Feeding and Eating Disorders

Question 1

Anorexia Nervosa

Answer 1

Restriction of energy intake relative to needs (leading to low body weight)

Intense fear of gaining weight/becoming fat, or behavior that interferes with weight gain

Disturbance in understanding body weight or shape, or persistent lack of recognition of the seriousness of the current low body weight

Question 2

Anorexia Coding

Answer 2

Code based on type:

Restricting type

OR

Binge-eating/purging type

Question 3

Anorexia: “Restricting type”

Answer 3

During the last 3 months, the individual has not engaged in recurrent episodes of binge eating or purging behavior

NOT binging/purging

Question 4

Anorexia: “Binge-Eating/Purging type”

Answer 4

During the last 3 months, the individual has engaged in recurrent episodes of binge eating or purging behavior

YES binging/purging`

Question 5

Bulimia Nervosa

Answer 5

Recurrent episodes of binge eating, defined by (1) eating more than expected in 2 hour period (2) lack of control over eating)

Recurrent compensatory behaviors to prevent weight gain (vomiting, laxatives, etc.)

Binge eating and compensatory behaviors happen once a week for 3 months

Self-evaluation influenced by body weight and shape

Not only during episode of Anorexia (Anorexia trumps Bulimia)

Question 6

Binge-Eating defined by two criteria

Answer 6

Eating more than others would in a 2 hour period

Sense of a lack of control over eating during episodes (can’t stop)

Question 7

Bulimia Specifiers

Answer 7

Remission status

Severity

Question 8

Differential Diagnosis: Bulimia, anorexia, binge-eating

Answer 8

Anorexia includes really low weight

Binge-eating is not associated with compensatory like bulimia (purging)

Anorexia trumps bulimia trumps binge-eating (binge eating you screen for bulimia and anorexia, bulimia you screen for anorexia, anorexia you screen for nothing)

Question 9

Binge-Eating Disorder

Answer 9

Recurrent episodes of binge eating, defined by (1) eating more than expected in 2 hour period (2) lack of control over eating)

Binge-Eating episodes associated with 3/5 symptoms

Marked distress about binging

Binge eating occurs once a week for 3 months

Binge eating not associated with compensatory behaviors like Bulima, and not only occurs during episode of bulimia or anorexia

Question 10

Binge Eating Specifiers

Answer 10

Remission and Severity

Question 11

Binge Eating criteria B symptoms

Answer 11

The binge-eating episodes are associated with three (or more) of the following

1. Eating much more rapidly than normal.
2. Eating until feeling uncomfortably full.
3. Eating large amounts of food when not feeling physically hungry.
4. Eating alone because of feeling embarrassed by how much one is eating.
5. Feeling disgusted with oneself, depressed, or very guilty afterward.

Question 12

Avoidant/Restrictive Food Intake Disorder

Answer 12

controversial, worried it would pathologize picky eaters

An eating or feeding disturbance associated with 1/4 symptoms

Not better explained by lack of food or cultural practices

Not anorexia or bulimia, no consideration for body image

Not another medical condition or disorder. If occurs with another condition or disorder, needs to cause significant distress to warrant extra diagnosis

Question 13

Avoidant/Restrictive Food Intake Disorder — Specifiers

Answer 13

Remission

Question 14

Avoidant/Restrictive Food Intake Disorder — Criteria A symptoms

Answer 14

Need 1/4

Weight loss (or failure to gain weight)

Nutritional deficiency

Dependence on enteral (liquid) feeding or oral nutritional supplements.

Marked interference with psychosocial functioning

Question 15

Avoidant/Restrictive Food Intake Disorder — examples of eating or feeding disturbance

Answer 15

apparent lack of interest in eating or food; avoidance based on the sensory characteristics of food; concern about aversive consequences of eating

Question 16

Rumination Disorder

Answer 16

Regurgitation of food over 1 month (food can be re-chewed, swallowed, spit out)

Not from gastrointestinal or other medical issues

not only during episode of other feeding and eating disorders

If occur with another medical or mental disorder (cognitive or developmental), symptoms severe enough to warrant additional diagnosis

Question 17

Who is Pica common in

Answer 17

Children, pregnant women

Question 18

Pica

Answer 18

Persistent eating nonnutritive/nonfood substances over 1 month

Not age appropriate

Not culturally or socially normative

If occur with another medical disorder or medical condition, symptoms severe enough to warrant additional diagnosis

Question 19

Atypical Anorexia

Answer 19

weight above normal range, but on way to loosing weight because of anorexic behaviors

Question 20

Elimination disorder

Answer 20

Enuresis: Urine

Encorpresis: feces

Question 21

Body dysmorphia

Answer 21

Preoccupation with defects of flaws in physical appearance

perform repetitive behaviors in response (mirror checking, picking, etc.),

causes distress

not better explained by an eating disorder

OCD RELATED DISORDER

Question 22

Muscle dysphoria

Answer 22

worried muscles too small or big

Question 23

Factitious Disorder

Answer 23

impose health issues on self or others

Question 24

Somatic symptom disorder

Answer 24

person is not faking illness, but person is overly preoccupied with it

Question 25

Illness anxiety disorder

Answer 25

hypochondriac, no symptoms or minimal but preoccupied with getting sick

Question 26

Functional neurological symptom

Answer 26

symptoms reported don’t match our medical knowledge (not only is it not happening, but it also can’t happen physically)