Adolescent Psychiatry Flashcards
What is the prevalence of Anorexia Nervosa (AN)?
0.3-0.5%
This indicates the percentage of the population affected by AN.
What is the prevalence of Bulimia Nervosa (BN)?
1-2%
This indicates the percentage of the population affected by BN.
What is the male-to-female ratio for Eating Disorders?
9:1
This ratio indicates that females are more frequently affected by eating disorders compared to males.
Name two family factors associated with eating disorders.
- Enmeshment
- Poor boundaries
- abuse, chaos
These factors can create an environment that contributes to the development of eating disorders.
What is a common personality trait associated with Anorexia Nervosa?
Perfectionistic personality
Individuals with AN may exhibit high standards and a fear of failure.
What are common comorbidities associated with Anorexia Nervosa?
- Depression
- OCD
- OCPD
These mental health conditions often co-occur with AN.
What are common comorbidities associated with Bulimia Nervosa?
- Depression
- Panic disorders
- Alcohol and substance abuse
- Borderline personality disorder
These conditions can complicate the treatment and recovery of individuals with BN.
What is the severity classification for Anorexia Nervosa based on BMI?
- Mild: BMI 17 kg/m²
- Moderate: BMI 16-16.99
- Severe: BMI 15-15.99
- Extreme: BMI <15
These classifications help in assessing the severity of the illness.
What is a key clinical feature of Anorexia Nervosa according to DSM-V?
Restriction of input leading to significantly low body weight
This feature is essential for the diagnosis of AN.
List three physical examination findings associated with Anorexia Nervosa.
- Impaired cognition
- Bradycardia
- Amenorrhea
These findings reflect the various systems affected by AN.
What is the recommended weight gain target per week for treating Anorexia Nervosa?
0.5 to 1 kg per week
This target is important for safe and effective nutritional rehabilitation.
What is a non-pharmacological treatment for Anorexia Nervosa?
Cognitive Behavioral Therapy (CBT)
CBT focuses on monitoring eating habits and addressing negative thoughts.
True or False: Pharmacological treatment is the first line for Anorexia Nervosa.
False
Pharmacological interventions are not the primary approach in treating AN.
What are the key clinical features of Bulimia Nervosa?
- Recurrent episodes of binge eating
- Repetitive compensatory behaviors
- Self-esteem affected by body image
These features are essential for the diagnosis of BN.
What is Russell’s sign?
Abrasions over dorsal part of hand
This occurs when fingers are used to induce vomiting, a common behavior in Bulimia Nervosa.
What is the duration requirement for diagnosing Bulimia Nervosa?
At least once a week for 3 months
This criterion helps establish the chronicity of the disorder.
What is a common pharmacological treatment for Bulimia Nervosa?
SSRIs (e.g., fluoxetine)
These medications can help reduce binge eating and impulsive behaviors.
When treating AN patients with refeeding, aggressive refeeding should be avoided to avoid ____
hypophosphataemia
Hospitalise AN patients if (vitals)
BMI <13
HR <40bpm, irregular pulse
BP <90/60
Temp <35.5 deg
high suicide risk
fail outpatient tx
In Bulimia Nervosa, BMI is usually ___
normal or even overweight
What are the intrinsic causes of insomnia?
- Primary insomnia
- Sleep apnoea
- Restless leg syndrome
What are the extrinsic causes of insomnia?
- Poor sleep hygiene
- Substance-related issues
- Environmental factors
List some medical disorders that can lead to insomnia.
- Pain
- Pulmonary diseases (COPD)
- Parkinson’s disease
- Endocrine disorders
Which psychiatric conditions are associated with insomnia?
- Generalized Anxiety Disorder (GAD)
- Depression
- Bipolar disorder
- Post-Traumatic Stress Disorder (PTSD)
