E2: Eating Disorders Flashcards
What are the 3 main types of eating disorders?
- Anorexia nervosa
- Bulimia Nervosa
- Binge eating disorder
What is anorexia?
- Does not eating enough and significantly low body weight
- fears gaining weight or becoming fat
- self esteem and/or mood is significantly influenced by weight
What is bulimia?
- Binge eating followed by compensatory behaviors, such as self induced vomiting, misuse of laxatives, fasting, or excessive exercise.
- Self esteem and/or mood is significantly influenced by weight
What is the most common type of eating disorder?
Binge eating disorder
What is binge eating disorder?
-Binge eating not followed by compensatory behaviors, such as eating more rapidly than normal, until uncomfortably full, eating when not hungry, eating along due to embarrassment, feeling disgusted with oneself
What are the 3 main types of feeding disorders?
- Pica
- Rumination disorder
- avoidant/restrictive food intake disorder (ARFID)
What are some of the signs and symptoms of anorexia?
- Consistent drop in body weight, maintain a BMI of <18.5
- faintingin, dizziness
- headaches
- anemia
- osteoporosis
- irregular or absent menses
- bloating
- Anxiety
What are some of the signs and symptoms of bulimia?
- Heart irregularities and electrolyte imbalance
- low bone density
- persistent sore throat, acid reflux
- unexplained GI problems
- Swollen parotid glands
What are the signs and symptoms of binge eating disorder?
- Excessive weight
- Type II DM
- Heart disease
- HTN, HLD
- Fatty liver
When is inpatient treatment indicated for an eating disorder?
- Medically unstable
- refuses or is unable to follow outpatient treatment recommendations
- Needs or wants a “break” from day-to-day life stressors to be able to focus on recovery
How does dialectal behavior therapy help treat eating disorders?
- Emphasis on skills to effectively manage self without destructive coping mechanisms
- mindfulness, distress tolerance skills, emotion regulation skills, and interpersonal skills
What is exposure response prevention and how does it help treat eating disorders?
- Identify fears and develop a hierarchy of approaching fears ( fear of carbs, sugar, fat)
- Allow anxiety to increased and not escape for relief
- Learn that anxiety is tolerable
What are the present-focused models of outpatient therapy for eating disorders?
- CBT
- Dialectal behavior therapy
- Exposure response prevention
- Experiment/psychodrama
What are the past focused models of outpatient therapy of eating disorders?
- Psychodynamic/object relations/attachment
- EMDR
What is the psychodynamic/object relations/attachment approach to outpatient therapy of eating disorders?
-Explores early experiences with attachment figures in which needs were not met
-Explore defense mechanisms and coping strategies developed to avoid unpleasant emotions
-Identify origins of shame
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What are the only two medications indicated for treatment of eating disorders?
- Prozac for bulimia
- Vyvanse for binge eating disorder
***other medications are often used to treat underlying anxiety, depression,a dm compulsive behaviors
When are atypical antipsychotics helpful in eating disorders?
If there is associated OCD, unstable mood, sleep problems BPD, impulsivity or cutting
