Word: orthorexia
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...when Rutzel first sought help for anemia and osteopenia, a precursor of osteoporosis triggered by her avoidance of calcium, her doctor in upstate New York, where she attended college, had never heard of orthorexia. "You should be trying to eat healthy," she remembers him telling her. He couldn't quite grasp that he was talking to a health nut who believed there were few truly healthy foods she felt were safe to eat. Her condition was eventually identified as anorexia, a diagnosis that organizations like the Washington-based Eating Disorders Coalition think is a mistake. The group, which represents more...
...Wednesday, the first draft of DSM-V was published online, kicking off a three-year process of public comment and further revisions that will culminate in a new and improved version come 2013. Orthorexia is not listed in this new draft and, despite the ongoing efforts of various eating-disorder groups, is unlikely to make its way into the final edition...
...Columbia University who led the American Psychiatric Association's work group that reviewed eating disorders for inclusion in DSM-V. "The real issue is significant data." Getting listed as a separate entry in the DSM requires extensive scientific knowledge of a syndrome and broad clinical acceptance, neither of which orthorexia...
Most doctors think a separate diagnosis is unwarranted. Orthorexia might be connected to an anxiety disorder or it might be a precursor to a more commonly diagnosed condition, says Cynthia Bulik, director of the eating-disorders program at the University of North Carolina at Chapel Hill. "We don't want people to be mislabeled and not get the care they need because they're actually on the slippery slope to anorexia," she says...
Kathleen MacDonald, who oversees legislative policy at the Eating Disorders Coalition, agrees with Bulik that people should get the care they need. Which is precisely why she thinks orthorexia should have its own classification. Although Bulik and others often use cognitive behavioral therapy, in which patients like Rutzel are coached to replace obsessive thoughts with healthy ones, MacDonald worries there is not enough known about which treatments work best for orthorexia. "It's hit-or-miss," she says...