eating disorders Flashcards
3 main eating disorders
anorexia
bulimia
binge eating disorder
clinical picture of anorexia ?
1- disturbed body image
2- thinks they are fat even though weight is extremely low
3- associated with self induced purging or vomiting
clinical picture of bulimia ?
associated with binge eating followed by purging
what is the usual BMI in anorexia patients ?
below 17.5
what is the difference between bulimia and binge eating disorder ?
bulimia - binge eating followed by some sort of purging
binge eating - binging without purging
when the full diagnostic criteria for a specific eating disorder is not met what is the best diagnosis ?
OSFED
other specified feeding or eating disorder
what is atypical anorexia nervosa ?
like AN except that their weight remains within normal range despite weight loss
what is atypical bulimia nervosa ?
bulimia but with less of a frequency
what is a purging disorder ?
purging without binge eating
what are the comorbidities associated with binge eating disorder ?
depression
low self esteem
boredom
do BED prevent weight gain ?
no
what test can be used in the clinic for patients with anorexia ?
1- squat test in medium risk patients - they have difficulty getting up
2- in higher risk patients they cant get up unless arms are levered
what is the treatment aim of BMI in anorexia patients ?
20-25
what is the pharma first line treatment for bulimia ?
SSRI - fluoxetine
CBT rather than family therapy
in anorexia what kind of therapy is preferred ?
family therapy
