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Eating disorders 17
Eating disorders
Question | Answer |
---|---|
Purge | To get rid of |
Anorexia Nervosa | the person refuses to maintain a minimally normal weight for height and express intense fear of gaining weight. |
Bulimia Nervosa | the person engage in repeated episodes of binge eating by inappropriate compensatory behaviors such as self-induced vomiting, misuse of laxatives, diuretics, fasting or excessive exercise |
Binge eating | the person engages in repeated episodes of binge eating, after which they experience significant distress. They do not use the compensatory behaviors. |
Prevalence: | more common in women than in men |
Co morbidity: | - with anorexia; Cluster C d/o= avoidant and OCD -with bulimia; Cluster B and C d/o= borderline and avoidant.-Hx of sexual abuse is more common-may be related to depression |
S&S of Anorexia Nervosa | -low weight(caloric restriction)-yellow skin(hypercarotenemia)-cold extremities(starvation)-peripheral edema (hypoalbuminemia)-low BP,P, and temp (electrolyte imbalance)-abnormal lab values (low thyroxine levels)-constipation-amenorrhea-lanugo |
S&S of Bulimia Nervosa | -dental caries(vomiting)-parotid swelling(increased serum amylade levels)-gastric dilation, rupture (binge eating)-scars on hand=Russell's sign (self indused vomiting) hypokalemia,hyponatremia,elec imbalance(induced vomiting,laxative) |
Treatment for Anorexia Nervosa | Inpatient (electrolyte imbalance and cardiac problems-Milieu therapy-Counceling-health teaching-psychotherapy-psychopharmacology |
Medication used to treat Anorexia Nervosa | 1)Antidepressant medication (SSRIs=Prozac to reduse the occurance of rlapse)2)Atypical antipsychotics (zyprexa=to improve mood and decrease obsessional behavior) |
Medication used to treat Bulimia nervosa | Antidepressant= SSRIs= Prozac |
cognitive distortions in eating d/o | 1-overgeneralization 2-all-or-nothing thinking 3-catastrophizing 4-personalization 5-emotional reasoning |
example of Overgeneralization | "He didn't ask me out. Ith must be because i'm fat." "I was happy when wore asize 6. i must get back to that weight." |
Example of all or nothing thinking | " If i have one popsicle, i must eat five." "if i allow myself to gain weight, i'll blow up like a balloon." |
example of catastrophizing | "If i gain weight, my weekend will br ruined." "When peoople say i look better, i know they think i'm fat." |
example of personalization | "I know everybody is wathcing me eat.""i think people won't like me unless i'm thin." |
example of emotional reasoning | " i know i am fat because i feel fat." "When i am thin, i feel powerful |