Eating Disorders Flashcards
What is normal eating?
It consists of a variety of things.
It flexible, varies in response to your hunger, your schedule, your proximity to food and your feelings.
Shouldn’t just stop eating because you think you should.
What can healthy eating be depicted by?
Can be shown by the eatwell plate Consists of: -fruit and veg -Starchy foods -Dairy or other dairy alternatives -Meat, fish, egg, beans and other protein -Oils -Foods high in fat, sugar and salt -Fluid
How much should of each of the eatwell categories should we consume and how should some of them be consumed?
- Fruit and veg; at least 5 portions per day as they are good source of vitamins, minerals and fibre
- Starchy foods; meals should be based on this (choose wholegrain where possible)
- Dairy; choose lower fat and sugar options, important source of calcium to keep bones strong
- Protein; (aim for 2 portions of fish a week)
- Oils; choose unsaturated versions and consume in small amounts
- Foods higher in fat, salt and sugar; eat small amounts and less often
- Fluid; 6-8 glasses a day
What are combination foods?
Foods that can be placed in more than one of the eatwell categories
What are some common eating disorders?
- Anorexia Nervosa
- Bulimia Nervosa
- Binge eating disorder
- Avoidant/Restrictive food intake disorder (ARFID)
What criteria must be met to diagnose bulimia?
- Recurrent episodes of overeating (eg. once a week or more for more than one month)
- Binge eating accompanied by repeated inappropriate compensatory behaviours aimed at preventing weight gain.
- The individual is preoccupied with body shape or weight which strongly influences self evaluation
- Individual not significantly underweight and therefore does not meet diagnostic criteria for anorexia
What are some ways of management of bulimia?
Adults; -criteria for guided self help if possible
-CBT (6 months) (1st phase focus on engagement and education, 2nd phase focus on positive changes and minimising risk of relapse)
Children; -Family therapy if possible
-CBT
What is CBT?
Cognitive behavioural therapy:
- Is evidence based treatment for a range of mental health diagnoses (talking therapy)
- Changes way patient thinks and behaves which in turn changes the way they feel.
What criteria must be met to diagnose anorexia?
- Significantly low body weight for individuals height, age and developmental stage
- Accompanied by persistant pattern of behaviours to prevent restoration of normal weight
- Low body weight is central to person’s self evaluation or is innacurately percieved to be normal or even excessive.
How can anorexia be managed?
Adults; CBT (encourage healthy eating and reach a healthy body weight)
Children; Family therapy if possible
CBT
How can binge eating disorder be diagnosed?
-Characterised by frequent recurrent episodes of binge eating (eg. once a week or more over a period of several months) with compensatory behaviours
What is binge eating?
- Eating much more quickly than usual
- Eating until uncomfortably full
- Eating a lot when not hungry
- Eating alone because of embarrassment
- Feeling bad or guilty after eating
How can binge eating disorder be managed?
- Guided self help if possible
- CBT
How can ARFID be characterised?
- By abnormal eating or feeding behaviours that result in intake of insufficient quantity or variety of food.
- Causes weight loss, failure to gain weight, nutritional deficiencies, dependance on supplements, impairs function.
- The pattern of eating doesn’t reflect concerns about image or body weight.
In what way can other eating disorders be diagnosed?
An eating disorder is called atypical if they do not fit exactly into any of the diagnostic criterias.