Recurrent episode of binge eating with compensatory behaviours for ideal body shape and weight.
Incidence – 1-1.5% of women.
Onset – mid-adolescent
1. Family h/o obesity
2.Dysregulation of eating, related to serotonergic mechanisms.
1. Persistent preoccupation with eating.
2. Binges episodes of overeating.
3. Attempts to counter fattening effects of food.
Self induced vomiting
Periods of starvation
Use of Appetite suppressants
4. Morbid fear of fatness.
1. Electrolyte Imbalance
2. Gastric/duodenal ulcers
3. Oesophageal erosions.
4. Dental erosions
1. Upper GI disorders.
2. Personality disorder
High dose SSRI, Fluoxetine 60mg
for > 1yr
- Oxford Handbook of Psychiatry (3rd edition) https://amzn.to/3rsJxse