Disordered Eating and Eating Disorders

Question 1

number one cause of death of all behavioral issues

Answer 1

anorexia nervosa

Question 2

personality trains associated with AN

Answer 2

harm avoidant, perfectionistic
rigid
biased
high cost for mistakes, no learning from mistakes, no joy in moments unfolding

Question 3

2 AN subtypes

Answer 3

restricting type: self starvation

Binge-eating / purging type (laxatives, diuretics, enemas)

Question 4

what subtype more deadly/harmful?

Answer 4

binge eating / purging type

Question 5

DX criteria

Answer 5

low body weight
intense fear of wt gain
persistent alck of recognition of seriousness of their low body weight

Question 6

mild an

Answer 6

BMI over or = to 17

Question 7

mod an

Answer 7

bmi 16-16.99

Question 8

severe an

Answer 8

15-15.99

Question 9

extreme an

Answer 9

bmi under 15

Question 10

how to grade severity of an in kids?

Answer 10

refer to percentiles

Question 11

70% of AN pts also have…

Answer 11

depression

also.. substance abuse, ocd, social phobia premorbidly

Question 12

an effects on brain

Answer 12

sad, moody, irritable, bad memory, fainting

Question 13

an effects on hair

Answer 13

thin and brittle

Question 14

an effects on blood

Answer 14

anemia, electrolyte imbalance

Question 15

an effects on MSK

Answer 15

weak jts, bones, bone loss, fx, osteopenia

Question 16

kidney an presentation

Answer 16

kidney stones, kidney failure

Question 17

an causes ___in regards to bowels

Answer 17

constipation and bloating

Question 18

skin an changes

Answer 18

easy bruising 
growth fine hair 
heat intolerance 
yellow skin 
brittle nails

Question 19

role of weight in an tx

Answer 19

at beginning of session (ideal shar with pt) and plot on a chart weekly

Question 20

what is mosley family therapy

Answer 20

works for AN for less than 3 yrs of condition

need supportive fam

Question 21

intervention strategies for AN

Answer 21

emotional context to process issues
emotional wave
process vs outcome
self parenting

Question 22

failure to meet nutrition needs with 1+:
sig. weight loss (kids fail grow)
sig. nutritional def
depend on enteral feed or oral supplements
interfere with social function

Answer 22

avoidant / restrictive food intake disorder

Question 23

criteria bulimia

Answer 23

binge eating and compensatory behaviors occur avg 1 time per wk for at least 3 mo

Question 24

tx bulimia

Answer 24

CBT
SSRI
tx the purge before the binge.. avoid starve that causes major hunger

Question 25

binge eating disorder

Answer 25

as defined in bulimia
associated with: eating faster than normal, until too full, large amounts without hunger, eat alone - embarrassed, feel disgusted, depressed, guilty after

Question 26

rumination disorder

Answer 26

repeated regurg of food over period of time at least 1 mo