Eating Disorders Flashcards
what is overweight bmi
25.0 and 29.9
class one obesity
BMI of 30 to 34.9
class 2 obesity
BMI of 35 to 39.9
class 3 obesity
BMI greater than 40
nt involved in an and bn
serotonin and norepi
what is happening in bed
increased activity in orbitofrontal cortex (pleasure and reward), delayed gastric
emptying, enlarged stomach capacity, decreased secretion of CCK
what is psychodynamics
feeling a lack of control over self leads to individuals controlling food and eating
what is an
A psychiatric condition associated with fear of weight gain and distortion of
body image.
Avoidance of food consumption often combined with excessive exercise
with the intent to lose weight.
Binge/purge behaviors
If untreated, extreme weight loss and muscle wasting occur
Most common among adolescent females, but is seen in both genders,
can occur in childhood and adulthood
Lifetime prevalence for an episode of anorexia is 2.4% to 4.3%
Preoccupation with food
s/s of an
Excessive weight loss
Hypothermia
Bradycardia
Dysrhythmias
Hypotension with orthostatic changes,
Metabolic changes
Lanugo
Brittle nails
Amenorrhea
Delayed psychosexual development
Comorbid mental health diagnoses: depression/anxiety
treatment for an
- Cognitive behavioral therapy and dialectical behavioral therapy
- Behavior modification strategies improve weight restoration
- Maudsley approach: intensive outpatient treatment incorporating family
- Inpatient hospitalization r/t malnutrition, dehydration, cardiac complications,
electrolyte imbalances or suicidal ideation - Residential treatment facility
epidemiology for bn
- Bulimia nervosa with a lifetime prevalence of 2%
among women. - The onset of bulimia nervosa occurs in late
adolescence or early adulthood. - It occurs primarily in societies that emphasize
thinness.
what is binging
episodic, uncontrolled, compulsive, rapid
ingestion of large quantities of food over a short
period
what is purign
self-induced vomiting, inappropriate
laxative, diuretic, enema use
bulemia treatment
High dose fluoxetine (Prozac) SSRI
* CBT and DBT
* Inpatient hospitalization: electrolyte imbalance, cardiac complications,
suicidal ideations
* Residential treatment facility
bed epidemiology
4% prevalence in U.S.
* 68.5% of adult Americans are overweight, and 35%
of these are in the obese range.
* It is estimated that approximately 50 to 75 percent of
people seeking medical attention for severe obesity
have a BED
binge episodes without compensatory bahviros are at risk for what
significant wt gain and obestiy
Binge episodes occur over a discrete period
(typically less than 2 hours)
* Food consumption is rapid and continues until an
uncomfortable full feeling
* Feels out of control during binge and guilt and
depression after a binge
treatment for bed
Lisdexamfetamine (Vyvanse) CNS stimulant for moderate to severe eating
disorder
Topiramate (Topamax) anti-epileptic drug used in combination with
phentermine for chronic weight management therapy
CBT and DBT
Individual psychotherapy
Inpatient hospitalization
Residential treatment facility
