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你好! 我是KATI。謝謝您來看我的影片

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一如既往，我有些教育的信息想分享

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今天的主題

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比較臨床於我臨床的工作方面有關

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我想談談關於神經性貪食症的診斷

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我知道有不少人說，我已經知道那是什麼，我聽過很多次

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所以我想澄清，我知道人們常常誰變用

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飲食失調症術語

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無論是媒體或日常生活。 我想澄清

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我指的"暴食症"的意思

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當我確診有暴食症的患者我在尋找什麼

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我一定會參閱我的DSM

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DSM診斷幾乎就是天書，我之前提過它

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他給我一個準則清單
病人必須符合這些準則

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才能診斷因為我不想誤診

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不符合準則的患者

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當我要診斷暴食症我會先看他

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是否暴飲暴食

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很多人說

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我狂吃這些，這是我暴飲暴食的量，我吃的多快

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每位患者都不同

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這不是比賽

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我看過某些影片說某人說他暴飲暴食

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我吃得比他多
這其實都不重要

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我會告訴患者

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你眼裡的失控過度進食就是暴飲暴食

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診斷標準通常說要快速

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過度

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進食

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在兩小時內吃完

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我不用這種限制
只要患者認為自己

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失控就算暴飲暴食

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我遇過暴食會吃

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25個漢堡的患著，也有吃一顆蘋果就覺得

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進食過量了

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所以

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要有暴飲暴食的症狀
這是暴食症的症狀之一

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第二個部分是

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暴飲暴食時

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患著覺得自己完全失控

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有些人會聽不動，有其沒

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患有飲食疾病的人，可能認為

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他們吃是自己的選擇

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要吃這麼多

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但可沒這麼簡單

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我有位患著

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跟我說她會沿著一條路開

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在某些速食餐廳買她的

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暴食食物，類似儀式

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當她來到

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最後一家速食餐廳，買完她要

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暴飲暴食的食物

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她會有個出體經驗

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向靈魂飄到體外

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不記得自己吃了什麼

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等到她清醒後

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看到車內的速食包裝紙

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和收據

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她才發現自己做了什麼

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所以我指的"失控"

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是完全無法自我控制

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下個診斷標準

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是暴飲暴食和失控之後

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心理產生罪惡感，想彌補暴飲暴食

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但

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每人用的方式都不同
跟暴飲暴食一樣，每人症狀

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不同

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最常聽的是催吐

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這點會被人家拿來隨便說說 "喔他吃完去廁所"

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"她肯定有暴食症"

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其實

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這不太說得通，這不是診斷標準

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只是某人未受過教育的猜測

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我用的DSM所列出的診斷標準有提

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包郭催吐，用瀉藥

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灌腸，用利尿劑

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有些人不清洗內臟，反而

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使用過度運痛或逼自己

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斷食X天

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補回暴飲暴食多吃的熱量

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有患著跟我說

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"會回到底線"

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"會歸零"

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她用方程式算進食多少

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剪掉多少才能歸零

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這是她飲食疾病的目標

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所以一旦達到這些整段標準

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還有什麼?

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顯然像任何進食障礙的人會

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很專注體形狀和重量

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與導致行為

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這就是暴食症

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人會大肆吃

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暴飲暴食時會感到無法自我控制

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之後會彌補它，和他們會

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可怕地，可怕地隨時都把注意力集中在身形和重量

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我希望説明澄清一點關於暴食症的事實

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尤其是如果你有心愛的人患上它，而你想多理解一些

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她活在'這樣的世界裡

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現在我希望這清除些，若有其它評論或問題

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請分享您的意見於看法和你想聽我討論些什麼，別忘了

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訂閱我的視訊

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當我新上傳視訊或回應些問題

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您馬上知道

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陪我繼續持續下去

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追求健康的心態，於健康的身體