00:00 Nowadays, many people are spending their time on diet, exercise, and other ways to achieve their ideal body weight.
00:08 However, some have fallen into a disease that causes eating disorder such as anorexia.
00:15 That's why it's important to consult a psychiatrist, Dr. Bernadette Manalo-Arcena,
00:22 to clarify what is anorexia.
00:26 Good morning to you, doctor.
00:29 Yes, good morning everyone.
00:31 Hi, Dr. Bernadette, this is Diana and Audrey.
00:34 Doc, what is eating disorder anorexia?
00:37 Can you explain it to us?
00:39 How does it differ from other eating disorders?
00:44 Anorexia, nervosity, and dementia are the two most common eating disorders.
00:54 Audrey is taking care of her.
00:56 This is more common than other eating disorders.
01:03 This usually happens when people have distorted body image.
01:11 Doctor, usually, people are over-weight.
01:19 What is the reason or cause of anorexia?
01:22 Because you are not eating much.
01:28 What is the difference between anorexia and other eating disorders?
01:32 It's different because you want to lose weight.
01:37 You are afraid of increasing your body weight and your view of your body.
01:50 It's not just that.
01:52 It's a common story.
01:55 People have a poor view of themselves.
01:59 They don't have confidence.
02:02 They have a poor self-confidence.
02:04 They have a low view of themselves.
02:07 This is especially true when your physical appearance is distorted.
02:13 This is seen when you have a low calorie intake.
02:21 You are looking at all the labels.
02:25 You are checking them.
02:26 You are not eating carbs.
02:29 What are the main symptoms that people with this eating disorder should be aware of?
02:39 The scary thing is that your weight will go down.
02:45 They think that their weight is normal.
02:50 You can see that their weight loss is about 30% of their body weight.
02:57 This is scary and alarming.
03:00 It's not just their physical appearance that is the problem.
03:05 Their view of themselves is also different.
03:09 To be more careful, what are the complications or effects of anorexia on the mental and physical health of a person?
03:22 People with an eating disorder usually have depression and anxiety.
03:31 They are very depressed.
03:35 Anorexia is when you think that you are fat.
03:40 Bulimia is when you think that you need to binge eat.
03:47 After that, you will have purging symptoms.
03:53 You will remove it by using laxatives.
03:57 People with an eating disorder usually have behavioral disturbance.
04:04 What are the common misconceptions about anorexia?
04:09 What can you say about this?
04:12 An anorexic person thinks that they are fat.
04:20 Even if their weight loss is already excessive, they think that they are still fat.
04:27 They will do everything to prevent their weight from increasing.
04:36 How can we stop this eating disorder?
04:43 What are the medicines that can help people with anorexia?
04:48 You should consult an expert.
04:52 Usually, when people with anorexia are already severe, they are taken to the hospital.
04:58 Why?
04:59 Because their weight is decreasing.
05:03 Some people have complications.
05:06 They have problems with their digestive system because they don't have a bowel.
05:13 Some people need to be given a swero.
05:18 We call this a parenteral nutrition.
05:21 They need to be given sufficient nutrition to recover.
05:28 Doctor, can't we just follow simple methods?
05:33 Especially in the early stages.
05:35 Like our friend, Dayan, who loves to eat.
05:38 Can't we just follow simple methods to avoid anorexia?
05:51 That's very difficult.
05:55 They have a different view of themselves.
05:58 Even if you give them lechon, they won't eat it.
06:03 What's scary is if they experience severe weight loss.
06:09 Their respiration, breathing, and heart can be affected.
06:17 Doctor, who are the actresses here with anorexia?
06:22 Dayan, if you remember Karen Carpenter.
06:30 She had anorexia nervosa.
06:34 We saw that her functioning was not okay until the end of her life.
06:44 What's saddening is that she really found herself in a breakdown.
06:50 What's the treatment for this?
06:59 Antidepressant medications can help.
07:04 Psychotherapy sessions are also included.
07:08 She needs to understand that this is a disorder and she needs to be treated.
07:16 Some of them stay in the hospital for a long time because they need to nourish their bodies.
07:23 Because they lost everything.
07:26 Are there many people with this disorder in the Philippines?
07:30 I know that it's common in Western countries.
07:34 But here, most of us have obesity.
07:39 We have a strong appetite.
07:48 Though I don't have the data for the Filipino mortality or morbidity when it comes to eating disorders,
08:01 I do think that it's a smaller percentage compared to the universal percentage.
08:10 However, what's scary here are the impending complications.
08:15 So, if this is a worst case, can a person die from this?
08:21 Yes, it can.
08:24 Especially if they have refused to be treated.
08:29 There are also episodes where they would deny their treatment because they feel that they are still okay.
08:39 It's like you are in the mirror and you have a weight loss of 30-40%.
08:46 And you still think that your weight is normal.
08:49 So, that's the picture of a patient who is anorexic.
08:53 Do you have any last message for our audience about this eating disorder?
08:59 Yes.
09:03 Eating disorders usually occur in the young, especially those teenagers.
09:10 Always remember to believe in yourself and never say that you are less than the others.
09:21 Let's first improve the self-esteem of our children.
09:26 Alright. Thank you for sharing your knowledge about the eating disorder, Anorexia.
09:32 Dr. Bernadette Manalo, RSN. Thank you again.
09:35 Thank you.
09:37 Thank you.
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