Eating Disorders and Common Co-morbidities
Eating disorders are often present with other medical and/or psychiatric conditions. It is important seek professional support to assess an eating disorder, rule out co-morbidities and to provide conjunctive treatment as needed.
Common comorbid psychiatric conditions include major depressive disorder or dysthymia which is present is as many as 50% to 95% of patients with eating disorders, sexual abuse (20% to 50%), obsessive–compulsive disorder (25% with anorexia nervosa), substance abuse (12% to 18% with anorexia nervosa, especially the binge–purge subtype, and 30% to 37% with bulimia nervosa), and bipolar disorder (4% to 13%). There is also research that indicates post-traumatic stress disorder and borderline personality disorder comorbidities. Children and adolescents with eating disorders are found to have similar levels of psychiatric comorbidities to adults
Common medical co-morbidities related to weight loss, purging, and laxative use include:
Orthostatic blood pressure drop
|Weight loss||Low albumin|
|Cold intolerance||Stress fractures|
|Constipation||Structural and functional brain changes|
|Edema||Appetite suppressant abuse|
|Tachyarrhythmia||Cardiac and other myopathies|
|Abnormal colonic motility||Dental caries|
|Secondary renal failure|
Common medical co-morbidities related to obesity related to binge eating include:
o Diabetes mellitus.
o Sleep apnea.
o Joint injury.
o Cardiac and respiratory disorders.
NOAH is an integrated health care facility with primary medical care, pediatrics, internal medicine, dental, psychiatric, behavioral health, and nutrition services. NOAH providers can assess and help formulate a treatment plan that addresses holistic needs of individuals with eating disorders. If you have concerns that you or a loved one is struggling with an eating disorder, please schedule an appointment with one of our providers and discuss your concerns.