Childhood and Eating Disorders

Question 1

Name some neurodevelopment disorders

Answer 1

• Austism Spectrum
• ADHD
• DCD
• Intellectual Developmental Disorder
• Communication Disorder

Question 2

Name some disruptive, impulse control and conduct disorders

Answer 2

• pyromania
• kleptomania
• oppositional defiant disorder
• conduct disorder

Question 3

Name some elimination disorders

Answer 3

Encropresis (lack of control of bowel movement)

Enuresis (lack of control bladder)

Question 4

Name some other disorders of childhood, infancy or adolescence

Answer 4

• disruptive mood dysregualtion disorder
• separation anxiety disorder
• selective mutism
• reactive attachment
• conversion disorder
• gender dysmorphia

Question 5

Name some risk factors of childhood mental disorders

Answer 5

• low SES
• Parents with mental disorder
• childhood neglect, abuse, poor parenting

Question 6

Give some examples of treatment for children with mental disorders

Answer 6

• cbt
• play therapy
• family therapy
• parent support

Question 7

Describe Pica

Answer 7

• persistant eating of non-nutiritive, nonfood substances for more than 1 month

Question 8

Describe rumination disorder

Answer 8

• repeated regurgitation over a period of at least 1 month
• not due to gastro upset
• not exclusively during AN, BN BED or other

Question 9

Describe anorexia

Answer 9

• restrictive energy intake relative to requirements, leading to low body weight
• fear of weight gain
• distortions of own body weight or shape, denial

Question 10

Describe BN

Answer 10

• eating more in a period of time than most normal people
• lack of control over eating
• inappropriate compensation to prevent weight gain
• more than 1/week, for 3 months
• self evaluation moderated by body shape
• not just during AN

Question 11

Describe BED

Answer 11

• recurrent binge eating
• associated with distress
• 1/week, 3 months
• not during course of AN or BN, does not use compensatory behaviours as in BN

Question 12

Describe some psychodynamic factors that effect eating disorders

Answer 12

• difficult separating from family and establishing individual identity
• unconscious effort to remain prepubescent - can avoid dealing with adult issues

Question 13

Name a biological factor in ED

Answer 13

• serotonin may play a role in regulating mood and appetite
• may contribute to binge eating
• anti-depressant may help treat binge eating

Question 14

Describe the Maudsley Model for ED

Answer 14

• family based therapy
• parents in charge of refeeding child
• starvation is such that child too cognitively impaired to ‘fight’ the illness
• until cognitive function restored, treatment of underlying problems impossible
• AN externalised - support the patient, fight the illness
• gradual return of responsibility back to patient
• any additional MD addressed in final phase of treatment