Eating Disorders Flashcards

1
Q

What is normal eating?

A

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.

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2
Q

What can healthy eating be depicted by?

A
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
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3
Q

How much should of each of the eatwell categories should we consume and how should some of them be consumed?

A
  • 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
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4
Q

What are combination foods?

A

Foods that can be placed in more than one of the eatwell categories

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5
Q

What are some common eating disorders?

A
  • Anorexia Nervosa
  • Bulimia Nervosa
  • Binge eating disorder
  • Avoidant/Restrictive food intake disorder (ARFID)
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6
Q

What criteria must be met to diagnose bulimia?

A
  • 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
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7
Q

What are some ways of management of bulimia?

A

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

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8
Q

What is CBT?

A

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.
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9
Q

What criteria must be met to diagnose anorexia?

A
  • 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.
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10
Q

How can anorexia be managed?

A

Adults; CBT (encourage healthy eating and reach a healthy body weight)

Children; Family therapy if possible
CBT

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11
Q

How can binge eating disorder be diagnosed?

A

-Characterised by frequent recurrent episodes of binge eating (eg. once a week or more over a period of several months) with compensatory behaviours

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12
Q

What is binge eating?

A
  • 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
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13
Q

How can binge eating disorder be managed?

A
  • Guided self help if possible

- CBT

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14
Q

How can ARFID be characterised?

A
  • 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.
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15
Q

In what way can other eating disorders be diagnosed?

A

An eating disorder is called atypical if they do not fit exactly into any of the diagnostic criterias.

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16
Q

What are the roles of the psychiatrist in the MDT?

A
  • Assessment and diagnosis
  • Supporting psycologically informed formulation and treatment.
  • Physical monitoring
  • Risk assessment and management
  • Treating comorbidities
  • Developing services, improving quality, facilitating teaching and learning.
17
Q

What also happens as a result of anorexia?

A

-Also, for patients with anorexia and BMI less than 15, means risks of physical complications are high.
eg.
-BMI and rate of weight loss
-CV risk, BP, pulse ECG
-Glucose level/albumen level
-Liver function abnormalities
-Electrolyte abnormalities (low Na, low K, altered eGFR)
-Bone marrow abnormalities (low WCC, Hb, platelets)