[Blueberrybook]

So it seems in some of the years since I've been recovered or at least semi-recovered from this eating disorder, the DSM-V came out and rewrote a lot of the guidelines for diagnosing EDs. I thought I would have gone straight from anorexia back to ED-NOS, but apparently ED-NOS is non-existent now. I was surprised when I recently got my medical records from my old pdoc to see she had kept me diagnosed with anorexia for most of the 10 years I saw her, except maybe a 6 month period when my weight went up. Current pdoc seems to waver back & forth in his records as I did have a traumatic emergency ulcer surgery (non-ED related) in Feb. resulting in a large unexpected weight loss.

I didn't even realize they don't have an ED-NOS specification any more. The new guidelines would probably put my diagnosis right back under anorexia, purging type (through exercise).

Weird living so long with a diagnosis that no longer exists for so long. My old pdoc never told me when the new DSM-V came out (2013) and probably rightly so.

[Anatta]

I am splitting hairs here with the diagnosis (I get obsessed with them as well), but people who use only exercise (in the absence of other purgative behaviors) tend to be diagnosed with the restricting subtype if they have an underweight BMI.

[Blueberrybook]

Originally Posted by Anatta

I am splitting hairs here with the diagnosis (I get obsessed with them as well), but people who use only exercise (in the absence of other purgative behaviors) tend to be diagnosed with the restricting subtype if they have an underweight BMI.

Yes, I realize that though to put it in my signature uses up too many characters, and I like the quote by Robert Frost. The meds list comes in useful in the bipolar forum. The diagnosis is what I had at first again anorexia purging type, you don't have to throw up (because you get rid of the food calories because of the exercise and lose weight because you don't eat enough food for the exercise you do. That was the exact diagnosis I had in college, but in the DSM-IV to have anorexia purging type (and restricting type), you had to be a certain BMI or lower (I don't remember what it is and have lost your period for at least 3 months). And of course, even like now you have to have food issues - feel like you eat too much, will gain too much weight, are happy with lower numbers on the scale, etc.,, etc. That never changed in the DSM-5.If you didn't have those, I think they put you under ED-NJOS, but who knows, I'm not a psychiatrist. So I had anorexia purging type in college too (only I exercised way more than I do now. back then so lost weight more rapidly) - i still overexercise though and am very thin for my height. low BMI, but I did unintentitionally lose a good deal of weight for an emergency perforated ulcer surgery (and I'd rather die than go through that again, the pain was so horrid) not related to the ED according to the gastroenterologist. And that surgery put me at these low weights again, triggering more ED thoughts/actions. Plus, I have other stress factors going on (not to do with food). I have a low BMI (I posted my avatar pre-ulcer surgery but don't want to post a new one because I'm afraid it could trigger. So I slso lost a lot of weight post-pregnancy because I was breastfeeding, and I couldn't keep weight on, which made me happy. After breastfeeding, my BMI settled low, I don't know why, maybe the stress of having a baby. And my daughter has tons of sensory issues. I think she barely missed autism diagnosis on the Asperger's side, smart with school and technical stuff, bad interacting with people, prone to meltdowns at age 10, still all the sensory issues too. I love her, but she is not an easy child to parent,and classic parenting things for issues don't work for her (though I realize all children are different with their own sets of parenting issues).

Some believe there is a condition known as "female athlete triad" usually connected with women engaged in hard sports training, competitive sports, or things like extreme running. But it is not an eating disorder as such in the DSM. But I don't know where you'd draw the line. I started out with healthy running habits, good eating habits and progressed to extreme running and poor eating habits maybe with a binge on Sunday if I felt I'd done well for the week. And constant worry about my weight. So it is hard to draw the line for that one. I had no period. I had an unhealthy low BMI, disordered eating habits, worry about weight, brachycardia, osteopenia, etc. So it gets very similar to anorexia - purging type and/or bulimia or the old ED-NOS. Many female athletes (especially where body weight & look count) once retired from their sport admit to battling anorexia or bulimia or disordered eating.

Sorry about any typos here. Since my pdoc put my on Wellbutrin, my vision is blurry in the morning. Or it could be the Protonix I started taking again in the morning earlier this week. I stopped taking it after being in the hospital, and the gastro-doc chewed me out at my appt. last week and said I need to be on Protonix for a long time (maybe life who knows?) But he is a very highly rated gastroenterologist in the Houston area where I live, so I will trust his opinion as there are tons of doctors around here.

I need to look up the side effects for both meds, but the way side effects go, most meds seem to have everything under the sun as a side effect.