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NEDA TOOLKIT for Educators Cognitive Orientation Therapy (COT)  A type of cognitive therapy that uses a systematic procedure to understand the meaning of a patient’s behavior by exploring certain themes such as aggression and avoidance. The procedure for modifying behavior then focuses on systematically changing the patient’s beliefs related to the themes and not directly to eating behavior. Comorbid Conditions  Multiple physical and/or mental conditions existing in a person at the same time. 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.” Dental Caries  Tooth cavities. The teeth of people with bulimia who using 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. Depressive Disorders  A group of mental disorders characterized by the presence of sad, empty, or irritable mood that affects the individual’s ability to function normally. These disorders include disruptive mood dysregulation disorder, major depressive disorder, persistent depressive disorder, depressive disorder due to another medical condition, other specified depressive disorder, and unspecified depressive disorder. Diabetic Omission of Insulin  A nonpurging method of compensating for excess calorie intake that may be used by a person with diabetes and bulimia. 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. Disordered Eating  Term used to describe any atypical eating behavior. Drunkorexia Slang.  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. 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 as well as the criteria established by the APA to diagnose them. 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. Eating Disorders Not Otherwise Specified (EDNOS)  A term previously used to describe any disorder of eating that does not meet the criteria for anorexia nervosa, bulimia nervosa or binge eating disorder. With the publication of the DSM-5, EDNOS is now referred to as Other Specified Feeding or Eating Disorder (OSFED). Page  | 33