Page 202 - Faculty Handbook2

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Mental Health Concerns
202
Both anorexia nervosa and bulimia nervosa involve a
significant disturbance in the perception of body shape and
weight, which leads to an abnormal or obsessive relationship
with food, exercise and self-image. Eating disorders
sometimes begin with dieting as part of training or
preparation for athletic competitions. . Anorexia nervosa is
characterized by the refusal to maintain minimally normal
weight for age and height (weight less than 85 percent
expected), an intense fear of gaining weight, a denial of the
seriousness of the current low body weight, and amenorrhea
in women.
Bulimia nervosa is characterized by recurrent episodes of
binge eating followed by inappropriate behaviors to prevent
weight gain, such as self-induced vomiting, misuse of
laxatives, diuretics, and enemas, fasting and/or excessive
exercise.
Other students with eating disorders include restrictive
eaters and those with disturbed body image who exercise
excessively and take weight loss supplements.
Depression, anxiety and substance abuse often accompany
eating disorders. Some students with eating disorders also
practice self-injury or consider suicide. In more serious
situations, for example if a student’s eating disorder
jeopardizes his/her physical and emotional health, the
student may need to leave school and enter intensive
treatment. Some of the symptoms associated with eating
disorders are significant weight loss, the inability to