7. Eating, Sleeping, Sexuality Flashcards
How long is detoxification for substance abuse?
5-21 days
How long is rehabilitation for substance abuse?
28 days
How long is residential treatment for substance abuse?
6-24 months
What is involved in detoxification?
treat acute physical effects of withdrawal in medical unit (designed to prevent life-threatening withdrawal symptoms through a prescribed protocol).
What is involved in rehab?
short term programs that offer full schedule of structured activities to divert attention away from wanting and needing drugs (motivate continued progress toward recovery and prevent early replapse)
What is involved in residential treatment?
intense therapy and little contact with outside world with goal of life-long sobriety and abstinence from drugs through improvement of emotional state and belief system (while providing emplyment and education)
Sleep problems in major depression.
shortened REM latency
early AM awakening
fitful sleep
hypersomnia
Sleep problems in PTSD.
nightmares
Sleep problems in manic bipolar.
drastically decreased need for sleep
highly irritable
manic episode can be triggered by sleep deprivation or jet lag
Sleep problems with sleep apnea.
Daytime lethargy
can be mistaken for depression or lack of motivation
Sleep problems with schizophrenia.
patient often up all night in agitated, aimless activity (driven by delusional thinking)
What is the most commonly diagnosed ED?
ED-NOS (most children/adolescents do NOT fulfill all the criteria for AN or BN)
Which ED causes obesity?
BED (binge eating disorder)
What is the predisposing biological factor for EDs?
dysregulation of serotonin system involved with developing and maintining EDs
What races have the worst body image?
white and hispanics
What is a precipitating factor for EDs?
dieting (get psychological boosts from increased sense of mastery and reduced emotional reactivity and reward with maintenance of ED behaiors)
How is purging a perpetuating factor of EDs?
Purging decreases anxiety and releases mood-improving neurotransmitters
Overestimation of body size and shape with relentless pursuit for thinness that typically combines excessive dieting and compulsive exercising.
Anorexia
Episodes of eating large amounts of food in a brief period (binge eating) followed by acts intended to eliminate or reduce the effects of ingested calories (vomiting, laxative use, exercising, or fasting)
Bulemia
Waht are the two subtypes of anorexia?
restrictive subtype
binge-purge subtype
Describe restrictive subtype anorexia.
caloric intake severely limited to monotonous “healthy” food and water or beverages with low caloric density and eating on a very tight schedule that follows an initial habit of dieting
Describe binge-purge subtype
intermittent overeating followed by acts to rid body of calories by vomiting or taking laxatives (may even chew and spit out food or use diet pills)
What are the characteristics of bulemia?
- Restrict during day and binge at night on “forbidden food” followed by shame/guilt
- Aware of calories and fat but not as regimented as anorexia
- Vomiting and laxatives most common way to rid calories
Characteristic of AN or BN: diet soda drinking
Bulemia
