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Mental Health Test 2
Eating Disorders and Children/Adolescents
| Question | Answer |
|---|---|
| Hypothalamus | appetite regulation center |
| Neurochemical influences with bulimia nervosa | alterations serotonin and norepinephrine |
| Neurochemical influences with anorexia nervosa | high levels of endogenous opioids |
| Neurochemical influences with binge eating disorder | increase activity in orbitofrontal cortex |
| Anorexia Nervosa | mental disorder characterized by morbid fear of obesity so there is excessive weight loss and body dysmorphia |
| Anorexia Nervosa and weight | less than 85% of expected weight = so very skinny |
| Anorexia Nervosa signs and symptoms | distortion of body image, preoccupation with food, refusal to eat, hypothermia, bradycardia, hypotension, edema, lanugo, metabolic changes, peripheral edema, bone fractures, and acrocyanosis |
| Bulimia nervosa | episodic uncontrolled rapid ingestion of food followed by inappropriate compensatory behavior to get rid of the excess calories |
| Binging | episodic, uncontrolled, compulsive rapid ingestion of large quantities of food over a short period of time |
| Purging | episode followed by inappropriate compensatory behaviors to rid the body of excess calories which could include vomiting, misuse of laxatives, diuretics, or enemas |
| Bulimia nervosa and weight | have a normal weight range |
| Bulimia nervosa signs and symptoms | weight fluctuation in a normal weight range, erosion of teeth, Russel sign and more |
| Binge Eating Disorder (BED) | Can lead to obesity because individual binges on large amounts of food and then the patient does not engage in behaviors to rid the body of excess calories |
| Body Mass Index (BMI) equation | (weight in kg)/(height in m ^2) |
| Normal BMI range | 18.5 to 24.9 |
| Obesity BMI range | 30 or greater |
| Anorexia nervosa BMI range | 17 or lower |
| Denial | conscious or unconscious attempt to denial that knowledge or meaning of an event to reduce anxiety and or fear which leads to damage in health |
| Disturbed body images | confusion in mental picture of one's physical self |
| Low self-esteem | negative self-evaluating/feelings about self or self-capabilities |
| Eating Disorder and Treatment | issue of control is a major issue so we need to make sure that the clients feel in control about their treatment |
| Maudsley approach | family based treatment with teenagers or children with a binge eating disorder |
| Fluoxetine or Prozac | FDA approved SSRIs that is used in eating disorders especially for bulimia nervosa and weight gain for anorexia nervosa |
| BED medications | Lisdexamfetamine/Vyvanse and topiramate/Topamax |
| Emotional problem exists if behavior manifestations are | not age appropriate, deviate from cultural norms, and interfere with adaptive functioning |
| Intellectual Development Disorder (IDD) | impairment in brain's ability to develop which causes impairments in measure intellectual performance and adaptive functioning skills |
| Adaptive functioning | person's ability to adapt to requirements of ADLs and expectations of their age and cultural group |
| Autism Spectrum Disorder | deficits in social communication and interaction with restricted or repetitive behaviors, interests and activities |
| Medications with autism spectrum disorder | doesn't treat the actual autism rather treats the symptoms |
| Risperidone/Risperdal | antipsychotic for autism used for ages 5 to 16 |
| Aripiprazole/Abilify | antipsychotic for autism used for ages 6 to 17 |
| ADHD | developmentally inappropriate degrees of inattention, impulsiveness, and hyperactivity that occurs in two or more settings that interfere with functioning |
| ADHD CNS stimulants | amphetamines and methylphenidate which increase dopamine and norepinephrine but have to be careful with cardiovascular disease, weight, and insomnia |
| ADHD non-stimulants | NRIs, NDRIs, and centrally acting alpha-agonists |
| Tourette's Disorder | multiple motor tics and one or more vocal tics which may cause distress and impaired functioning |
| Palilalia | repeating one's own words |
| Echolalia | repeating others words |
| CBIT | comprehensive behavioral interventions for tics |
| DBS | deep brain stimulation |
| Oppositional Defiant Disorder (ODD) | persistent pattern of angry mood and defiant behavior which interferes with social, educational and vocational activities hat occurs more frequently than individuals of comparable age and developmental level and |
| Conduct Disorder (CD) | persistent pattern of behavior in which the basic rights of others and major age-appropriate societal norms or rules are violated. Will cause harm to others, animals, and do destructive behvaior |
| Separation Anxiety Disorder | excessive anxiety concerning separation from those to whom the individual is attach and can interfere with social, academic, occupational, or other areas of functioning |
| Adverse Childhood Experiences (ACE) | adverse experiences as a child affects adulthood with mental and physical illness |
Created by:
tliszka5