23,880 --> 00:13:30,880
In severe cases, bulimia can also create an imbalance in levels of electrolytes such as sodium, potassium, and calcium,

271
00:13:30,880 --> 00:13:32,880
which can actually cause a stroke or a heart attack.

272
00:13:32,880 --> 00:13:36,880
So it messes up your balance, like your chemical balance in your body.

273
00:13:36,880 --> 00:13:38,880
Now, that is number two.

274
00:13:38,880 --> 00:13:40,880
Number two.

275
00:13:40,880 --> 00:13:42,880
Number three is binge eating disorder.

276
00:13:42,880 --> 00:13:47,880
So kind of similar, but not the same thing as bulimia nervosa.

277
00:13:47,880 --> 00:13:53,880
This is actually the most prevalent form of eating disorder and one of the most common chronic illnesses among adolescents.

278
00:13:53,880 --> 00:13:54,880
Interesting.

279
00:13:54,880 --> 00:13:59,880
It typically begins during adolescence and early adulthood, although it can develop later on.

280
00:13:59,880 --> 00:14:06,880
Individuals at this disorder have symptoms similar to those of bulimia, again, or the binge eating type of anorexia.

281
00:14:06,880 --> 00:14:14,880
So for instance, they typically eat unusually large amounts of food in relatively short periods of time and feel a lack of control, similarly to bulimia.

282
00:14:14,880 --> 00:14:22,880
But people with binge eating disorder do not restrict calories or use purging behaviors such as vomiting or excessive exercise to compensate.

283
00:14:22,880 --> 00:14:30,880
So common symptoms of this disorder include eating large amounts of food rapidly in secret and until uncomfortably full, despite not feeling hungry.

284
00:14:30,880 --> 00:14:34,880
No use of purging behaviors such as calorie restriction.

285
00:14:34,880 --> 00:14:42,880
Feeling a lack of control during episodes of binge eating and feelings of distress such as shame, disgust, or guilt when thinking about the behavior.

286
00:14:42,880 --> 00:14:47,880
So again, similar to bulimia, but there's no purging at the end.

287
00:14:47,880 --> 00:14:53,880
People with binge eating disorder often consume an excessive amount of food and may not make nutritious food choices.

288
00:14:53,880 --> 00:14:59,880
This may increase their risk of medical complications such as heart disease, stroke, and type two diabetes.

289
00:14:59,880 --> 00:15:01,880
Now, number four.

290
00:15:01,880 --> 00:15:03,880
Number four is called pica.

291
00:15:03,880 --> 00:15:05,880
Oh, pica.

292
00:15:05,880 --> 00:15:06,880
You've heard of pica.

293
00:15:06,880 --> 00:15:07,880
Interesting.

294
00:15:07,880 --> 00:15:13,880
So pica is an eating disorder that involves eating things that are not considered food and do not provide nutritional value.

295
00:15:13,880 --> 00:15:16,880
Like tum tum from Green Nenjas.

296
00:15:16,880 --> 00:15:17,880
True.

297
00:15:17,880 --> 00:15:23,880
Individuals with pica crave non-food substances such as ice, dirt.

298
00:15:23,880 --> 00:15:27,880
Ice is food according to the FDA, by the way.

299
00:15:27,880 --> 00:15:28,880
It's ice.

300
00:15:28,880 --> 00:15:30,880
But I guess it's like all you consume.

301
00:15:30,880 --> 00:15:31,880
That's true.

302
00:15:31,880 --> 00:15:33,880
That's very unhealthy.

303
00:15:33,880 --> 00:15:36,880
But literally, the FDA has the slogan like ice is food or whatever.

304
00:15:36,880 --> 00:15:37,880
Ice is food.

305
00:15:37,880 --> 00:15:41,880
Because it has to go through certain health requirements before it gets processed or whatever.

306
00:15:41,880 --> 00:15:42,880
Oh, I see.

307
00:15:42,880 --> 00:15:45,880
Sorry, did you just explain to me what the FDA was?

308
00:15:45,880 --> 00:15:50,880
No, they're saying that there wasn't proper regulations going into the way ice is being transmitted.

309
00:15:50,880 --> 00:15:51,880
Oh, I see.

310
00:15:51,880 --> 00:15:52,880
So they started putting it on ice.

311
00:15:52,880 --> 00:15:53,880
I see.

312
00:15:53,880 --> 00:15:54,880
Rather than just food.

313
00:15:54,880 --> 00:15:55,880
They were like, ice is food.

314
00:15:55,880 --> 00:15:56,880
Ice is food.

315
00:15:56,880 --> 00:15:57,880
They treated it the same.

316
00:15:57,880 --> 00:15:58,880
Okay, fair.

317
00:15:58,880 --> 00:15:59,880
Fair.

318
00:15:59,880 --> 00:16:03,880
I was like, did you just woman-splain the FDA to me?

319
00:16:03,880 --> 00:16:04,880
No, I didn't.

320
00:16:04,880 --> 00:16:12,880
So individuals with pica crave non-food substances such as ice, dirt, soil, chalk, soap, paper,

321
00:16:12,880 --> 00:16:17,880
hair, cloth, wool, pebbles, laundry detergent, or cornstarch.

322
00:16:17,880 --> 00:16:19,880
Those are the most common.

323
00:16:19,880 --> 00:16:20,880
I know.

324
00:16:20,880 --> 00:16:24,880
That was a long list of things that were definitely not food.

325
00:16:24,880 --> 00:16:25,880
Yeah.

326
00:16:25,880 --> 00:16:27,880
Pica can occur in adults, children, and adolescents.

327
00:16:27,880 --> 00:16:31,880
It's most frequently seen in individuals with conditions that affect daily functioning,

328
00:16:31,880 --> 00:16:36,880
including intellectual disabilities, developmental conditions such as autism spectrum disorder,

329
00:16:36,880 --> 00:16:39,880
and mental health conditions such as schizophrenia.

330
00:16:39,880 --> 00:16:40,880
Interesting.

331
00:16:40,880 --> 00:16:42,880
Yeah, I thought that was interesting as well when I read it.

332
00:16:42,880 --> 00:16:48,880
Now, individuals with pica may be at increased risk of poisoning, infections, gut injuries,

333
00:16:48,880 --> 00:16:49,880
and nutritional deficiencies.

334
00:16:49,880 --> 00:16:52,880
Yeah, I bet you're going to the hospital regularly.

335
00:16:52,880 --> 00:16:53,880
Yeah, absolutely.

336
00:16:53,880 --> 00:16:58,880
That's got to be scary too if someone in your family is dealing with that.

337
00:16:58,880 --> 00:17:04,880
Because how do you maintain, how do you constantly watch someone to make sure that they're not

338
00:17:04,880 --> 00:17:07,880
eating 24-7 you'd have to?

339
00:17:07,880 --> 00:17:08,880
They're close.

340
00:17:08,880 --> 00:17:09,880
Yeah.

341
00:17:09,880 --> 00:17:13,880
Depending on the substances ingested, pica may be fatal.

342
00:17:13,880 --> 00:17:17,880
However, for the condition to be considered pica, the eating of non-food substances

343
00:17:17,880 --> 00:17:20,880
must not be a typical part of someone's culture or religion.

344
00:17:20,880 --> 00:17:24,880
In addition, it must not be considered a socially acceptable practice by a person's peers.

345
00:17:24,880 --> 00:17:27,880
Like if it's a cool thing to do, then it's not pica.

346
00:17:27,880 --> 00:17:29,880
It's just like the tide pods.

347
00:17:29,880 --> 00:17:31,880
Oh my gosh.

348
00:17:31,880 --> 00:17:32,880
Yeah.

349
00:17:32,880 --> 00:17:33,880
Number five.

350
00:17:33,880 --> 00:17:37,880
I like how the DSM-5 was like, but the tide pods are fine.

351
00:17:37,880 --> 00:17:38,880
Yeah.

352
00:17:38,880 --> 00:17:40,880
As long as there's a revolution happening.

353
00:17:40,880 --> 00:17:42,880
As long as your friends think you're cool.

354
00:17:42,880 --> 00:17:44,880
As long as it's for awareness.

355
00:17:44,880 --> 00:17:46,880
As long as it's for the gram.

356
00:17:46,880 --> 00:17:50,880
As long as it's for the gram, for the tiktok.

357
00:17:50,880 --> 00:17:54,880
Now, number five is rumination disorder.

358
00:17:54,880 --> 00:17:56,880
I've actually never heard of this before.

359
00:17:56,880 --> 00:17:57,880
Rumination disorder.

360
00:17:57,880 --> 00:17:58,880
That sounds very familiar.

361
00:17:58,880 --> 00:17:59,880
I don't know why though.

362
00:17:59,880 --> 00:18:00,880
Yeah.

363
00:18:00,880 --> 00:18:01,880
Content warning.

364
00:18:01,880 --> 00:18:03,880
This is a little hard to hear.

365
00:18:03,880 --> 00:18:09,880
Describes a condition in which a person regurgitates food that they have previously chewed and

366
00:18:09,880 --> 00:18:14,880
swallowed, then re-choose it and then either re-swallows it or spits it out.

367
00:18:14,880 --> 00:18:15,880
Like a baby bird.

368
00:18:15,880 --> 00:18:16,880
It's baby bird syndrome.

369
00:18:16,880 --> 00:18:17,880
Baby bird syndrome.

370
00:18:17,880 --> 00:18:18,880
Is it?

371
00:18:18,880 --> 00:18:19,880
Is it the nickname?

372
00:18:19,880 --> 00:18:20,880
No.

373
00:18:20,880 --> 00:18:21,880
Probably.

374
00:18:21,880 --> 00:18:22,880
Baby bird syndrome.

375
00:18:22,880 --> 00:18:24,880
I mean, it could be probably nicknamed baby bird syndrome, obviously.

376
00:18:24,880 --> 00:18:25,880
Yeah.

377
00:18:25,880 --> 00:18:26,880
I wouldn't, I wouldn't.

378
00:18:26,880 --> 00:18:27,880
Oh, that did things to my stomach.

379
00:18:27,880 --> 00:18:28,880
I know.

380
00:18:28,880 --> 00:18:32,880
Now, this rumination typically occurs within the first 30 minutes after a meal.

381
00:18:32,880 --> 00:18:37,880
It's not that they're chewing it and then spitting it out and then chewing it again and then

382
00:18:37,880 --> 00:18:38,880
swallowing it.

383
00:18:38,880 --> 00:18:41,880
It's they're swallowing it and then regurgitating it.

384
00:18:41,880 --> 00:18:42,880
Yeah.

385
00:18:42,880 --> 00:18:43,880
And then eating it.

386
00:18:43,880 --> 00:18:45,880
Yeah, that's such a sensitive stomach.

387
00:18:45,880 --> 00:18:46,880
Sorry.

388
00:18:46,880 --> 00:18:48,880
I'll have to repeat that to you.

389
00:18:48,880 --> 00:18:50,880
I just wanted to make sure I got it.

390
00:18:50,880 --> 00:18:51,880
Yeah.

391
00:18:51,880 --> 00:18:53,880
Because like, that's intense.

392
00:18:53,880 --> 00:18:55,880
Yeah, no, for sure.

393
00:18:55,880 --> 00:18:59,880
This disorder can develop during infancy, childhood or adulthood.

394
00:18:59,880 --> 00:19:04,880
In infants, it tends to develop between three to 12 months of age and often disappears on

395
00:19:04,880 --> 00:19:05,880
its own.

396
00:19:05,880 --> 00:19:09,880
They're just figuring out how to chew and swallow and then, you know, keep it down.

397
00:19:09,880 --> 00:19:17,880
Asofa guys are just so tiny because like with my son, I remember he had this kind of terrible

398
00:19:17,880 --> 00:19:20,880
cough and I had just got done feeding him.

399
00:19:20,880 --> 00:19:23,880
I was either about to get in the shower or had just gotten out of the shower.

400
00:19:23,880 --> 00:19:25,880
I couldn't remember, but I remember standing.

401
00:19:25,880 --> 00:19:27,880
I was standing close to the bathroom and he coughed.

402
00:19:27,880 --> 00:19:32,880
I mean, when he coughed, he just threw all of his milk like in my mouth, like all down

403
00:19:32,880 --> 00:19:33,880
my shirt, like everything.

404
00:19:33,880 --> 00:19:38,880
And I was like, oh my gosh, well, it happened like three times when he had this cough.

405
00:19:38,880 --> 00:19:42,880
Me and Justin took him to the pediatrician and the doctor was like, no, it's very common

406
00:19:42,880 --> 00:19:45,880
in babies that they spit up or they, because they're esophagus.

407
00:19:45,880 --> 00:19:46,880
They're so, so small.

408
00:19:46,880 --> 00:19:47,880
So it's male.

409
00:19:47,880 --> 00:19:54,880
So I'm interested that I'm not interested, but that is interesting that it can occur

410
00:19:54,880 --> 00:19:55,880
between six to 12 months, he said.

411
00:19:55,880 --> 00:19:56,880
Three to 12 months.

412
00:19:56,880 --> 00:19:57,880
Three to 12 months.

413
00:19:57,880 --> 00:19:58,880
Yeah.

414
00:19:58,880 --> 00:20:00,880
So and then it usually disappears.

415
00:20:00,880 --> 00:20:04,880
So what I was going to say next is that children and adults with the condition actually usually

416
00:20:04,880 --> 00:20:06,880
require therapy to resolve it.

417
00:20:06,880 --> 00:20:07,880
Interesting.

418
00:20:07,880 --> 00:20:10,880
So it's not resolved in infants on its own.

419
00:20:10,880 --> 00:20:15,880
Rumination disorder can result in weight loss and severe malnutrition that can be fatal.

420
00:20:15,880 --> 00:20:22,880
I'm assuming because maybe when your food is chewed to a point of kind of mush, it kind

421
00:20:22,880 --> 00:20:27,880
of gets rid of some of the nutrition or it gets chewed and then splow rather than ingested.

422
00:20:27,880 --> 00:20:29,880
Rather than ingested completely.

423
00:20:29,880 --> 00:20:30,880
Yeah.

424
00:20:30,880 --> 00:20:34,880
Adults with this disorder may restrict the amount of food that they eat, especially in

425
00:20:34,880 --> 00:20:35,880
public.

426
00:20:35,880 --> 00:20:36,880
This may lead them to lose weight and become underweight.

427
00:20:36,880 --> 00:20:42,880
When your body processes food that is like whole foods, you're actually burning more

428
00:20:42,880 --> 00:20:46,880
calories than if you were to just juice all your vegetables and fruit and stuff.

429
00:20:46,880 --> 00:20:48,880
So that kind of makes more sense.

430
00:20:48,880 --> 00:20:49,880
Yeah.

431
00:20:49,880 --> 00:20:53,880
That maybe like they're still losing a lot of weight because their body is not working

432
00:20:53,880 --> 00:20:54,880
to breaking that food down.

433
00:20:54,880 --> 00:20:55,880
It's already broken down.

434
00:20:55,880 --> 00:20:56,880
Yeah, definitely.

435
00:20:56,880 --> 00:21:04,880
Now, number six is avoidant slash restrictive food intake disorder or ARFID.

436
00:21:04,880 --> 00:21:09,880
The term has replaced the term feeding disorder of infancy and early childhood.

437
00:21:09,880 --> 00:21:12,880
So a little bit of a shorter name.

438
00:21:12,880 --> 00:21:14,880
Yeah, feeding disorder is a little.

439
00:21:14,880 --> 00:21:15,880
Yeah.

440
00:21:15,880 --> 00:21:19,880
This was a diagnosis previously reserved for children under age seven.

441
00:21:19,880 --> 00:21:22,880
It's no longer a correct diagnosis.

442
00:21:22,880 --> 00:21:26,880
Individuals with this disorder experience disturbed eating due to either lack of interest in eating

443
00:21:26,880 --> 00:21:32,880
or a distaste for certain smells, tastes, colors, textures or temperatures.

444
00:21:32,880 --> 00:21:37,880
Common symptoms of ARFID include avoidance or restriction of food intake that prevents

445
00:21:37,880 --> 00:21:42,880
the person from eating enough calories or nutrients, weight loss or poor development for heightened

446
00:21:42,880 --> 00:21:47,880
age, eating habits that interfere with typical social functions such as eating with others,

447
00:21:47,880 --> 00:21:52,880
and nutritional deficiencies or dependence on substances or supplements or tube feeding.

448
00:21:52,880 --> 00:21:56,880
It's important to note that ARFID goes beyond common behaviors such as like being a picky

449
00:21:56,880 --> 00:22:02,880
eater or toddlers and lower food intake, you know, because they don't eat as much.

450
00:22:02,880 --> 00:22:06,880
Moreover, it does not include the avoidance or restriction of foods due to lack of availability

451
00:22:06,880 --> 00:22:08,880
or religious or cultural practices.

452
00:22:08,880 --> 00:22:11,880
So it's a really specific disorder.

453
00:22:11,880 --> 00:22:13,880
So I just peppered two in here.

454
00:22:13,880 --> 00:22:15,880
I don't have a lot of info on them, but.

455
00:22:15,880 --> 00:22:16,880
I'm allergic to pepper.

456
00:22:16,880 --> 00:22:17,880
Yeah.

457
00:22:17,880 --> 00:22:19,880
So number seven is purging disorder.

458
00:22:19,880 --> 00:22:23,880
Individuals with purging disorder often use purging behaviors like I said earlier.

459
00:22:23,880 --> 00:22:25,880
However, they do not binge eat.

460
00:22:25,880 --> 00:22:28,880
So it's a little opposite of binge eating disorder.

461
00:22:28,880 --> 00:22:29,880
Oh, so it's without the binge.

462
00:22:29,880 --> 00:22:30,880
Okay.

463
00:22:30,880 --> 00:22:31,880
Without the binge, just purge.

464
00:22:31,880 --> 00:22:32,880
Yes.

465
00:22:32,880 --> 00:22:34,880
And then number eight is night eating syndrome.

466
00:22:34,880 --> 00:22:36,880
Of course, it is what it sounds like.

467
00:22:36,880 --> 00:22:40,880
Individuals with this syndrome frequently eat excessively at night, often after waking from

468
00:22:40,880 --> 00:22:41,880
sleep.

469
00:22:41,880 --> 00:22:42,880
Like you just get up and you go down.

470
00:22:42,880 --> 00:22:44,880
It's like a midnight snack to the extreme.

471
00:22:44,880 --> 00:22:45,880
She eat a lot.

472
00:22:45,880 --> 00:22:50,880
I actually heard some interviews of people that had night eating syndrome and they, the

473
00:22:50,880 --> 00:22:54,880
person in the specific interview that I listened to was like so upset because she was gaining

474
00:22:54,880 --> 00:22:57,880
all this weight and she wasn't even realized that she was doing it because she was like

475
00:22:57,880 --> 00:22:58,880
sleep eating.

476
00:22:58,880 --> 00:22:59,880
Sleep eating.

477
00:22:59,880 --> 00:23:00,880
Yeah.

478
00:23:00,880 --> 00:23:03,880
Like she wasn't even aware of how much she was eating like at night and she's like, I

479
00:23:03,880 --> 00:23:07,880
don't even remember doing this and now I'm like gaining all this weight because I'm eating

480
00:23:07,880 --> 00:23:08,880
so much at night.

481
00:23:08,880 --> 00:23:09,880
That's so interesting.

482
00:23:09,880 --> 00:23:10,880
Yeah.

483
00:23:10,880 --> 00:23:13,080
Cause you usually think that it's going to be like sleepwalking, like talking and maybe

484
00:23:13,080 --> 00:23:16,880
like sleep, sleep eating might be in there with sleepwalking somewhere.

485
00:23:16,880 --> 00:23:17,880
Yeah.

486
00:23:17,880 --> 00:23:20,880
But that's interesting that it's like a separate diagnosis.

487
00:23:20,880 --> 00:23:25,880
Eating disorder treatment plans are specifically tailored to each person and may include a combination

488
00:23:25,880 --> 00:23:27,880
of multiple therapies.

489
00:23:27,880 --> 00:23:31,880
Treatment will usually involve talk therapy as well as regular health checks with a physician.

490
00:23:31,880 --> 00:23:36,880
Now it's important to seek treatment early for eating disorders as the risk of medical

491
00:23:36,880 --> 00:23:40,880
complications and actually suicide are very high in comorbidity.

492
00:23:40,880 --> 00:23:41,880
Yeah.

493
00:23:41,880 --> 00:23:43,880
The comorbidity drug abuse, right?

494
00:23:43,880 --> 00:23:44,880
Yeah.

495
00:23:44,880 --> 00:23:46,880
I'm sure it's on there or drug usage rather.

496
00:23:46,880 --> 00:23:47,880
Yeah.

497
00:23:47,880 --> 00:23:51,880
So I have a list of comorbidities, but I guarantee that's on there.

498
00:23:51,880 --> 00:23:56,880
Now treatment options include individual group or family psychotherapy.

499
00:23:56,880 --> 00:23:58,880
This is also cognitive behavioral therapy.

500
00:23:58,880 --> 00:24:02,880
This may be recommended to help reduce or eliminate disordered behaviors such as binge eating,

501
00:24:02,880 --> 00:24:04,880
purging and restricting.

502
00:24:04,880 --> 00:24:10,880
CBT involves learning on how to recognize and change distorted or unhelpful thought patterns.

503
00:24:10,880 --> 00:24:12,880
Now medications can also be treatment.

504
00:24:12,880 --> 00:24:16,880
A doctor may recommend treatment with medications such as antidepressants, antipsychotics or

505
00:24:16,880 --> 00:24:20,880
mood stabilizers to help treat an eating disorder or other conditions that may occur at the

506
00:24:20,880 --> 00:24:23,880
same time such as depression or anxiety.

507
00:24:23,880 --> 00:24:25,880
Again, comorbidity.

508
00:24:25,880 --> 00:24:28,880
And lastly, nutritional counseling is actually common treatment.

509
00:24:28,880 --> 00:24:31,880
This involves working with a dietician to learn proper nutrition and eating habits.

510
00:24:31,880 --> 00:24:35,880
It may also involve restoring or managing a person's weight if they have experienced

511
00:24:35,880 --> 00:24:37,880
significant weight changes.

512
00:24:37,880 --> 00:24:41,880
Studies suggest that combining nutritional therapy with cognitive therapy may significantly

513
00:24:41,880 --> 00:24:44,880
improve treatment outcomes.

514
00:24:44,880 --> 00:24:46,880
Now that's all I have.

515
00:24:46,880 --> 00:24:48,880
I wanted to include as well.

516
00:24:48,880 --> 00:24:53,880
If you or someone that you know is struggling or potentially struggling with an eating disorder,

517
00:24:53,880 --> 00:24:57,880
you can contact the National Eating Disorder Association Helpline for support, resources,

518
00:24:57,880 --> 00:25:00,880
and treatment options for yourself or someone that you know.

519
00:25:00,880 --> 00:25:08,880
To contact, you call 1-800-931-2237 and you can actually text that number as well.

520
00:25:08,880 --> 00:25:10,880
Yeah, that was my mental breakdown.

521
00:25:10,880 --> 00:25:12,880
Thank you for bringing that.

522
00:25:12,880 --> 00:25:18,880
That does take a lot of courage to bring a topic like this just because it is a sensitive

523
00:25:18,880 --> 00:25:20,880
topic for a lot of people.

524
00:25:20,880 --> 00:25:25,880
And again, with the comorbidity, like you said, it can also be accompanied with drug usage

525
00:25:25,880 --> 00:25:27,880
and stuff like that.

526
00:25:27,880 --> 00:25:31,880
So sometimes when you see someone that might be struggling with drug abuse or drug addiction,

527
00:25:31,880 --> 00:25:35,880
drug usage, there might be something underlying there as well that they're also trying to

528
00:25:35,880 --> 00:25:37,880
treat through that usage.

529
00:25:37,880 --> 00:25:44,880
And so of course, we would rather you reach out to the hotline, the helpline, or seek

530
00:25:44,880 --> 00:25:50,880
treatment for that versus potentially damaging your body further, especially if you're not

531
00:25:50,880 --> 00:25:57,880
getting the nutrients that you require or if you have things like from overeating, like

532
00:25:57,880 --> 00:26:02,880
having high blood pressure and things like that as well, that can also just compound.

533
00:26:02,880 --> 00:26:05,880
So yeah, first you'll reach out to that helpline.

534
00:26:05,880 --> 00:26:09,880
But thank you for bringing the topic because I feel like it's really tough to talk about.

535
00:26:09,880 --> 00:26:11,880
I feel like it's an interesting thing to talk about.

536
00:26:11,880 --> 00:26:15,880
And I feel like there's not a whole lot of awareness around it either.

537
00:26:15,880 --> 00:26:21,880
I feel like people are more willing to judge based off of someone's look than actually

538
00:26:21,880 --> 00:26:23,880
question whether or not they have a disorder.

539
00:26:23,880 --> 00:26:24,880
Of course.

540
00:26:24,880 --> 00:26:25,880
And like, yeah, you're right.

541
00:26:25,880 --> 00:26:28,880
Like it's definitely a different topic than we've brought in the past.

542
00:26:28,880 --> 00:26:33,880
And it was something that I was a little, you know, nervous to bring, but I'm nervous in

543
00:26:33,880 --> 00:26:36,880
the best way because I want to raise awareness, you know, as well.

544
00:26:36,880 --> 00:26:39,880
But I definitely don't want to upset or offend anybody.

545
00:26:39,880 --> 00:26:41,880
But yeah, that was what I brought for today.

546
00:26:41,880 --> 00:26:46,880
We will be back with another case pretty soon and then another mental breakdown as well.

547
00:26:46,880 --> 00:26:50,880
Hope you guys enjoyed this episode and we will talk to you later.

548
00:26:50,880 --> 00:26:51,880
Yeah.

549
00:26:51,880 --> 00:26:52,880
Okay.

550
00:26:52,880 --> 00:26:53,880
Love you.

551
00:26:53,880 --> 00:26:54,880
Bye.

552
00:26:54,880 --> 00:27:04,880
Bye.