[Script Info]
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[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:11.05,0:00:14.27,Default,,0000,0000,0000,,Hi there, it’s Kati again, thanks for checking back.
Dialogue: 0,0:00:14.27,0:00:18.95,Default,,0000,0000,0000,,As always I have some great information\Nfor you today and it's pretty educational.
Dialogue: 0,0:00:18.95,0:00:19.52,Default,,0000,0000,0000,,Today's is
Dialogue: 0,0:00:19.52,0:00:23.06,Default,,0000,0000,0000,,a little bit more clinical and the clinical\Nside of what I do.
Dialogue: 0,0:00:23.06,0:00:28.26,Default,,0000,0000,0000,,And I'd like to talk to you about the\Ndiagnosis of Bulimia Nervosa.
Dialogue: 0,0:00:28.26,0:00:33.00,Default,,0000,0000,0000,,Now I know a lot of you say "I already know what\Nthat is", "I’ve heard it a ton of times" and
Dialogue: 0,0:00:33.00,0:00:37.06,Default,,0000,0000,0000,,that's why I just want to clarify, I know\Nthat people use eating disorder terms
Dialogue: 0,0:00:37.06,0:00:38.04,Default,,0000,0000,0000,,loosely.
Dialogue: 0,0:00:38.04,0:00:42.00,Default,,0000,0000,0000,,In media, in everyday life and I want to\Nmake sure that you know
Dialogue: 0,0:00:42.00,0:00:46.04,Default,,0000,0000,0000,,when I use the term bulimia, what I mean\Nby it.
Dialogue: 0,0:00:46.04,0:00:50.06,Default,,0000,0000,0000,,So when I diagnose someone with bulimia\Nwhat am I looking for?
Dialogue: 0,0:00:50.06,0:00:54.02,Default,,0000,0000,0000,,As always I refer to my DSM.
Dialogue: 0,0:00:54.02,0:00:58.02,Default,,0000,0000,0000,,Now, the DSM is pretty much the Bible for\Ndiagnosis and I know I've referred to
Dialogue: 0,0:00:58.02,0:01:02.00,Default,,0000,0000,0000,,it before, it gives me a list of criteria\Nthat someone needs to meet in order to
Dialogue: 0,0:01:02.00,0:01:06.15,Default,,0000,0000,0000,,be diagnosed. Because I don't want to give\Na diagnosis to someone
Dialogue: 0,0:01:06.15,0:01:10.05,Default,,0000,0000,0000,,if they don't really meet the criteria. Right?
Dialogue: 0,0:01:10.05,0:01:15.06,Default,,0000,0000,0000,,Now, when I begin, the first thing that I'm\Nlooking for, for someone with bulimia
Dialogue: 0,0:01:15.06,0:01:18.02,Default,,0000,0000,0000,,is that they binge eat.
Dialogue: 0,0:01:18.02,0:01:21.00,Default,,0000,0000,0000,,I know a lot of you say
Dialogue: 0,0:01:21.00,0:01:24.08,Default,,0000,0000,0000,,"I binge this", "this is what I binge", how much\NIn this amount of time.
Dialogue: 0,0:01:24.08,0:01:27.08,Default,,0000,0000,0000,,Everybody has something different that\Nthey do.
Dialogue: 0,0:01:27.08,0:01:29.05,Default,,0000,0000,0000,,It's not competition.
Dialogue: 0,0:01:29.05,0:01:32.01,Default,,0000,0000,0000,,I have heard videos of people saying "this\Nperson said that their binge
Dialogue: 0,0:01:32.01,0:01:37.09,Default,,0000,0000,0000,,that's not as much, I binge much more than\Nthey binge." It doesn't matter.
Dialogue: 0,0:01:37.09,0:01:39.03,Default,,0000,0000,0000,,What I want to say
Dialogue: 0,0:01:39.03,0:01:42.08,Default,,0000,0000,0000,,to a client of mine is what feels like a\Nbinge to you
Dialogue: 0,0:01:42.08,0:01:47.06,Default,,0000,0000,0000,,all the diagnosis criteria says that it\Nhas to be more than a normal amount of
Dialogue: 0,0:01:47.06,0:01:48.07,Default,,0000,0000,0000,,food,
Dialogue: 0,0:01:48.07,0:01:50.05,Default,,0000,0000,0000,,in a short period of time.
Dialogue: 0,0:01:50.05,0:01:53.09,Default,,0000,0000,0000,,now the time constraint that they give\Nis two hours, but
Dialogue: 0,0:01:53.09,0:01:57.10,Default,,0000,0000,0000,,I wouldn't even restrict it to that with\Nmy clients. I want to know what feels like a binge
Dialogue: 0,0:01:57.10,0:01:59.00,Default,,0000,0000,0000,,to them.
Dialogue: 0,0:01:59.00,0:02:01.04,Default,,0000,0000,0000,,I've had people who eat
Dialogue: 0,0:02:01.04,0:02:04.10,Default,,0000,0000,0000,,twenty-five hamburgers, and I’ve had people\Nwho’ve eaten an apple and that can feel like
Dialogue: 0,0:02:04.10,0:02:07.04,Default,,0000,0000,0000,,a binge to them.
Dialogue: 0,0:02:07.04,0:02:09.05,Default,,0000,0000,0000,,So,
Dialogue: 0,0:02:09.05,0:02:12.60,Default,,0000,0000,0000,,you have to binge eat, that's part of the\Nbulimia criteria.
Dialogue: 0,0:02:12.60,0:02:14.41,Default,,0000,0000,0000,,The second portion of that,
Dialogue: 0,0:02:14.41,0:02:16.66,Default,,0000,0000,0000,,is that during this binge
Dialogue: 0,0:02:16.66,0:02:19.47,Default,,0000,0000,0000,,the person feels completely out of\Ncontrol.
Dialogue: 0,0:02:19.47,0:02:22.83,Default,,0000,0000,0000,,And I know that doesn't always makes\Nsense, especially if you haven't
Dialogue: 0,0:02:22.83,0:02:25.100,Default,,0000,0000,0000,,suffered from an eating disorder you think "out\Nof control?
Dialogue: 0,0:02:25.100,0:02:28.39,Default,,0000,0000,0000,,They’re just eating, they’re choosing to eat
Dialogue: 0,0:02:28.39,0:02:29.00,Default,,0000,0000,0000,,this much."
Dialogue: 0,0:02:29.00,0:02:31.04,Default,,0000,0000,0000,,That's not the case.
Dialogue: 0,0:02:31.04,0:02:32.61,Default,,0000,0000,0000,,I had a patient
Dialogue: 0,0:02:32.61,0:02:35.09,Default,,0000,0000,0000,,who told me she used to drive along this\Nroad and get
Dialogue: 0,0:02:35.09,0:02:39.83,Default,,0000,0000,0000,,these certain fast food restaurants she’d\Nstop and get her certain
Dialogue: 0,0:02:39.83,0:02:44.01,Default,,0000,0000,0000,,binge foods, it was kind of a ritual that\Nshe would do
Dialogue: 0,0:02:44.01,0:02:45.41,Default,,0000,0000,0000,,and she would tell me that when she\Nreached
Dialogue: 0,0:02:45.41,0:02:48.09,Default,,0000,0000,0000,,the last fast food restaurant, she had picked\Nup all the food that she was planning to
Dialogue: 0,0:02:48.09,0:02:50.74,Default,,0000,0000,0000,,eat for her binge
Dialogue: 0,0:02:50.74,0:02:53.05,Default,,0000,0000,0000,,would almost have a out-of-body\Nexperience
Dialogue: 0,0:02:53.05,0:02:55.96,Default,,0000,0000,0000,,she said it was like she came out of her\Nbody,
Dialogue: 0,0:02:55.96,0:02:58.22,Default,,0000,0000,0000,,didn't even remember eating the food,
Dialogue: 0,0:02:58.22,0:03:00.73,Default,,0000,0000,0000,,until she kind of awoke from this\Nexperience
Dialogue: 0,0:03:00.73,0:03:02.96,Default,,0000,0000,0000,,to see wrappers all over a car
Dialogue: 0,0:03:02.96,0:03:05.49,Default,,0000,0000,0000,,and receipts from what she purchased.\NAnd that’s
Dialogue: 0,0:03:05.49,0:03:08.24,Default,,0000,0000,0000,,the only way she would realize what had\Nhappened.
Dialogue: 0,0:03:08.24,0:03:10.07,Default,,0000,0000,0000,,So when I say out of control,
Dialogue: 0,0:03:10.07,0:03:15.27,Default,,0000,0000,0000,,I mean they feel completely out of\Ncontrol.
Dialogue: 0,0:03:15.27,0:03:19.52,Default,,0000,0000,0000,,The next criteria that needs to be met
Dialogue: 0,0:03:19.52,0:03:23.14,Default,,0000,0000,0000,,is following that binge and that out of\Ncontrol sensation,
Dialogue: 0,0:03:23.14,0:03:26.30,Default,,0000,0000,0000,,they do something to “make up” for the\Nbinge.
Dialogue: 0,0:03:26.30,0:03:27.00,Default,,0000,0000,0000,,Now,
Dialogue: 0,0:03:27.00,0:03:31.01,Default,,0000,0000,0000,,everybody does something different.\NThat's the same like a binge, everybody's
Dialogue: 0,0:03:31.01,0:03:32.27,Default,,0000,0000,0000,,different.
Dialogue: 0,0:03:32.27,0:03:37.17,Default,,0000,0000,0000,,The most common, and the one I hear the most\Nis self-induced vomiting.
Dialogue: 0,0:03:37.17,0:03:40.92,Default,,0000,0000,0000,,Now that's the one that people throw around\Na lot, “Oh, she went to the bathroom after eating
Dialogue: 0,0:03:40.92,0:03:42.52,Default,,0000,0000,0000,,she must be bulimic.”
Dialogue: 0,0:03:42.52,0:03:43.62,Default,,0000,0000,0000,,That's not
Dialogue: 0,0:03:43.62,0:03:47.18,Default,,0000,0000,0000,,quite going to work, that's not really\Nthe criteria. That's,
Dialogue: 0,0:03:47.18,0:03:52.14,Default,,0000,0000,0000,,that's an uneducated guess to\Nsomebody.
Dialogue: 0,0:03:52.14,0:03:56.05,Default,,0000,0000,0000,,Now, the criteria that that I'm meeting in \NMy DSM says that
Dialogue: 0,0:03:56.05,0:04:00.07,Default,,0000,0000,0000,,Their, they could do self-induced vomiting,\Nthey can use laxatives, they can use
Dialogue: 0,0:04:00.07,0:04:02.01,Default,,0000,0000,0000,,enemas, they can use diuretics.
Dialogue: 0,0:04:02.01,0:04:05.49,Default,,0000,0000,0000,,some people don't even purge at all.\NThey actually
Dialogue: 0,0:04:05.49,0:04:10.26,Default,,0000,0000,0000,,will purge through excessive exercise or\Nsome people even will force themselves
Dialogue: 0,0:04:10.26,0:04:13.81,Default,,0000,0000,0000,,to starve for x amount of days or\Ntime,
Dialogue: 0,0:04:13.81,0:04:16.27,Default,,0000,0000,0000,,following a binge to make up for it.
Dialogue: 0,0:04:16.27,0:04:18.33,Default,,0000,0000,0000,,I even had a patient once, that would use the term
Dialogue: 0,0:04:18.33,0:04:20.02,Default,,0000,0000,0000,,it set me back to base line.
Dialogue: 0,0:04:20.02,0:04:21.54,Default,,0000,0000,0000,,it would put me to zero.
Dialogue: 0,0:04:21.54,0:04:25.03,Default,,0000,0000,0000,,because she had these equations that\Nwould, you know, binge equals this much
Dialogue: 0,0:04:25.03,0:04:27.03,Default,,0000,0000,0000,,minus this is back to zero.
Dialogue: 0,0:04:27.03,0:04:31.00,Default,,0000,0000,0000,,And that was her goal with her eating\Ndisorder.
Dialogue: 0,0:04:31.00,0:04:34.22,Default,,0000,0000,0000,,So once these criterias have been met,
Dialogue: 0,0:04:34.22,0:04:35.05,Default,,0000,0000,0000,,what else?
Dialogue: 0,0:04:35.05,0:04:39.09,Default,,0000,0000,0000,,Well obviously like any eating disorder,\Nthe person's going to have
Dialogue: 0,0:04:39.09,0:04:42.39,Default,,0000,0000,0000,,a lot of focus on their shape and weight.
Dialogue: 0,0:04:42.39,0:04:46.03,Default,,0000,0000,0000,,And that drives the behaviors.
Dialogue: 0,0:04:46.03,0:04:48.23,Default,,0000,0000,0000,,That's what bulimia is:
Dialogue: 0,0:04:48.23,0:04:49.06,Default,,0000,0000,0000,,someone will binge eat,
Dialogue: 0,0:04:49.06,0:04:51.09,Default,,0000,0000,0000,,they will feel out of control when they binge eat,
Dialogue: 0,0:04:51.09,0:04:55.44,Default,,0000,0000,0000,,they'll do something to make up for it\Nafterwards, and they’ll be
Dialogue: 0,0:04:55.44,0:04:59.07,Default,,0000,0000,0000,,horribly, horribly focused on their shape\Nand weight at all times.
Dialogue: 0,0:04:59.07,0:05:03.02,Default,,0000,0000,0000,,And I hope that helps clarify a little\Nbit about what bulimia really is.
Dialogue: 0,0:05:03.02,0:05:07.07,Default,,0000,0000,0000,,Especially if you have a loved one suffering from\Nit and you want to just understand a little more,
Dialogue: 0,0:05:07.07,0:05:10.02,Default,,0000,0000,0000,,that's kind of the world that they live\Nin.
Dialogue: 0,0:05:10.02,0:05:14.04,Default,,0000,0000,0000,,Now I hope that is clear and don't forget\Nto comment if it's not. Ask questions,
Dialogue: 0,0:05:14.04,0:05:17.09,Default,,0000,0000,0000,,tell me your feedback, things that you'd\Nlike to hear from me and don't forget to
Dialogue: 0,0:05:17.09,0:05:20.07,Default,,0000,0000,0000,,subscribe as well to my videos.
Dialogue: 0,0:05:20.07,0:05:24.02,Default,,0000,0000,0000,,Because when I post or if I respond to a\Nquestion or anything like that you’ll
Dialogue: 0,0:05:24.02,0:05:26.01,Default,,0000,0000,0000,,know about it right away.
Dialogue: 0,0:05:26.01,0:05:27.99,Default,,0000,0000,0000,,And continue this journey with me
Dialogue: 0,0:05:27.99,0:05:33.12,Default,,0000,0000,0000,,to a healthy mind, healthy body!