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NEDA TOOLKIT for Coaches and Trainers Comorbid Conditions  Multiple physical and/or mental conditions existing in a person at the same time. (See Dual Diagnosis.) Crisis Residential Treatment Services  Short-term, around-the-clock help provided in a nonhospital setting during a crisis. The purposes of this care are to avoid inpatient hospitalization, help stabilize the individual in crisis and determine the next appropriate step. Cure  The treated condition or disorder is permanently gone, never to return in the individual who received treatment. Not to be confused with “remission.” (See Remission.) Dental Caries  Tooth cavities. The teeth of people with bulimia who use vomiting as a purging method may be especially vulnerable to developing cavities because of the exposure of teeth to the high acid content of vomit. Depression (or Major Depressive Disorder)  A condition characterized by one or more major depressive episodes consisting of two or more weeks during which a person experiences a depressed mood or loss of interest or pleasure in nearly all activities. It is one of the mood disorders listed in the DSM-5. (See Mood Disorders.) Diabetic Omission of Insulin  A purging method to compensate for calorie intake that may be used by a person with diabetes and an eating disorder. DSM-5  The fifth (and most current as of 2015) edition of the Diagnostic and Statistical Manual for Mental Disorders published by the American Psychiatric Association (APA). This manual lists mental diseases, conditions and disorders, and also lists the criteria established by APA to diagnose them. Several different eating disorders are listed in the manual, including anorexia, bulimia, and binge eating disorder. DSM-5 Diagnostic Criteria  A list of symptoms in the Diagnostic and Statistical Manual for Mental Disorders 5 published by the APA. The criteria describe the features of the mental diseases and disorders listed in the manual. For a particular mental disorder to be diagnosed in an individual, the individual must exhibit the symptoms listed in the criteria for that disorder. Many health plans require that a DSM-5 diagnosis be made by a qualified clinician before approving benefits for a patient seeking treatment for a mental disorder such as anorexia, bulimia or binge eating disorder. Dual Diagnosis  Two mental health disorders in a patient at the same time, as diagnosed by a clinician. For example, a patient may be given a diagnosis of both bulimia nervosa and obsessive-compulsive disorder or of anorexia and major depressive disorder. Eating Disorders Anonymous (EDA)  A fellowship of individuals who share their experiences with each other to try to solve common problems and help each other recover from their eating disorders. Dialectical Behavior Therapy (DBT)  A type of behavioral therapy that views emotional deregulation as the core problem in bulimia nervosa. It involves teaching people with bulimia nervosa new skills to regulate negative emotions and replace dysfunctional behavior. A typical course of treatment is weekly two- hour group sessions lasting 20 weeks. (See Behavioral Therapy.) Eating Disorder Inventory (EDI)  A self-report test that clinicians use with patients to diagnose specific eating disorders and determine the severity of a patient’s condition. Disordered Eating  Term used to describe any atypical eating behavior. Electrolyte Imbalance  A physical condition that occurs when ionized salt concentrations (commonly sodium and potassium) are at abnormal levels in the body. This condition can occur as a side effect of some bulimic compensatory behaviors, such as vomiting. Drunkorexia  Behaviors that include replacing food consumption with excessive alcohol consumption and/ or consuming food along with sufficient amounts of alcohol to induce vomiting as a method of purging and numbing feelings. Ed  Slang. Eating disorder. ED  Acronym for eating disorder. Emetic  A class of drugs that induces vomiting. Emetics may be used as part of a bulimic compensatory behavior to induce vomiting after a binge eating episode. Page  | 52