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Eating Disorders in Athletes

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Binge Eating Disorder

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Characterized by recurrent episodes of eating large quantities of food. Warning signs include eating when not hungry, eating alone due to embarrassment, and feelings of guilt or shame about eating. Treatment options include psychotherapy, medications, and weight loss programs.

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Orthorexia

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An obsession with eating foods that one considers healthy. Warning signs include extreme emotional distress around food choices, compulsive checking of ingredient lists, and avoidance of many foods. Treatment can include psychotherapy, especially cognitive-behavioral therapy (CBT), and nutritional counseling.

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Night Eating Syndrome

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Characterized by excessive nighttime food consumption. Warning signs include consuming a majority of daily calorie intake at night, waking at night to eat, and lack of appetite in the morning. Treatments involve psychological therapies such as stress management and possibly medication.

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Bulimia Nervosa

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Marked by a cycle of binge eating followed by compensatory behaviors such as vomiting. Warning signs include evidence of binge eating, frequent trips to the bathroom after meals, and use of laxatives or diuretics. Treatments involve psychotherapy, nutrition education, and medication if necessary.

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Compulsive Exercise

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An excessive or compulsive need to exercise, often used as a way to control weight. Warning signs include prioritizing exercise over other activities, distress if unable to exercise, and exercising despite illness or injury. Treatment includes psychotherapy, rest, and establishing a balanced exercise routine.

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Anorexia Nervosa

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Characterized by self-starvation and excessive weight loss. Warning signs include dramatic weight loss, preoccupation with weight and food, and refusal to eat certain foods. Treatment options include psychological therapy, nutritional counseling, and sometimes medical hospitalization.

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Avoidant/Restrictive Food Intake Disorder (ARFID)

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A disturbance in eating or feeding resulting in significant weight loss or nutritional deficiency. Warning signs include dramatic restriction in the type or amount of food eaten and fear of eating due to a traumatic event. Treatment typically involves therapy and may include nutritional education.

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Pica

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The persistent eating of non-nutritive substances. Warning signs include consumption of materials like paper, soap, or dirt and often occurs in children. Treatment strategies include addressing the underlying nutritional deficiencies, behavioral interventions, and psychoeducation.

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