Psy 3 - Adolescent Psych Flashcards
What are the symptoms of Bulimia Nervosa?
Binge eating. Compensatory behavior to prevent weight gain. Unhealthy preoccupation with weight, but maintain body weight within normal range. Enlarged parotid glands (from so much vomiting) causing elevated serum amylase and erosion of enamel of teeth. Hypokalemic hypochloremic metabolic alkalosis.
What is a treatment option for bulimia?
SSRIs (Fluoxetine) + Psychotherapy.
What is Binge eating disorder?
Occurs at least 1x per week for at least 3 months. Marked distress or remorse. No compensatory behavior. Episodes of binging w/ sense of lack of control: At least 3/5 of the following. Eating faster. Eating until uncomfortably full. Eating alone. Eating large amounts when not hungry. Feeling badly about it.
What is compulsive eating disorder?
Obsessed with food. Binge but it is not a copping mechanism like binge eating disorder.
What is Gender dysphoria? What is transsexualism?
Strong persistent, cross gender ID. Transsexualism is gender dysphoria strong enough to desire to live as the opposite sex.
What electrolyte disturbances are seen on patients with excessive persistent vomiting?
Hypokalemic hypochloremic metabolic alkalosis.
What are the three criteria for anorexia nervosa?
Distorted body image. Intense fear of gaining weight. Refusal to maintain normal body weight (BMI less than 17).
RFF: Most common medication for bulimia nervosa?
SSRIs (fluoxetine).
What are the symptoms of anorexia nervosa?
Distorted body image. Intense fear of gaining weight. Unable to maintain normal body weight: BMI less than 17. Depressive symptoms, decreased bone density and osteoporosis (history of metatarsal stress fractures). Electrolyte disturbances (excessive vomiting). Secondary amenorrhea. Seen in Type A personalities.
