How Problematic Is Your Eating?

Quick Guide to Understanding Eating Disorders

Includes the Self-Image and Dieting Questionnaire
Copyright © TheHealthSciencesAcademy.org
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Attention
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2

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This workbook is not designed to diagnose an
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eating disorder or replace a specialist’s
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thorough assessment. However, it can guide you
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in assessing risk and directing individuals
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Copyright © TheHealthSciencesAcademy.org

towards thorough professional evaluation and

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support in addressing their concerns.
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Introduction
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3

Welcome! Here’s what we’ll be exploring in this guide:

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 Understanding eating disorders
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 What qualifies as an eating disorder?
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 Types of eating disorders
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▪ Disorders related to body image
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▪ Disorders unrelated to body image
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 Non-image related disorders like ARFID
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Copyright © TheHealthSciencesAcademy.org

0011011101000110010101100100001000000110001001
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 Eating for self-image?
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 Dissatisfaction with one’s body
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 Self-Image and Dieting Questionnaire
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▪ Measuring image-related eating disorder risk
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 When to refer to a doctor?
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 Reputable sources for guidance
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Understanding eating disorders
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4

 Arguably, all eating is somewhat ‘disordered’, since the

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act of eating is not linear but rather complex, involving all
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our senses, multiple steps, and a myriad of emotions and
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thoughts (conscious and subconscious).
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 This complexity reflects how eating is not merely a
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physical necessity, but also a deeply personal, cultural,
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and psychological act, intertwining with our habits, beliefs,
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and social interactions.

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 Moreover, the emotional component of eating cannot be
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minimised. Food is often a source of comfort, a means to
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celebrate, or a way to express love and care. But it can
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also be a source of guilt, anxiety, or control. These
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emotional dimensions add another layer of complexity to
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our eating behaviours.
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What’s an eating disorder?
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5

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 An eating disorder is typically catalogued as a mental
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health condition characterised by abnormal or disturbed
eating or restriction behaviours that negatively affect a
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person’s physical health, emotional wellbeing, and ability
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to function in daily life.
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 The formation of eating disorders is a complex process
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influenced by a combination of biological, psychological,
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social, and environmental factors.
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 No single cause has been identified; rather, it’s the
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interaction of these factors that can predispose individuals
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to develop an eating disorder. The causes can vary
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significantly depending on the type of eating disorder, as
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well as the individual’s circumstances and characteristics.
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Types of eating disorders
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6

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The below table categorises eating disorders into those related to body image and
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those not directly related to body image. Orthorexia Nervosa is marked with an
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*asterisk because, while not officially recognised in diagnostic manuals, it is often
discussed in contexts of eating disorders without a primary focus on body image.
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1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
Body Image Related Not Body Image Related
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110Avoidant/Restrictive Food Intake Disorder
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Anorexia Nervosa
(ARFID)
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0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
Bulimia Nervosa Pica
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
Binge Eating Disorder (BED) Rumination Disorder
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
Body Dysmorphic Disorder Orthorexia Nervosa*
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
Muscle Dysmorphia (Bigorexia)
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001 Night Eating Syndrome (NES)
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0101010001101000011010010111001100100000010000
Disorders related to body image
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1101101111011011100111010001100101011011100111
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0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
7
Eating
Description Why an 'Eating' Disorder?
Disorder
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Characterised by extreme weight loss and a The disorder involves controlling food
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Anorexia relentless pursuit of thinness, often stemming from intake and body weight. Not all
Nervosa a distorted body image and an intense fear of individuals with symptoms of anorexia
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gaining weight. become or remain underweight.
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0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
Involves cycles of binge eating followed by Characterised by a cycle of overeating
Bulimia purging, such as self-induced vomiting, laxatives, followed by compensatory behaviours
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1001000010000001000011011011110111000001111001
Nervosa or excessive exercise, due to dissatisfaction with like purging. In ‘diabulimia’, diabetics
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body shape or to prevent weight gain. may take less insulin to avoid fat gain.
Marked by recurrent episodes of eating large The disorder is characterised by
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0001010000011100100110111101110100011001010110
Copyright © TheHealthSciencesAcademy.org

Binge Eating
quantities of food, often quickly and to the point patterns of overeating. Similar to
Disorder
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(BED)
of discomfort, accompanied by constant feelings bulimia but without the regular use of
of loss of control and extreme guilt. purging to expel the food or water.
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1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
A mental health disorder where one can't stop While not an eating disorder, the
Body
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
Dysmorphic
thinking about one or more perceived defects or preoccupation with perceived body
flaws in their appearance, which may not be flaws can lead to severely disordered
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0000100000010100110110001101101001011001010110
Disorder
noticeable to others. eating behaviours.
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1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
Muscle
A subtype of Body Dysmorphic Disorder This specific concern with muscle size
characterised by a preoccupation with not being can lead to disordered eating patterns
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
Dysmorphia
muscular or lean enough. Also called Bigorexia. to affect body composition.
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0101010001101000011010010111001100100000010000
Disorders unrelated to body image
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1101101111011011100111010001100101011011100111
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
8
Eating
Description Why an 'Eating' Disorder?
Disorder
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Avoidant/ Lack of interest in eating or avoidance based on
Involves disordered eating
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0110001101110100011101010110000101101100001000
Restrictive sensory characteristics of food without concern for
patterns due to non-weight
Food Intake body weight or shape, often related to sensory
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0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
Disorder sensitivities or a past negative experience with food,
related psychological and sensory
issues.
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0010011101000111100100100000011000010110111001
(ARFID) such as reflux or allergies.
Persistent eating of non-nutritive substances like hair, Characterised by eating non-food
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1001000010000001000011011011110111000001111001
Pica dirt, chalk, clay, paper, pens, or paint chips, typically items, indicating a disordered way
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0111001001101001011001110110100001110100001000
not part of a culturally/socially supported practice. of consuming substances.
Repeated regurgitation of food that may be re-
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0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
Copyright © TheHealthSciencesAcademy.org

Rumination Involves the disordered process of

chewed, re-swallowed, or spit out, occurring in the
Disorder digesting and re-consuming food.
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0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
absence of a gastrointestinal or medical condition.
An obsession with proper or 'healthful' eating. While Focus on 'healthy' eating becomes
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
Orthorexia not recognised as an official disorder, individuals so extreme that it leads to very
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
Nervosa may avoid foods believed to be harmful to the point restrictive eating behaviours
where their diets become dangerously restrictive. affecting day-to-day life.
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
Compulsion to eat at night not related to external Intake is disordered by timing,
Night Eating
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
Syndrome
factors such as shift work or long work hours. Includes during nocturnal hours or between
waking up at night to eat, or recurrent episodes of sleep cycles, leading to distress
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(NES)
excessive food consumption after evening meals. and impairment in functioning.
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0101010001101000011010010111001100100000010000
Non-image disorders like ARFID
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0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
9

 Avoidant/Restrictive Food Intake Disorder (ARFID) and

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1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
other eating disorders not directly related to body image
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
have somewhat different underpinnings. For individuals
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0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
with ARFID, the eating disturbances are not driven by a
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0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
desire to change body shape or weight but rather by
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1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
issues such as sensory sensitivity, lack of interest in eating,
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0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
or fear of aversive consequences (like choking or vomiting).
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0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
 Individuals with autism or other neurodevelopmental
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differences often experience sensory sensitivities that can

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make certain textures or flavours of food intolerable. Also,
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1110010010000001010100011010000110010100100000
the rigid thinking seen in autism may also contribute to
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0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
restrictive eating patterns.
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0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
 Anxiety and fear play a role, too. For some, the fear of
1110011000110110010101110011001000000100000101
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negative consequences from eating, such as gastrointestinal
1000110110000101100100011001010110110101111001
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discomfort or allergic reactions, can severely limit intakes.
 0101010001101000011010010111001100100000010000
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0101010001101000011010010111001100100000010000
Point to remember
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0100001000000100100101110011001000000100100101
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10

1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
While body image-related eating disorders often
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
stem from a combination of societal pressures,
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
personal dissatisfaction with appearance, and
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
other psychological factors, disorders like ARFID
Data:

0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
may be more connected to sensory, cognitive, and
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
anxiety-related issues, especially prevalent
Copyright © TheHealthSciencesAcademy.org

0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
amongst neurodivergent individuals. It’s important
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
to recognise the diversity of eating disorders to
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
ensure appropriate evaluation and effective
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
treatment approaches.
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1110011000110110010101110011001000000100000101
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© TheHealthSciencesAcademy.org
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
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 0101010001101000011010010111001100100000010000
0101010001101000011010010111001100100000010000
0101010001101000011010010111001100100000010000
Eating for self-image?
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1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
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11

1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
 An individual’s perception of their body shape, weight,
and appearance can significantly impact their eating
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
practices, in some instances leading to harmful behaviours.
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
 A persistent preoccupation with body image, weight, and
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
control over food can manifest in various ways, including
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
incessantly applying self-control and willpower to restrict
food intake, chronic binge eating, purging, and other
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
Copyright © TheHealthSciencesAcademy.org

compensatory behaviours such as excessive exercise or

0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
sweat induction through clothing or heat exposure.
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
 The intense fear of gaining weight or becoming fat, even
when underweight, can drive individuals with these
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
disorders to engage in behaviours that severely impact
1110011000110110010101110011001000000100000101
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their mental and physical health and their everyday life.
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1000110110000101100100011001010110110101111001
 0101010001101000011010010111001100100000010000
0101010001101000011010010111001100100000010000
0101010001101000011010010111001100100000010000
Dissatisfaction with one’s body
1101101111011011100111010001100101011011100111
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0100001000000100100101110011001000000100100101
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12

 The dissatisfaction with one’s body and the overvaluation

1011100111010001100101011011000110110001100101
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1011100111010001100101011011000110110001100101
of weight, shape, and physical appearance can lead to
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
significant psychological distress, affecting self-esteem
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
and often times contributing to the development of eating
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
disorders.
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
 While the specific behaviours and symptoms can vary
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
widely depending on the disorder, the underlying issue is
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
Copyright © TheHealthSciencesAcademy.org

often an unhealthy relationship with food and a distorted

0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
self-image, where self-worth is overly dependent on body
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
size and adherence to rigid dietary rules.
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
 The emotional burden is significant, with feelings of guilt,
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
shame, or disgust commonly associated with eating and
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
body image.
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1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
 0101010001101000011010010111001100100000010000
0101010001101000011010010111001100100000010000
0101010001101000011010010111001100100000010000
Self-image and dieting
1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
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13

 On the following pages, you will be presented with the

1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
Self-Image and Dieting Questionnaire . Its focus in on
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
food and eating practices, body image, and a risk scale
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
for potentially disordered eating patterns.
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
 The questionnaire looks at anxiety, worry, and shame or
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
embarrassment surrounding food and eating, the use of
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
compensatory behaviours to avoid weight gain, episodic
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
Copyright © TheHealthSciencesAcademy.org

overeating with a sense of loss of control, distress and

0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
guilt about overeating or what is being eaten, weight and
1110010010000001010100011010000110010100100000
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1110010010000001010100011010000110010100100000
shape concerns, and repercussions on emotional or
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
physical wellbeing, daily life, and social activities.
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
 Please take time to review and use it to help identify any
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
concerns regarding eating behaviours and body image.
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1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
Self-Image and Dieting Questionnaire

Name: _________________________________

Today’s Date: __ /__ /__

Copyright © TheHealthSciencesAcademy.org
Reproduction or distribution are strictly prohibited. To be used in a 1-to-1 client setting only.
 0101010001101000011010010111001100100000010000
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0101010001101000011010010111001100100000010000
Measuring eating disorder risk
1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
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0100001000000100100101110011001000000100100101
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15

1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
 The Self-Image and Dieting Questionnaire can help you
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
to assess your relationship with food and its impact on
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
your self-perception.
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
 It may serve as a basis for helping you to find the
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
appropriate help to overcome a poor relationship with
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
food or the act of eating.
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
Copyright © TheHealthSciencesAcademy.org

 Please proceed to the Self-Image and Dieting

0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
Questionnaire on the next pages and respond honestly.
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
 Tick each question that you answer “Yes” to.
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
 0101010001101000011010010111001100100000010000
10101010001101000011010010111001100100000010000
0101010001101000011010010111001100100000010000
of 4
1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
Self-Image and Dieting Questionnaire
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101
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1011100111010001100101011011000110110001100101
Name: ___________________________________ Date: __ /__ /__
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
Score 1 point for each “yes” answer:
❑ In the past year, have you persistently counted or kept a record of the calories or
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
components (e.g. carbs) of everything that you ate?
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
❑ Do you think about food (or avoiding it) most of the time?
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
❑ Do you constantly worry about gaining weight or getting fatter, especially when you
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
feel hungry?
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
❑ Do you worry about, or severely dislike, your body shape, or constantly compare it
Copyright © TheHealthSciencesAcademy.org

with thinner or fitter people?

0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
❑ Do you restrict your food intake excessively, or attempt to start a strict diet
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
regularly?
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
❑ Do you repeatedly weigh yourself, even a few times in a single day?
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
❑ Do you often feel that your weight or shape is the only aspect of your life that you
can really control?
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
❑ Do you avoid certain essential or vital foods even though you want to eat them?
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
 0101010001101000011010010111001100100000010000
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of 4
1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
Self-Image and Dieting Questionnaire
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
Score 1 point for each “yes” answer:
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
❑ Do you eat certain low-calorie foods only in the presence of others, such as lettuce
or celery?
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
❑ Do you cook big or complicated meals for other people, but eat little or none of the
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
food yourself?
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
❑ Do you often decline invitations involving food because you might have to eat in
front of others, or eat something fattening?
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
❑ Do you feel stressed or guilty if your normal diet and/or exercise routine are
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
Copyright © TheHealthSciencesAcademy.org

interrupted?
0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
❑ Do your friends and family insist that you are slim, fit, or at a healthy weight, while
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
you feel fat?
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
❑ Do you eat secretly, or binge on large quantities of food when you are alone, 4 or
more times a week?
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
❑ Does your weight fluctuate dramatically in short periods of time, sometimes 5
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
(2.5kg) or even 10 pounds (5kg) in a couple of days?
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
 0101010001101000011010010111001100100000010000
30101010001101000011010010111001100100000010000
0101010001101000011010010111001100100000010000
of 4
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1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
Self-Image and Dieting Questionnaire
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
Score 1 point for each “yes” answer:
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
❑ Do you often feel you can’t stop eating or lose control over what or how much you
eat?
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
❑ Do you eat until feeling uncomfortably full, or eat large quantities of food when not
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
physically hungry, 4 or more times a week?
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
❑ Do you feel disgusted with yourself, distraught, depressed, anxious, or very guilty
after overeating and/or after eating something your normally avoid?
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
❑ Do you regularly resort to periods of extreme restriction or fasting with the single
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
Copyright © TheHealthSciencesAcademy.org

intention to lose weight quickly, rather than to promote health and wellbeing?
0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
❑ Do you ever induce vomiting after eating, or regularly take laxatives or diuretics
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
(natural or medical), or unprescribed diet pills or weight loss supplements?
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
❑ Do you exercise with the single intention to compensate for eating extra calories,
rather than enjoyment, stress relief, or physical/mental wellbeing?
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
❑ When evaluating how you feel about yourself, do you consider your weight or
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
shape more important than other aspects of your life, such as your talents, your
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
work performance, or your relationships with others?
 0101010001101000011010010111001100100000010000
40101010001101000011010010111001100100000010000
0101010001101000011010010111001100100000010000
of 4
1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
Self-Image and Dieting Questionnaire
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
Score 1 point for each “yes” answer:
❑ Do you find that a large proportion of your life has been consumed by dieting,
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
attempting to follow a diet, or limiting your food intake to lose weight or prevent
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
gaining weight?
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
❑ In the past year, have you used “pro-anorexia" websites or visited fasting forums
daily?
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
❑ Have you become isolated from family and friends because of any of the issues
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
raised in this questionnaire?
❑ Are any of the questionnaire items with a “yes” answer causing you any form of
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
Copyright © TheHealthSciencesAcademy.org

physical illness and/or emotional distress?

0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
❑ Are any of the questionnaire items with a “yes” answer significantly affecting your
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
daily life, including your ability to function every day, complete important tasks,
participate in recreational activities you enjoy, or engage in social interactions?
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
Next, calculate the total by adding 1 point for every box you checked, and write your
cumulative score below.
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
Total Score: _ _ _ _
 0101010001101000011010010111001100100000010000
0101010001101000011010010111001100100000010000
0101010001101000011010010111001100100000010000
Self-Image and Dieting Scores
1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
20

1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
0 points suggest no concern.
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
A score between 1 and 7 is not alarming but
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
suggests a risk for a disorder if the areas
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
with a “yes” answer lead to physical illness,
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
emotional distress, or daily life disruptions.
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
Copyright © TheHealthSciencesAcademy.org

0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
If you answered “yes” to 8 or more of the
questions, there may be a higher risk of
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
developing a severe eating disorder and you
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
could benefit from seeking specialist help.
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
 0101010001101000011010010111001100100000010000
0101010001101000011010010111001100100000010000
0101010001101000011010010111001100100000010000
Well done!
1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
21

1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
You have completed the
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
Self-Image and Dieting Questionnaire .
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
Remember that our evaluations assess risk
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
but do not “diagnose” a condition, nor
Copyright © TheHealthSciencesAcademy.org

0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
replace medical or psychological advice.
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
If you are concerned about any of your
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
physical or mental symptoms, consult a
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
medical or psychological professional.
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
 0101010001101000011010010111001100100000010000
0101010001101000011010010111001100100000010000
0101010001101000011010010111001100100000010000
When to refer to a doctor?
1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
22

 A score of 0 indicates no apparent issue, a score of 1 to 7

1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
signals a mild concern, and a score of 8 or above suggests
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
a heightened risk for an eating disorder, emphasising the
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
need for professional evaluation.
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
 Nutrition and health professionals, though not qualified to
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
diagnose, can assess health risks and detect early
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
warning signs.
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
Copyright © TheHealthSciencesAcademy.org

 In these instances, they should advise clients to consult a

0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
medical doctor or specialised eating disorders professional,
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
and provide information on accessing support from trusted
organisations such as Beat without delay.
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
 Exploring self-help groups and seeking counselling can be
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
invaluable, helping to openly discuss the complexities of
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
eating and fostering a healthier relationship with food.
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
 0101010001101000011010010111001100100000010000
0101010001101000011010010111001100100000010000
0101010001101000011010010111001100100000010000
Reputable sources for guidance
1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
1101101111011011100111010001100101011011100111
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
0100001000000100100101110011001000000100100101
23

 Beat: The UK’s leading charity supporting individuals

1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
1011100111010001100101011011000110110001100101
affected by eating disorders. Its services include helplines,
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
0110001101110100011101010110000101101100001000
online support groups, and resources for sufferers and their
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
0001010000011100100110111101110000011001010111
families.
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
0010011101000111100100100000011000010110111001
 NICE Guidance on Eating Disorders: NICE provides clinical
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
1001000010000001000011011011110111000001111001
guidelines that offer evidence-based advice on the care
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
0111001001101001011001110110100001110100001000
and treatment of eating disorders. These guidelines are
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
0001010000011100100110111101110100011001010110
Copyright © TheHealthSciencesAcademy.org

beneficial for healthcare professionals and anyone looking

0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
0011011101000110010101100100001000000110001001
to understand the recommended approaches in the UK.
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
1110010010000001010100011010000110010100100000
 NHS Eating Disorders: The NHS website has a section
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
0100100001100101011000010110110001110100011010
specifically dedicated to eating disorders. Includes an
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
0000100000010100110110001101101001011001010110
overview of different types of eating disorders, symptoms,
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
1110011000110110010101110011001000000100000101
causes, treatment options, and ways to get help.
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
1000110110000101100100011001010110110101111001
 Copyright © TheHealthSciencesAcademy.org

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