People who have both anorexia and OCD need treatment for both conditions, but they should get that treatment at the same time, preferably by the same team of providers. This co-occurring treatment approach helps provide a comprehensive toolkit people can use to gain control of both conditions and avoid future relapse episodes. Anorexia is a complex disorder.
In fact, researchers have found strong co-morbidities two or more disorders between eating disorders and several other psychological problems, including anxiety, depression, social phobia, panic disorder, mood disorders, obsessive-compulsive disorder, post-traumatic stress disorder, and substance abuse.
A study by Salbach-Andrea et al. One comorbid condition known to have a strong association with eating disorders is obsessive-compulsive disorder OCD.
However, though several studies have focused on the prevalence between eating disorders and OCD, little is known about the specific relationship that exists between OCD and eating disorders.
In this article, we will seek to explore some of the known information regarding eating disorders and OCD.
We will review what we know about the comorbid relationship of OCD and eating disorders, as well as treatments that are available to assist people suffering from these conditions. What Do We Know?
In the Diagnostic and Statistical Manual a psychiatric manual used to classify disordersOCD was previously grouped with other anxiety disorders, such as generalized anxiety e.
This category includes disorders such as obsessive-compulsive disorder OCDbody dysmorphic disorder e. According to the American Psychiatric Association, OCD is defined as the presence of obsessions, compulsions, or both.
Obsessions are defined as: Recurrent and persistent thoughts, urges, or images that are experienced, at some point during the disturbance, as intrusive and not wanted, and cause noticeable anxiety and distress The individual attempts to suppress or ignore such thoughts, impulses, or images or to counteract them with another thought or action Compulsions are defined as: Repetitive behaviors or mental acts in response to an obsession or according to rules that must be followed rigidly The behaviors or mental acts are directed at preventing or reducing distress or preventing some dreaded incident or situation; however, these actions or mental acts either are not connected in a way that could realistically neutralize or prevent whatever they are intended to address, or they are obviously excessive.
Another diagnosis in the DSM-5 that is often confused with OCD is obsessive-compulsive personality disorder OCPDwhich is a type of personality disorder characterized by perfectionism, an overwhelming desire for order and control, rigid following of rules, codes, or regulations, and unwillingness to yield responsibilities or give responsibilities to others.
The name of the two disorders is similar, the OCPD diagnosis differs from OCD in the sense that people with OCD typically have awareness that their thoughts are irrational and unrelated to the issue at hand; whereas those affected by OCPD believe that their way of doing things is the only way of doing things and are typically related to everyday tasks.
Now, it is important for people to understand that a personality disorder is NEVER diagnosed under the age of This is because the personalities of children are still developing, which means we have the opportunity to also change ineffective or unhelpful ways of coping in the world!
A fascinating relationship exists between eating disorders and OCD, in that many folks with eating disorders have behaviors and thought patterns that are very rigid and obsessive in nature! This makes sense, as eating disorders are commonly associated with compulsive behaviors such as dietary restriction, over-exercising, bingeing, purging, and obsessive thought patterns related to body and shape.
That wasn't the case, however. He was dealing with severe obsessive-compulsive disorder. While it can be argued that both OCD and eating disorders involve obsessions and compulsions, as well as the need for control, those who suffer from eating disorders typically obsess over their weight or body image. My son was not focused on either. How Anorexia Relates to Ocd and Depression Essay Anorexia is a harmful disorder that debilitates patients with various negative health effects and co-disorders such as, Obsessive Compulsive Disorder and Clinical Depression. Obsessive-compulsive personality disorder is characterized by a preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and.
The reason this makes a difference is because it allows us to understand whether the eating disorder is a consequence of the OCD or, in contrast, if the eating disorder was a precursor to the OCD.
For example, a patient with an eating disorder may perform rituals with food at meals to manage distressing thoughts about weight gain. Likewise, a patient trying to manage the anxiety related to obsessive thoughts or images may cope with this distress by restricting their food.
When the chicken comes first. One longitudinal study found anorexia to be seventeen times more likely in individuals with OCD than if left to chance alone. Compulsive behaviors found in eating disorders are often compared to those with OCD due to the obligatory and repetitive nature of the disorder.
However, they also differ in one significant detail. When the egg comes first. When looking at the onset of OCD and eating disorders, many studies provide evidence for the OCD preceding the eating disorder.
Other studies have shown that obsessive-compulsive symptomatology can serve as a risk-factor for developing anorexia nervosa.
Both anorexia and OCD can cause a great deal of inner torment. These elaborate rituals develop as a dysfunctional way to soothe anxiety or to express anger or depression. In individual and group therapy sessions, patients who are recovering from anorexia learn how to eat without fear and to nourish their bodies without guilt or stress. That wasn't the case, however. He was dealing with severe obsessive-compulsive disorder. While it can be argued that both OCD and eating disorders involve obsessions and compulsions, as well as the need for control, those who suffer from eating disorders typically obsess over their weight or body image. My son was not focused on either. OCD - Obsessive Compulsive Disorder - is a frequently co-occurring disease with an eating disorder. Learn the causes, signs, symptoms and treatment for OCD dual diagnosis. Eating Disorder Hope offers free information on body image, anorexia, bulimia, and binge eating disorders.
McGarrahan notes that recognizing obsessive thoughts, images and impulses are not necessarily as easy as it may seem, as they are not always observable, as some may be mental rituals like counting, praying, etc.
He further notes that even when compulsions are performed outwardly, the patient may attempt to hide them from others due to shame or embarrassment making it hard for parents to know what is going on.
In addition, obsessive thoughts tend to disrupt concentration which might result in homework not getting done, distraction during class or lower grades on tests and quizzes. Teachers and parents might mistake this for lack of effort or problems associated with ADHD.
One study, which focused on development of a cognitive-behavioral approach CBT paired with exposure and response prevention ERP in a residential treatment setting, found that patients showed significant decreases in severity of OCD, severity of eating disorder, and depression.
These studies indicate that a multi-faceted approach that targets OCD tendencies with a focus on eating and body-image concerns can be a highly effective treatment option. Other research has suggested that a multidisciplinary approach including behavioral, neurobiological, and therapeutic methods may be best suited for these types of cases due to the numerous biological, psychological and social factors that impact the development and manifestation of these disorders.
The medication is another tool in that process. McGarrahan recommends that parents become educated on the nuances of OCD if they think it may be impacting their child.
He suggests John March, M.•Kimberley Quinlan, MFT, is a licensed psychotherapist at the the OCD Center of Los Angeles, a private, outpatient clinic specializing in Cognitive-Behavioral Therapy (CBT) for the treatment of Obsessive-Compulsive Disorder (OCD) and related conditions, including eating disorders.
In addition to individual therapy, the center offers six. Both anorexia and OCD can cause a great deal of inner torment. These elaborate rituals develop as a dysfunctional way to soothe anxiety or to express anger or depression.
In individual and group therapy sessions, patients who are recovering from anorexia learn how to eat without fear and to nourish their bodies without guilt or stress.
How Anorexia Relates to Ocd and Depression Essay Anorexia is a harmful disorder that debilitates patients with various negative health effects and co-disorders such as, Obsessive Compulsive Disorder and Clinical Depression.
OCD and Eating Disorders: Is there a Link Between the Two? Dr. Albert Rothenberg, a clinical professor of psychiatry at Harvard University, was one of the biggest proponents of the theory that anorexia nervosa is a manifestation of OCD. Obsessive-compulsive personality disorder is characterized by a preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and.
The Relationship Between Eating Disorders and OCD Part of the Spectrum By Fugen Neziroglu, PhD, ABBP, ABPP and Jonathan Sandler, BA This article was initially published in the Summer edition of the OCD Newsletter.