Eating Disorder Flashcards
Sequence of events
Open question
Timeline
Ideas- why do you/your family and friends think you have a problem with food. Do you worry about your weight?
Effect on life- how do you feel, what effect has your eating had on your life?
Symptom analysis
Daily routine- what do you eat in a day. Do you eat with others. Is routine fixed
Fear of fatness- how would you feel if you gained weight
Weight- do you have a target weight, would you mind if I asked how much you weight?, do you make yourself deliberately sick or use laxatives
Maladaptive behaviours- do you exercise too much? Do you use appetite suppressants or water tablets (furosemide)
SCOFF Questionnaire
Sick- do you make yourself sick because you are full
Control- do you worry you have lost control over what you eat
One stone- have you lost more than a stone in the last 3 months
Feel fat- do you feel fat even when others say you are thin
Food dominates- does food dominate your life
Systems review
Any physical problems?
Amenorrhoea
Quick top to toe- FWARJRNL, energy, bowels, hair, chest pain or palpitations
Psychosis- auditory hallucinations/ visual hallucinations/ altered sensations/ delusions of thought and control
Mania- energy levels/ have people said you are hyper/ spending habits/ libido
Depression- mood/anhedonia/ sleep/ future
Others- memory loss/ anxiety/ insight
Risk
Self
Others
Suicidal intent
Previous
Patients perspective
Concerns
Expectations
Insight
PMH
Medical or psychiatric disorders
Diabetes? Coeliac?
DH
OTC regulars allergies
Taking any drugs to help with weight loss- do you know how dangerous they can be?
FH
Medical or psychiatric disorders
SH
Job- what does it involve. Impact on job (or school)
Home situation- occupants and difficulties
How is mood affecting home life
Support from family or friends
Smoke alcohol recreational drugs
Have you been looking after yourself and the home eg. showering and cleaning
Important point
Need rapport- don’t ask how much they weigh straight away
Could be a thin person asking how to lose more weight or someone conplaining of weight loss
Always consider whether it could be an organic cause
Always remember
Anyone that presents with a friend or loved one, ask if they are happy for them to stay in with you for the consultation
Anorexia nervosa
Distorted body image
Food dominates
Bulimia nervosa
Unlike anorexia,usually normal or overweight
Bing eating
Compensatory behaviour to account for the binge eg. Inducing vomiting (look at knuckles), extreme dieting or exercise
Teeth erosion, sore throat and reflux due to purging
Binge eating
Recurrent food binges with loss of control over how much is eaten
Similar to bulimia but no compensatory behaviour
Normal or overweight
