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Abnormal Psych #3
| Question | Answer |
|---|---|
| what are the 3 main types of eating disorders | anorexia, binge eating, bulimia |
| 90% of cases of anorexia and bulimia are what gender? | female |
| what is the prevelance rate for anorexia? | .5-.9% and occurs typically after puberty |
| how many die within 5 years of being diagnosed with anorexia? | 6% |
| significantly low weight | a weight that is less than minimally normal or, for children and adolescents, less than that minimally expected. |
| anorexia specifiers | 1. restricting type - dieting, fasting, excessive exercise, 2. Binge/Purge - self-induced vomiting or the misuse of laxatives, diuretics, or enemas |
| severity levels for anorexia | Mild: BMI ≥ 17 kg/m2. Moderate: BMI 16–16.99 kg/m2. Severe: BMI 15–15.99 kg/m2. Extreme: BMI < 15 kg/m2. |
| issues associated with anorexia | irregular heart rate, low blood pressure, low body temp, kidney issues, remission/reoccurrence. |
| Treatment for anorexia | Special training is required. Refer out if not ED Specialist. -Multi-person teams of physicians, psychologists, nutritionists, physical therapists, and psychiatrists -Psychologically: CBT, social skills groups, CPT, family therapy |
| prevalence for bulimia? | 2.6% and occurs in late adolescence and early adulthood |
| What is binge eating? | Eating, within a 2-hour period, an amount of food that is definitely larger than what most individuals would eat in a similar period of time under similar circumstances. 2. A sense of lack of control over eating during the episode |
| bulimia severity levels | Mild: An average of 1–3 episodes of inappropriate compensatory behaviors per week. Moderate: An average of 4–7 episodes per week. Severe: An average of 8–13 episodes per week. Extreme: An average of 14 or more episodes per week |
| Physical complications of bulimia | Swollen salivary glands Lower potassium Cardiac arrest Ripping the esophagus Teeth and gum issues |
| Treatment for bulimia | Same interdisciplinary team • Treat physical symptoms first • CBT aimed at typical meal schedules, processing large emotions, and coping |
| Binge eating disorder | BED |
| Prevalence for BED | 1-4% rate that occurs in late adolescence and early adulthood |
| Issues related to BED | Consequences of excess weight Joint issues Heart issues Diabetes Gastrointestinal issues Societal judgements of being overweight |
| Treatment for BED | SSRI’s and CBT Used similarly to Bulimia Build a nutrition plan Work with a personal trainer |
| Cultural context of eating disorders | White women most prone to eating disorders White women have the poorest self-image Young African American girls report more body image issues if they are overweight Cultural beauty standards! |
| Psychoactive substances | alter the cognition, perception, or mood of the use |
| addiction | compulsive drug seeking behavior and loss of control over the drug |
| withdraw | negative affects as drug wears off. ie. Shaking, seizures, headache, increased craving, irritability, emotional distress |
| Tolerance | progressive decreases in effectiveness of a drug at the same level. |
| intoxication | distinct and recognizable pattern of problematic behavior or psychological changes associated with the drug use |
| Depressants | cause the CNS and the body to slow down, feel more relaxed, and decrease inhibition |
| Stimulants | increase CNS arousal, produce feelings of euphoria, decrease appetite, and reduce sleep |
| types of CNS Depressants | • Alcohol • Opioids- OxyContin, Oxycodone, Vicodin, Norco, Lortab, Percocet • Sedative (Benzos)- Xanax, Valium, Klonopin |
| types of CNS Stimulants | • Caffeine • Amphetamines • Cocaine |
| Hallucinogens and Dissociatives | LSD, Psylocibin, Mescaline, Salvia, PCP, Ketamine, Dextromethorphan (DMX) |
| Other commonly abused drugs | -Nicotine - Cannabis - MDMA -GHB -Inhalants |
| Treatment for substance use | • Detoxification- potentially deadly • Rehabilitation clinics • Rehabilitation groups such as AA • Motivational Interviewing (MI) • 'Controlled drinking' • Methadone • Nicotine replacement therapy- i.e. gum or Chantix |
| Behavioral addictions | gambling disorder, techno-addictions, sex addiction |