Eating Disorders

Question 1

what is the criteria for bulimia nervosa?

Answer 1

recurrent overeating episodes

binges accompanied by compensatory behaviour aimed at weight gain prevention (e.g vomiting)

individual preoccupied with body weight/shape which influences self evaluation

individual not necessarily significantly underweight

Question 2

what are the management strategies for bulimia nervosa?

Answer 2

cognitive behavioural therapy
antidepressant medication (fluoxetine 60mg/day)

Question 3

what is cognitive behavioural therapy (CBT)?

Answer 3

evidence based psychological treatment for a range of mental health diagnoses

Question 4

what might CBT assess and aim to alter the views of?

Answer 4

mood/feelings, thoughts, physical reactions, behaviour

Question 5

what are the criteria for binge eating disorder?

Answer 5

frequent binge eating episodes

loss of control over eating behaviour

binges not regularly accompanied by compensatory behaviours

marked distress about binge eating pattern

Question 6

what are the management strategies for binge eating disorder?

Answer 6

CBT or interpersonal psychotherapy

Question 7

what are the criteria for anorexia nervosa?

Answer 7

significantly low body weight for individuals age/development stage (BMI under 18.5 in adults)

persistent behaviour patterms to prevent normal weight restoration

low body weight central to persons self evaluation (possibly inaccurately perceived)

Question 8

what are the management strategies for anorexia nervosa?

Answer 8

family-based treatment (children)
CBT (enhanced in adults)

Question 9

what are some of the physical complications of eating disorders?

Answer 9

impaired cognitive function, hair loss, low BP, anaemia, impaired renal function, osteoporosis, constipation, infertility

Question 10

how are high risk eating disorder patients managed?

Answer 10

meal/nutritional support
patient distress support
close physical monitoring or inpatient treatment