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ch. 18

psych eating disorders

QuestionAnswer
What is Anorexia Nervosa? A life threatening eating disorder characterized by the clients refusal or inability to maintain a minimally normal body weight, intense fear of gaining or becoming fat, disturbed perception of shape or size of body.
Clients with anorexia have what? 85% or less that is expected for their age and height, have experienced amenorrhea for at least 3 consecutive cycles
What is binge eating? consuming a large amount of food in a discrete periods of usually 2 hours or less.
what is purging? involves compensatory behaviors designed to eliminate food by means of self-induced vomiting or misuse of laxatives, enemas, and diuretics.
What is common in anorexia? Excessive exercise,preoccupy with food related activities
What is bulimia nervosa? Eating disorder characterized by recurrent episodes of binge eating followed by inappropriate compensatory behaviors to avoid weight gain such as purging, fasting, or excess exercise.
Eating disorders are often linked to what? History of sexual abuse.
What stimulus may lead to development of eating disorders? dieting
What is enmeshment? Lack of clear role boundaries
What is adversity physical neglect, sexual abuse, or parental maltreatment that includes little care, affection, and empathy as well as excessive paternal control, unfriendliness, or overprotectedness.
Anorexia begins usually at what age? 14-18 years of age.
Major life threatening complications that indicate the need for hospital admission include: severe fluid, electrolyte, and metabolic imbalances: cardiovascular complications, severe weight loss and its consequences
Medical management of anorexia focuses on what? weight restoration, nutritional rehabilitation, rehydration, and correction of electrolyte imbalances
What drug is used to promote weight gain? elavil
What drug is used to prevent relapse in clients whose weight has been restored prozac
What medical professional is the first to know about disorder? dentist
Symptoms of bulimia bad teeth, dental caries, menstrual irregularities, dependence on laxatives, esophageal tears, fluid electrolyte abnormalities, metabolic alkalosis, acidosis, elevated serum amylase levels
symptoms of bulimia 2 recurrent episodes of binge eating, misuse of laxatives, diuretics, usually in within normal weight or overweight, depressive and anxiety symptoms, substance use involving alcohol or stimulants.
What is the most effective treatment for bulimia? CBT- cognitive behavioral therapy
Parents describe clients with anorexia as what? "good, causing no trouble"
Parents describe clients with bulimia as what? have impulsive behavior such as substance abuse and shoplifting as well as anxiety, depression, and personality disorders.
Clients with anorexia appear what? slow, lethargic, fatigued: emaciated, slow to respond to questions and have difficulty deciding what to say. Wear loose fitting clothes in layers, regardless of the weather.
Clients with bulimia may be? underweight or overweight or generally close to expected body weight for age and size. general appearance is not unusual, and the appear open andn willing to talk
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