Obesity and Eating Disorders - Bulimia Nervosa (BN) Flashcards
Q: What is Bulimia Nervosa?
A: Bulimia Nervosa is an eating disorder characterized by episodes of secretive binge eating followed by compensatory weight-control behaviors, such as vomiting, laxative use, or excessive exercise.
Q: What are the two subtypes of Bulimia Nervosa?
A:
Purging Type: Involves vomiting, laxatives, diuretics, or enemas.
Non-Purging Type: Involves fasting or excessive exercise.
Q: What is the diagnostic criteria for Bulimia Nervosa?
A: Binge eating and compensatory behaviors occur on average at least twice a week for 3 months.
Q: What are common clinical signs and symptoms of Bulimia Nervosa?
A:
Normal to slightly overweight appearance.
Binge eating large amounts of food.
Sore throat, tooth erosion, swollen parotid glands.
Erratic menstrual periods and frequent weight changes.
Disappearing to the toilet after meals.
Associated depression, anxiety, and tension.
Q: What are common risk factors for Bulimia Nervosa?
A:
Passive or giving personality types.
Jobs requiring weight control or close proximity to food.
Shift work or increased alcohol consumption.
Low self-esteem and poor body image.
Obesity or perceived obesity of specific body parts.
Q: What is the prevalence of Bulimia Nervosa?
A: Between 1 to 3% of women in developed countries are affected, though the true incidence may be higher due to strict diagnostic criteria.
Q: What is the orthodox medical treatment for Bulimia Nervosa?
A:
Cognitive Behavioral Therapy (CBT): To manage bingeing and purging behaviors.
Selective Serotonin Reuptake Inhibitors (SSRIs): To reduce binge episodes.
Encouraging proper and regular eating patterns.
Q: What harm minimization strategies can help clients with Bulimia Nervosa?
A:
Use bicarbonate soda mouthwash after vomiting to reduce dental damage and acid reflux.
Gradually wean off laxatives and diuretics, addressing myths about their efficacy.
Identify and address substance abuse if present, with referrals to support groups or professionals.
