Disordered Eating Flashcards
what are the most common eating disorders?
-anorexia nervosa
-bulimia nervosa
-(AFRID) avoidant/restrictive food intake disorder
-(OSFED) other specified feeding or eating disorders
what would you ask a patient with a suspected eating disorder?
-eating history
-weight changes
-triggers, social support
-mood/anxiety/suicidal risk
-current diet
-compensatory behaviours
-physical symptoms
what is bulimia nervosa?
-recurrent episodes of overeating
-accompanied by repeated inappropriate compensatory behaviours aimed at preventing weight gain
-invdiviual is preoccupied with body shape or weight which strongly influences self evaluation
-not significantly underweight and dosent meet diagnostic criteria for anorexia nervosa
what is the management of bulimia in children?
-cognitive behavioural therapy
-family based treatment
-fluoxetine (short term use along with psychological therapy)
what is the management of bulimia nervosa in adults?
-cognitive behavioural therapy
-antidepressant medication
what is cognitive behavioural therapy?
evidence based psychological treatment fora range of mental health diagnoses,
takes into account - situation, thoughts, physical reactions, behaviour, mood/feelings
what is binge eating disorder?
-frequent or recurrent episodes of binge eating
-discrete period of loss of control over their eating behaviour
-binge eating episodes are not regularly accompanied by inappropriate compensatory behaviours aimed at preventing weight gain
-marked distress about the pattern of binge eating or significant impairment in personal, family, social, education, occupational or other important areas of functioning
what is the management of binge eating disorder?
-cognotive behavioural therapy
-interpersonal psychotherapy
what is anorexia nervosa?
-significantly low body weight for the individuals height, age and development stage
-low body weight is accompanied by a persistent pattern of behaviours to prevent the restoration of normal weight
-low body weight is central to the persons self evaluation or is inaccurately perceived to be normal or even excessive
what is the management of anorexia nervosa in children and young people?
-family based treatment
-systematic family therapy
-augmented family based treatment
-enhanced cognitive behavioural therapy
what is the management of anorexia nervosa in adults?
-enhanced cognotive behavioural therapy
-olazapine may be offered to support recovery but not sole treatment
why is it important to access treatment early?
-studies have shown that the first 3 years of illness provide a crictical window for early effective intervention in eating disorders
what are the barriers for someone accessing treatment?
-self perception
-egosyntoncity of ED symptoms
-stigma
-lack of support from others
-perception of mental health professionals and treatment
what is AFRID?
-characterised by abnormal eating or feeding behaviours that result in the intake of insufficient quantity or variety of food
-causes significant weight loss/ failure to gain weight, nutritional deficiencies/ dependence on nutritional supplements or tube feeding/ negatively affects health/ significantly impairs functioning
-the pattern of eating does not reflect concerns about body shape or weight
what is OSFED?
-an eating disorder is called atypical if it does not fit exactly into the diagnostic categories
-in the absence of evidence to guide management of atypical eating disorders
-it is reccomended that the clinician considers following the guidance on the treatment of the eating problem that most closely resembles the individual patients eating disorder.
