Eating Disorders (Frenkel) - 10/25/16

Question 1

Anorexia Nervosa:

Diagnostic Criteria (4)

Answer 1

• Restriction of caloric intake relative to how much your body needs
• Intense fear of weight gain or becoming fat (despite being underweight)
• Disturbance by weight and shape
• Type:
  
  • Restricting
  • Binge eating/purging

Question 2

Anorexia Complications:

Medical Complications (7)

Answer 2

• GI problems
• Low BP
• Edema
• Amenorrhea –> reproductive problems
• Cardiac irregularities
• Kidney problems
• Osteoporosis

Question 3

Bulimia Nervosa:

Diagnostic Criteria (4)

Answer 3

• Recurrent episodes binge eating:
  
  • Eating in a small amt of time more food than normal
  • Lack of control over eating when eating
• Recurrent, inappropriate compensatory behavior to prevent weight gain
• Episodes occur at least weekly for 3 mo
• Overemphasis on body shape or weight on self-evaluation

Question 4

Bulimia Nervosa:

Medical Consequences (6)

Answer 4

• Cardiac irregularities
• Laxative dependence GI problems
• Electrolyte imbalance
• Dental problems
• Damae to throat, esophagus, and stomach

Question 5

Binge Eating Disorder (BED)

Diagnostic Criteria

Answer 5

Recurrent episodes binge eating WITHOUT compensatory behavior

Question 6

Medical Complications of BED

Answer 6

• Significant weight gain (may not always occur)
• High BP
• High cholesterol
• Inc. risk of diabetes

Question 7

Diagnostic Issues

Differential diagnosis of the big 3

Answer 7

Question 8

Treatment for EDs

Answer 8

People w/ EDs need a team of specialists

Question 9

Nutritional Treatment for AN

Answer 9

• Goal weight for premenarcheal female = 100% of IBW
• Goal weight for postmenarcheal female = 90% of IBW + return of menstruation
• Goal weight for males = 90% of IBW
• Regular eating pattern
• Decrease dietary restriction
• Exposure + response prevention
  
  • Have to eat
  • Can’t run/exercise/etc… after eating (can’t engage in destructive behavior)