Eating disorders include a persistent disorder of food or behavior towards food changes in consumption or absorption of food BeeinträchtigteErheblich physical health and / or psychosocial functioning Specific Essttörungen are anorexia nervosa Avoidant / Restrictive eating disorder Binge eating disorder bulimia nervosa Pica Ruminationsstörung See American Psychiatric Association’s Practice Guidelines: Treatment of Patients With Eating Disorders, 3rd Edition, the corresponding Guideline Watch (August 2012) and Guidelines from the National Institute for Clinical Excellence [NICE]. Avoid / Restrictive eating disorder In this disorder, patients avoid eating or restrict their food intake to such an extent that they have ? 1 of the following: Significant weight loss or, in children, failure to altersentsprechend to grow Significant nutrient deficiency The dependence on enteral nutrition ( ie by gavage) or oral nutritional supplements significantly impaired psychosocial functioning criteria for the disorder include that food restriction is not due to non-availability of food, cultural practices (eg. as religious fasting), physical illness (of medical treatment for. B., radiotherapy, chemotherapy) or another eating disorder-especially anorexia nervosa or bulimia-is, and that it died no evidence of are centars perception of body weight or appearance. But patients who suffer from a physical disorder that causes reduced food intake takes place, but at this reduced uptake much longer than expected and hold generally to an extent that requires a specific intervention, can be considered to avoid / restrictive disorder food intake are referred to. A avoid / restrictive disorder of food intake usually begins during childhood and can initially resemble the fussy food that is-if widespread during childhood children refuse certain foods or foods of a certain color, consistency or odor to eat. Such fussiness when eating, comprises unlike avoidant / restrictive disorder of food intake, usually only a few foods during the child’s appetite, total food intake, growth and development are normal. In avoidant / restrictive food intake disorder, malnutrition can be life threatening, and social functioning (eg. As attending family dinners) be affected significantly. If patients present first, doctors need physical illness, and other mental disorders that affect appetite and / or the (food) uptake, including other eating disorders depression, schizophrenia, and factitious disorder are excluded. Behavioral therapy is often used to help patients to normalize their eating habits. Pica Pica is the persistent food nichtnutriver inedible substances for ? 1 month if it does not developmentally justified (z. B. in children> 2 years, which often take a variety of objects in your mouth and swallow) (still part of a cultural tradition for . B. of folk medicine, religious rites or customary practice, such. as is the inclusion of clay (kaolin) in Piedmond / Georgia). Patients tend to eat non-toxic substances (eg., Paper, clay, dirt, hair, chalk, string, wool), and usually the recording does not cause significant medical damage. However, some patients develop complications such as obstruction by gastrointenstinale influenced material, lead poisoning by eating paint chips and parasites by eating dirt. Pica itself rarely impairs social functioning, but it often happens in people with other mental disorders that impair their ability to function, before (z. B. autism, mental retardation, schizophrenia). Pica is common in pregnancy. The swallowing of objects in an attempt to hurt themselves or feign an illness (self-inflicted factitious disorder) is not called Pica. Ruminationsstörung When Ruminationssstörung patient vomit again and again the food after eating, but they do not suffer from nausea or involuntary gagging. The food may be or swallowed again; some patients chew food again before they swallow it again. The behavior must occur over a period of ? 1 month and must not be (gastroesophageal z. B. reflux, Zenker diverticulum) by a gastrointestinal disease that can lead to regurgitation or caused by another eating disorder like anorexia. Regurgitation usually occurs several times a week, every day. The regurgitation is will (although patients report not being able to hold back) and often be observed directly from the doctor. Some patients are aware that the behavior is socially undesirable, and try to cover by holding a hand over the mouth or limit their food intake. Patients who spit out the regurgitated material or significantly limit their food intake to lose weight or developing nutritional deficiencies.