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Half to three-fourths of those with eating disorders meet the criteria for depression in their lifetime, and there is a direct relationship to malnourishment and depression. The most common is depression and dysthymia, what some consider a less-severe but often longer lasting condition than depression. What are the most common co-occurring disorders (mental health conditions)? Binge eating disorder is similar to bulimia in that it includes the binging, but not the purging, aspect of the condition. Binge eating will be a full-blown disorder all on its own. Vazzana: Eating disorders NOS, will be changing with the new DSM, to be published in May. What are the types of eating disorders and are there any recent changes in prevalence and conditions? Still, there are some sports and cultures where being thin is idealized and therefore a contributor. It is not always the ideal cultural “think” to equate thinness in men and therefore that social factor is often removed. Biology and environment are both contributors to this condition, and researchers have found that the cultural pressure to equate thinness with beauty, as well as some sports that encourage low body fat and thinness, are factors. Some believe that eating disorders are more prevalent in women because of what is called the “thin-ideal”.

Although not as common in men, it is important to recognize that more men are now being treated for these mental illnesses. While the prevalence of men to women was previously thought to be a ratio of 1-to-10, it is now believed that the ratio is closer to 1-to-6, meaning that six times more women than men have the condition.

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The new Diagnostic and Statistical Manual (DSM5), set to publish in May this year, includes binge eating disorder as a mental illness. Vazzana: Overall, over 10 percent of young women currently meet criteria of one of the eating disorders, anorexia nervosa, bulimia nervosa or eating disorder NOS (not otherwise specified). NAMI: What is the current prevalence of eating disorders in America?

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NAMI recently spoke with Andrea Vazzana, Ph.D., a clinical psychologist and eating disorders specialist, to learn more about eating disorders and how to help a friend or loved one living with one of these conditions. NAMI joins NEDA this week in support of the aim to ultimately prevent eating disorders while reducing the stigma surrounding these conditions and improving access to treatment. Affecting one in 20 people during their lifetime, eating disorders frequently occur in people with other mental illnesses, including depression, anxiety disorders and substance abuse issues and as with other mental illnesses, early identification and early intervention are keys to recovery. Eating disorders are some of the most challenging mental illnesses and are serous, life-threatening conditions.

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