 An eating disorder characterized by

voluntary starvation and exercise or stress.

 is a compulsion to eat, or avoid eating, that
negatively affects both one's physical and
mental health. Eating disorders are all
encompassing. They affect every part of the
person's life.

 Intense fear of gaining weight
or becoming fat(even if under
weight)
 is deliberate and sustained

weight loss driven by a fear

of distorted body image
 An abnormally low body weight (the
suggested guideline ≤ 85% of normal
for age and height, or BMI ≤ 17.5).
 For post menarcheal females,

amenorrhea (the absence of three

consecutive menstrual cycles).
 An intense fear gaining weight or

becoming fat and a preoccupation

with body weight and shape.
 Terrifiedof gaining weight
 Pre occupied with thoughts of food
 See themselves as fat even when
emancipated
 Peculiar handling of food
 Excessive exercise is common
 Low weight
 Amenorrhea
 Cold extremities
 Peripheral edema
 Muscle weakening
 Hypotension and bradycardia
 cachexia

Increasing weight to at least
90 percent of average weight
for age and height
Reestablishing good eating

behavior
Increasing self esteem
Binge eating eating of
large amount of food
rapidly and discretely in a
given time
Compensatory behavior to

prevent weight gain

 Binge and purging behaviors
 Have depressive sign and symptoms
 Disturbances disturbed home life
 Chemical dependence(laxative)

Major concerns:
Interpersonal relationships
Self concept
Impulsive behaviors
 Binge eating
 Lost of tooth enamel especially

the posterior front of the teeth

 Calluses on dorsum of hand
 Reddened knuckles
 Enlarged parotid gland
 Hypokalemia and hyponatremia
 Metabolic alkalosis
Tube feeding as
necessary
Anti depressants
Close supervision
 Trust
 Give small frequent feeding
 Help patient identify feelings associated
with binge-purge behavior
 Accept patient as worthwhile individuals
 Encourage patient to discuss positive
qualities about themselves encourage
to explore interpersonal relationship
 Encourage patient to adhere to meal
and snack
 Encourage to approach the staff if she
feels like binging or purging
 Encourage to attend group session
 Encourage family therapy
 Encourage participation in art therapy,
recreation, and occupational therapy.
 Encourage the client to describe their
body image at different ages of their
lives.
 Stay with the patient during meal time
at least 1 hour after meal(bulimia)
Ones sense of being a
sexual individual
Includes how one looks,

behaves, and relate to

others
 Bisexuality- sexual attraction to
and activity with both sexes.
 Hetero sexuality- male-female
relationships
 Homosexuality- sexual attraction
to a member of the same sex
 Trasvestism- obsession with
wearing clothing of the opposite
sex
Biological /hormonal
Psychological
Relationships

-lost of interest in partner

- marital conflicts
- Fear of commitment
Cycle of perversion
release of anxiety
Release of sexual

tension
 Paraphilias – intense sexual urges
 Exebitionism –publicly showing of
genitals
 Fetishism- inanimate object
 Transvetic fetishism- cross dressing or
wearing of clothes by the opposite sex
 Frotteurism- touching/ rubbing ones
genitals against a person
 Phedophilia – attraction with children
 Sexual masochism- sexual acts of
humilited, restrained or other wise mad
to suffer
 Sexual sadism – recurrent intense
arousal on inflicting pain on the partner
 Vouyerism-sexual gratification by seeing
others nude, undress or seeing persons
who are in a sexual activity(peeping
tom)
 Annulingus – tounge brushing of the anus
 Cunnilingus- tongue brushing the vulva
 Fellatio- inserting the penis in the mouth

 Partilialism- inserting the penis to other

parts of the body

 Urophlia- urination on the partner
 Telephone scatologia- sex on phone
 Asphysiaphilis- suffocating oneself or

partner while having sex

 Cocrophilia- sex with excreta can involve

eating eat
Necrophilia- sex with
the dead
Zoophilia- sex with

animals
Vampirism- sex with

blood
Individualswith
disorder have little or
no desire or have an
aversion to sexual
contact
 Inability
to maintain the
physiological requirements
for sexual intercourse
Men impotence or erectile
dysfunction
Women inability to lubricate
Inability to achieve
orgasm
 An individuals experience pain
during and after sexual
intercourse
 Dypareunia- pain in the genital
area while having sex
 Vaginismus- contraction of the
perineal and outer vaginal muscle
 Priapism prolonged and painful
erection
 Application of the models of care-
groups dealing with self esteem,
assertiveness, anger management,
social and interpersonal relationship
skills, sex education, stress
management, family therapy, self
group cognitive behavioral therapy
Be emphatic and non
judgmental
Private area to discuss

fears or concerns
Clarification
Deal with physical or

emotional dimensions