Personality and Eating Disorders

Question 1

define personality disorder

Answer 1

enduring pattern of inner experiences and behaviour that deviates markedly from the expectatins of individuals culture

Question 2

many people will have triats i.e. shyness or jealousy. why is this not considerd a personality disorder?

Answer 2

not a disorder unless it is pervasive and causes disress/impairment of functioning

Question 3

what percentage of the population have a personality disorder?

Answer 3

10.6%

Question 4

what are the cluster A personality disorders?

(odd and eccentric)

Answer 4

paranoid- distrust and suspicious

schizoid- detahcment form relationships, restricted range of expression of emotions

Question 5

what are the cluster B personality disorders?

(dramatic and emotional)

Answer 5

antisocial- disregard and violation of others rights from age 15

borderline- instability of interpersonal relationships, impilsivity

histrionic- excessive emotionality and attention seeking

Question 6

What are the Cluster C personality disorders?

(Anxious and Avoidant)

Answer 6

avoidant- social inhibtiion, feelings of inadequacy, hypersensitive to -ve evaluation

dependant- submissive and clinging behaviour, fears of seperation

obsessive compulsive- orderliness, perfectionism, mental and interpersonal control

Question 7

what is the ICD-10 criteria for anorexia?

Answer 7

BMI <17.5

self-induced weight loss

body image disturbance

fear of becoming fat

amenorrhoea

Question 8

what are some methods of weight loss?

Answer 8

micromanagement of food

calorie counting

intense exercise

induced vomiting

laxatives

Question 9

what are some physical signs of anorexia nervosa?

Answer 9

muscle wasting

lanugo hair

cold, blue peripheries

dry skin

hypercalacaemia

Question 10

why is ALT sometimes raised in those with anorexia nervosa?

Answer 10

due to breakdown of the liver

Question 11

why does food need to be reintroduced slowly in a pateint with anorexia nervosa?

Answer 11

refeeding syndrome

Question 12

what national resourse can be used to help guide the treatment of those suffering with eating disorders?

Answer 12

MARSIPAN

MAnagement of Really Sick Patients with Anorexia Nervosa

Question 13

can people be fed against their will?

Answer 13

yes- only in emergency and for max 48hrs, then need assessed by second doctor

Question 14

define Bulimia

Answer 14

persistent preoccupation with eating- people wil binge then purge

Question 15

what is the signs seen in somone who regularly purges themselves by inducing vomiting?

Answer 15

russels sign- knuckles

parotid hypertrophy