Eating DOs Flashcards
what type of DOs has the highest mortality rate of psych disorders? why?
eating disorders- starvation, electrolyte disturbance
what are four comorbidities to eating disorders?
depression, anxiety, OCD, substance abuse
what is the prognosis for eating disorders?
very poor, 70% failure in treatment (lifetime management needed)
what is the goal for anorexia treatment?
get weight back on
what is the main characteristic for anorexia nervosa?
low weight- BMI less than 18%
what is low weight in anorexia due to?
restricted eating
anorexia: fear of ____, ________ _______ disturbance
fat; body image
what are the two subtypes of anorexia?
restricting and purging
what are some physical symptoms of anorexia?
Low weight or failure to gain; restricted eating; fatigue, hypothermia, bradycardia, hypotension, dizziness, cardiac arrhythmias, constipation, sleep disturbance, dry hair and skin, loss of hair, anemia, decreased reproductive hormones (females particularly)
what are some psychological symptoms of anorexia?
Depression, irritability, anxiety, preoccupation with food/exercise**, body image distortion, perfectionism, ritualized behaviors, poor concentration, social withdrawal, self-hate
what is bulimia?
recurrent episodes of binge eating and purging
bulimia: pts sense a ______ ___ _______ over eating
lack of control
what are methods of purging in bulimia? (5)
vomiting, laxative abuse, diet pills, fasting, excessive exercise
bulimia: self evaluation is dependent on what two things?
body shape and weight
people with bulimia often have what?
body image distortion
bulimia can be associated with what other DO?
anorexia
what are some physical symptoms of bulimia?
weight changes- not always
heart arrhythmias, electrolyte imbalances; fatigue; dizziness; GI distress; edema; swollen salivary glands (result of vomiting); tooth decay (result of vomiting); loss of hair; esophageal bleeding.
what are some psychological symptoms of bulimia?
depression, anxiety, poor concentration, impulsivity, secretive behaviors, low self esteem
Binge eating DO: recurrent episodes of ___________, absence of _________ behaviors
binge-eating; purging behaviors
binge eating disorder is associated with what five things?
obesity, depression, anxiety, social withdrawal, low self-esteem
binge eating DO: sense of lack of control about what?
over eating
what is starvation syndrome?
psychological and physiological effects of prolonged dietary restriction
starvation syndrome: what biological response do you see? what can happen to menarche?
same biological response as famine; women can have enough calorie deficit to stop menarche
what were the results of the starvation study?
prolonged semi-starvation produces significant increases in depression, hysteria, and hypochondriasis; social withdrawal and isolation; decreased sexual interest; decreases in metabolic rate, HR, body temp, some pts had edema
core psychopathology of eating disorders: anorexia nervosa = ___________, thinness = ____________, self-worth = ___________
anorexia = pseudosolution thinness = successful self self-wroth = weight control
people with eating DO have deficits in ________ and __________ emotions
identifying and expressing
people with eating DO have poor __________ awareness and pervasive sense of _____________
interoceptive; ineffectiveness
PCPs are the first line of defense for what two parts of helping people with eating disorders?
assessment and intervention
describe overall treatment plan for eating disorders?
team treatment and involve the parents
what are three stages to treatment of eating DOs
refeeding, returning control to the patient, establishing a healthy identity
general guide to treating eating DOs: (7)
1) . assess
2) . educate
3) . establish the “norms”
4) . set up tx team
5) . communicate, prevent “splitting”
6) . affirm feelings- confront behaviors
7) . provide hopefulness: “someone who believes in me”
