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What is the primary distinguishing feature between Anorexia Nervosa and Bulimia Nervosa?
For this week’s Forum, respond to the following: What is the primary distinguishing feature between Anorexia Nervosa and Bulimia Nervosa?

Original Question:

For this week’s Forum, respond to the following: What is the primary distinguishing feature between Anorexia Nervosa and Bulimia Nervosa? Review the research findings on societal and familial factors which can contribute to the manifestation and maintenance of these disorders.

Reply to the following response with 200 words minimum. (please make response as if having a conversation, respond directly to some of the statements in below post. This is not providing an analysis of the original post. Respectfully address it and even ask clarifying or additional questions.)

Major depressive disorder, or MDD, is also known as major depression and unipolar depression and is very well understood. This condition is often easily treatable through with a combination of therapy and medications. The causes themselves are not as well-known but physiological and anatomical reasons have been cited with the biggest determining factor being your genetics or family tree (Lieber, 2017). There are many symptoms with this condition including, but not limited to, irritability, withdrawal from regular activities and loved ones, exhaustion, morbid or suicidal thoughts, inability to focus, restlessness, agitation, negative thinking, and the inability to see positive solutions. There are many subtypes of this condition each having their own defining characteristics. One of these subtypes is called psychotic depression and is often accompanied by hallucinations and/or delusions that are not cohesive with reality (Lieber, 2017). Cyclothymic Disorder, also known as cyclothymia, is a rare mood disorder which has some similar characteristic as bipolar disorder. Those who suffer from cyclothymic disorder typically experience cyclic highs, which are symptomatic of hypomania (a less severe form of mania), and cyclic lows, which are characteristic of mild depression (not to be confused with major depression). These highs and lows are persistent for at least a few years and between these elevated and depressed moods it is not uncommon to feel like yourself (Lieber, 2017). The symptoms for this depressive side of this particular disorder include loss of interest in previously pleasurable activities, feelings of worthlessness, irritability, sadness, emptiness, restlessness, hopelessness, fatigue, concentration problems, suicidal thoughts, low self-esteem, pessimism, impaired judgement, lack of motivation, loneliness, social withdrawal, and lack of meaning or purpose in life. While the symptoms for the hypomanic side of this disorder include impulsivity, irresponsibility, reckless thrill seeking, increased drive, emotional instability, hyperactivity, racing thoughts, inflated optimism and self-esteem, and concentration problems. (Lieber, 2017). This condition can increase your chances of developing bipolar disorder.

Bipolar disorder, which is also referred to as manic-depressive illness is a disorder that causes shifts in mood and energy or activity levels. There are technically four basic types of this disorder, which are bipolar I disorder, bipolar II disorder, cyclothymic disorder (discussed above), and other specified and unspecified bipolar and related disorders (NIH, 2017). While major depression is typically confined to depressive episodes, bipolar disorder usually involves both manic and/or hypomanic episodes as well as depressive episodes (Maddux & Winstead, 2012). Bipolar I disorder has depressive episodes that can last at least two weeks and manic episodes that can last at least seven days, with the possibility of them occurring at the same time. Bipolar II disorder has a pattern of hypomanic and depressive episodes, but not the full-blown manic episodes discussed in bipolar I disorder (NIH, 2017). Symptoms of manic episodes include having lots of energy, feeling jumpy, having trouble sleeping, talking fast, being agitated or irritable, racing thoughts, doing risky things, and feeling very elated. The symptoms of a depressive episode include feeling sad or hopeless, having trouble concentrating, feeling tired, decreased activity levels, and thinking about death or suicidal thoughts (NIH, 2017). I have heard many things throughout my years regarding some of these conditions, including some jokes and some serious conversations, but personally knowing a person who deals with one of these disorders, I felt the need to ask a question which may not be satisfactory for the assignment but still I feel worth asking, as I am interested to hear your responses. So, my questions to the class regarding these disorders are, what are some of the common myths or misconceptions regarding these types of disorders that have you heard or thought? Did you believe any of them before reading and researching more about these disorders? And, were any of them correct?

– Keith


 

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