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# Is There a Relationship Between OCD and Eating Disorders? (`$= dv.current().publishDate`)
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๐ [[Hope Gillette]]
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> [!check] Finished Reading
> **Last read**: Wednesday, 22 May 2024
> **My rating**: 9 out of 10
> _A pretty good summary._
>[!abstract]
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๐ [[eating disorders]], [[obsessive-compulsive disorder (OCD)|OCD]]
๐๐ผ Hope Gillette (2023-12-20). *[[Hope Gillette - Is There a Relationship Between OCD and Eating Disorders|Is There a Relationship Between OCD and Eating Disorders?]]*. Healthline. [Link](https://www.healthline.com/health/ocd/is-there-a-relationship-between-ocd-and-eating-disorders)
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## Readwise Highlights and Notes
### Imported from [[Readwise]] on [[2024-05-22]]
On the surface, obsessive-compulsive disorder (OCD) and eating disorders might not seem like they have much in common. But both involve distressing thoughts and emotions that can drive repetitive or specific behaviors. ([View Highlight](https://read.readwise.io/read/01hyf49ygb08rszpbg18vsj8eb))
Eating disorders involve various forms of eating pattern disturbances driven by negative thoughts and emotions. This category includes conditions such as anorexia nervosa, binge eating disorder, and bulimia nervosa.
Obsessive-compulsive disorder (OCD) is a mental health condition that involves intrusive thoughts (obsessions) and mental or physical acts used to neutralize emotional distress (compulsions).
Both OCD and eating disorders can feature repetitive thoughts followed by specific behaviors, and these conditions often co-occur. When OCD and eating disorders happen at the same time, theyโre considered โcomorbidโ conditions. ([View Highlight](https://read.readwise.io/read/01hyf4a8t6cv2vmeq4cb5s6v3e))
[OCD](https://www.healthline.com/health/ocd/social-signs) and [eating disorders](https://www.healthline.com/nutrition/common-eating-disorders) commonly co-occur. The relationship has long been established in research and in diagnostic manuals such as the Diagnostic and Statistical Manual of Mental Disorders, 5th edition, text revision (DSM-5-TR). ([View Highlight](https://read.readwise.io/read/01hyf4agz5k4erbxjn9kazmk9r))
Ego-dystonic vs. ego-syntonic ([View Highlight](https://read.readwise.io/read/01hyf4bs8z29ckpkvvfhc68yzf))
In OCD, intrusive thoughts are typically ego-dystonic, meaning they are in direct conflict with your self-identity or value system. For example, if you innately believe hurting people is wrong, your obsessions in OCD may involve thoughts about causing harm to others.
In eating disorders, intrusive thoughts are typically ego-syntonic, meaning theyโre aligned with your current beliefs. You may believe you should weigh a certain amount, for example, so you experience distressing thoughts and emotions about meeting those expectations. ([[Hope Gillette - Is There a Relationship Between OCD and Eating Disorders|Hope Gillette, 20 December 2023]], [View Highlight](https://read.readwise.io/read/01hyf4bvw3gwfz7tz7gfsme001)) ^6109fd
Relevance of body perception
Body image distortion can also set eating disorders apart from OCD when considered with other diagnostic factors. While itโs possible to have low self-esteem and [body image concerns](https://www.healthline.com/health/negative-body-image) in OCD, body image distortion โ a misperception of how you look โ is a part of the DSM-5-TR diagnostic criteria for eating disorders such as [anorexia nervosa](https://www.healthline.com/nutrition/anorexia-signs-symptoms). ([View Highlight](https://read.readwise.io/read/01hyf4bmdey5tg7026zxegfb1d))
Rigidity of behaviors ([View Highlight](https://read.readwise.io/read/01hyf4by9yaddn9d4sqgs574fp))
In OCD, compulsions typically follow a rigid, self-imposed set of rules. When you experience an obsession, you perform compulsions in the same way every time, often because failing to do so leaves you feeling incomplete or does not relieve your anxiety.
Repetitive behaviors can also be part of eating disorders, but rigidity is not considered a necessary or significant feature for diagnosis. ([View Highlight](https://read.readwise.io/read/01hyf4c10qyeazncn0kscfwpje))
OCD and eating disorders commonly co-occur and have some common features, including intrusive thoughts that lead to specific behaviors.
Despite their similarities, OCD and eating disorders are separate diagnoses. OCD encompasses a broader range of intrusive thoughts and behaviors that do not align with your inner value system.
Eating disorder thoughts, while distressing, are typically in step with your individual values. And while they can lead to repetitive behaviors, those behaviors donโt necessarily follow a rigid rule set like those in OCD.
Both OCD and eating disorders can be treated using CBT-based psychotherapy approaches and medication. ([View Highlight](https://read.readwise.io/read/01hyf4c7ww8d3t90p10mpc5j9y))