Diagnosing Anorexia Flashcards
1
Q
What is Anorexia?
A
- It is an eating disorder manifested when a person refuses to eat an adequate amount of food or is unable to maintain the minimal weight for a person’s body mass index (BMI).
- They may have an distorted image of themselves or have a fear of gaining weight
2
Q
DSM 5 - What 3 things are required to make a diagnosis?
A
- Restriction of energy INTAKE
- Fear of weight gain/interfering behaviours
- Disturbed experience of body weight/shape
3
Q
Restriction of energy INTAKE
A
- Limiting what they eat to such an extent that they have significant low body weight
- DSM 5 does not define’significant low body weight’
- ICD defines it as ‘maintained at at least 15% below expected’
4
Q
Fear of weight gain/interfering behaviours
A
- Person feels ‘intense fear of gaining weight or becoming fat’, according to DSM-5.
- They may engage in behaviours that prevent them from gaining weight
- There is more to this than avoiding fatty foods
- DSM 5 gives no examples
- ICD 10 - self-induced vomiting, excessive exercise, appetite suppressants.
5
Q
Disturbed experience of body weight/shape
A
- The person has a disturbed experience of their own body weight or shaoe
- Weight and/ or shape has a disproportionate influence on the person’s self evaluation
- They may also fail to recognise how seriously low their body weight is.
6
Q
What are the two subtypes of anorexia?
A
- Restricting type
- binge-eating/purging type
7
Q
RESTRICTING TYPE
A
- Places severe, restrictions on the amount and type of food they eat.
- Restrictive behaviours include counting calories, skipping meals, or eliminating certain foods
- These behaviours are sometimes coupled with excessive exercise
8
Q
BINGE EATING AND/OR PURGING SUBTYPE
A
- restrict their food intake
- they regularly engage in binge eating or purging behaviours such as self-induced vomiting or misuses of laxatives or diurects or both binge eating and purging.
