Atypical Eating Disorders Flashcards
What is the primary diagnostic feature of Binge Eating Disorder?
Absence of purging behaviours
Binge Eating Disorder is characterized by ongoing cycles of eating that are similar to bulimia but without the compensatory actions.
List four characteristics of the ongoing cycles in Binge Eating Disorder.
- Unusually fast eating, usually alone
- Unusually large amounts consumed
- Uncomfortably full; often ‘buzzed’ after eating
- Feelings of embarrassment, shame, guilt, depression
What does T1DE stand for?
Type 1 diabetes with an eating disorder
T1DE refers to individuals with type 1 diabetes who also have a comorbid eating disorder.
Define Other Specified Feeding or Eating Disorder (OSFED).
A category that includes atypical anorexia, atypical bulimia, purging disorder, and night eating syndrome
OSFED is used when eating disorder symptoms cause significant distress but do not meet the full criteria for other eating disorders.
What is atypical anorexia?
Similar behaviours to anorexia but weight remains within a normal range
Individuals may exhibit restrictive eating patterns without significant weight loss.
What distinguishes atypical bulimia from typical bulimia?
Binges do not happen as often or over as long a period of time
This may lead to significant distress but does not meet the frequency criteria of bulimia nervosa.
What is the primary characteristic of Avoidant Restrictive Food Intake Disorder (ARFID)?
Avoidance or restriction of food intake due to sensitivity or previous negative experiences
ARFID is not driven by a preoccupation with weight or shape.
What consequences can ARFID lead to?
- Weight loss
- Nutritional deficits
- Psychological deficits
What are two non-medical management strategies for eating disorders?
- Specialised family work
- Therapy (CBT, IPT, Maudsley Model)
What is the daily dosage of Fluoxetine used in the medical management of eating disorders?
60 mg daily
Fluoxetine is used to help manage co-morbid conditions associated with eating disorders.
What is the role of Olanzapine in the treatment of eating disorders?
Improvement of obsessive symptoms and fixations
Olanzapine may be prescribed to help alleviate specific psychological symptoms.
What is essential in the management of Refeeding Syndrome?
- Thiamine and vitamin B complex
- Close monitoring of biochemistry (potassium, magnesium, phosphate)
