Eating, Dissociative, Personality Flashcards
Anorexia diagnosis
Refusal to maintain expected body weight
Intense fear of weight gain
Bad perception of body
Amenorrhea
Two types of anorexia
Restricting type
Binge-eating/purging type
Mortality rate in anorexia
10-15
Who is primarily affected by anorexia
Young adolescent girls
Psych features of anorexia
- Low overconfidence bias
2. Other disorder (OCD, depressed, anxiety)
Metabolic features of anorexia? pH Electrolytes EKG Lipids Blood Bone Thyroid
Metabolic acidosis Hypokalemia, hypophosphatemia Elongation of QT Hyperhcolesterolemia Anemia/leukopenia Osteoporosis Cold intolerance
Medical features of anorexia Growth Hormones Colon Brain
Stunted growth
Low hormones
Melanosis coli
Enlarged ventricles, reduced flow
How to treat anorexia Medically Psych Next Drugs
Nutrient stabilization
Psychotherapy for patient and fam
Food
SSRI or 2nd gen anti-psy
Bulimia
Weight?
4 physical findings
Electrolytes
Normal weight
Barret’s esophagus, tooth enamel erosion, swollen parotid, Russell’s sign
Treatment for bulemia? (3)
- CBT
- SSRi’s, TCA’s, MAOI’s
- Co-morbid disorders
Dissociative amnesia define
Inability to recall personal information of tramatic nature
Treatment of dissociative amnesia
Hyponosis
Sodium amobarbital
Psychodynamic psychotherapy
Dissociative fugue define
Predominant distrubance in sudden, unexpected travel away from home with inability to recall one’s past.
Strange feature of dissociative fugue?
Unaware they forgot something
Treatment of dissociative fugue?
Hyponosis
Sodium amobarbital
Psychodynamic
Dissociative identity disorder definition
Presence of two or more distinct identities or personality states.
Dissociative identity disorder treatment
Psychotherapy
Depersonalization disorder define
Persistent or recurrent episodes of detachment or estrangement from one’s self.
Define personality
enduring pattern of perceiving, relating, and thinking about the environment and oneself that is seen in a wide range of social and personal situations.
Define personality disorder
an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture. Ego-syntonic.
Cluster A of personality disorders?
Odd
3 odd types of Cluster A?
Paranoid (Suspicious)
Schizoid (No joy)
Schizotypal (Delusional)
4 Cluster B disorders
Antisocial (Break norms)
Borderline (impulsive)
Histrionic (Center of attention)
Narcissistic (Grandiose,power)
How it cluster B defined
Dramatic
