User:Kgt11/Atypical Anorexia/Tikomkheidze Peer Review

General info

 * Whose work are you reviewing?

User:Kgt11


 * Link to draft you're reviewing
 * Link found here.


 * Link to the current version of the article (if it exists)
 * N/A -- current version does not exist

Evaluate the drafted changes
Overall, I thought the article was super well thought-out and concise! However, I feel like since there really isn't a lot of information on atypical anorexia, I feel like it would be in your best interest to condense the information that you already have. Rather than creating multiple sections, combine some of them.

I really like your "lead," and the tone of your article is well-balanced. Down below, I have copied your original article, and then made some changes.

Atypical anorexia is an eating disorder in which individuals meet the qualifications for anorexia nervosa, but are not underweight. Atypical anorexia qualifies as a mental health disorder in the DSM-5, under the category Other Specified Feeding and Eating Disorders (OSFED). The characteristics of atypical anorexia patients generally do not differ significantly from anorexia nervosa patients beyond the patient's weight status.

Atypical anorexia was not officially recognized by DSM-4, which included 85% weight loss as criteria for an anorexia nervosa diagnosis. Patients with atypical anorexia were diagnosed with the DSM-4 qualification "eating disorder not otherwise specified" (EDNOS) until the DSM-5 was released in 2013. Prior to DSM-5, EDNOS made up the majority of eating disorders diagnoses, making it difficult to estimate the prevalence of atypical anorexia during this period. '''It is difficult to gauge the prevalence of atypical anorexia pre-2013 because patients were lumped together under the EDNOS diagnosis. Atypical anorexia is more prevalent than anorexia nervosa, but individuals experiencing it are less likely to receive care.'''

Atypical anorexia has historically been used to describe the restrictive eating habits of patients with autism. The DSM-5 superseded this language with the avoidant restrictive food intake disorder (ARFID) diagnosis.

Signs and Symptoms
While many symptoms of atypical anorexia resemble those of anorexia nervosa, it often goes undiagnosed because people who suffer from it are still within normal weight limits. Many people suffering from atypical anorexia may deem themselves or be deemed as "not sick enough", (maybe cite this section) and use their weight as a justification. As a result, both physical, psychological symptoms, and consequences of atypical anorexia may be overlooked, causing it to go unnoticed.

Physical

 * Significant weight loss
 * Yellowing and/or drying skin
 * Abdominal pain
 * Gastrointestinal issues
 * Reduced immune system function
 * Constipation
 * Lethargy and low energy

Behavioral and Emotional

 * Hyperfocus on weight, size, and shape
 * Low self-esteem
 * Distorted body image
 * Fixation on food, nutritional content, and/or bodily impact of food
 * Refusing to eat or be seen eating
 * Emotional dysregulation (including but not limited to increased irritability, and mood swings)
 * Difficulty thinking and focusing

Treatment and Policies
Individuals with atypical anorexia may have a more difficult time seeking treatment because they do not meet the low-weight requirements instituted by insurance companies.

Evidence from a study conducted at the University of California San Francisco Eating Disorders Program suggests that atypical anorexia patients are equally likely to suffer from secondary side effects, including bradycardia (decreased heart rate), amenorrhea (stopping of the menstrual period), and electrolyte imbalances.

If there is any information about how health insurance companies cover treatments for atypical anorexia, it would be great to put that here-- or some programs that have been founded to address and bring awareness to atypical anorexia.