Psych/Behavioral Health #3 Flashcards
What is dissociative identity disorder?
2 or more distinct identities or states of personalities
Dissociative identity disorder is MC in ______, those with a history of ______, _____, or ______.
Women
-PTSD, substance abuse, sexual abuse
What is depersonalization?
Persistent feelings of detachment or estrangement from oneself (out of body feeling)
What is derealization?
-Persistent feelings of detachment or estrangement from surrounding environment
What is dissociative amnesia?
Inability to recall personal/autobiographical information (often due to sexual abuse, stress, or trauma)
Abrupt change in geographic location with loss of identity or inability to recall the past
Dissociative fugue
Treatment for dissociative disorders
Psychotherapy
Obesity is defined as a BMI > _____ or body weight _____% or more over the ideal weight
BMI > 30
body weight 20% or greater over ideal weight
At what age should a patient be screened for obesity?
All adults and children age 6 years or older
Orlistat is an anti-obesity medication that works how?
Decreases GI fast digestion
Another anti-obesity medication, Lorcaserin, works…
as a serotonin agonist
Unlike bulimia nervosa, binge-eating episodes are NOT associated with
compensatory behaviors (purging or restrictive behaviors) and they are not as fixated on their body shape or weight
Treatment for binge-eating disorders
- Psychotherapy
- Strict diet and exercise plan
- Topiramate (anti epileptic associated with weight loss)
- Stimulants: appetite suppression (Amphetamine)
What exactly is binge-eating disorder?
Recurrent episodes of binge eating: eating within a 2 hour period more than people would in a similar period with lack of an overeating episode (occurs at least weekly for 3 months)
How does Bulimia Nervosa differ from Anorexia Nervosa?
Patients with bulimia usually maintain a normal weight (or may be overweight) and their compensatory behaviors are ego-dystonic (troublesome to the patient)
Physical exam findings of a patient with bulimia nervosa
- Teeth pitting or enamel erosion (from vomiting)
- Russell’s Sign: calluses on the dorsal of the hand
- Parotid gland hypertrophy
Lab findings of a patient with bulimia nervosa
- Hypokalemia
- Hypomagnesemia
- Increased amylase
-Metabolic alkalosis from vomiting
Diagnostic criteria for bulimia
- Recurrent episodes of binge eating (at least weekly for 3 months)
- Compensatory behaviors: purging and non-purging
Treatment for bulimia
- Psychotherapy
- Pharmacotherapy: Fluoxetine
Anorexia nervosa is _______
Failure to maintain normal weight, fear and preoccupation with body weight, body image, and being thin
True or False: Anorexia nervosa has the highest mortality of all psychiatric conditions?
True
With anorexia nervosa, their behaviors are _____, which means
Ego-syntonic, their behaviors are acceptable to them and are in harmony with their self-image goals
Name and describe the two types of Anorexia Nervosa
Restrictive type: strict, reduced calorie intake, dieting, fasting, excessive exercise, and diet pills
Binge eating/Purging: primarily engages in self-induced vomiting and diuretic, laxative, and enema use
Symptoms of anorexia nervosa
- Amenorrhea
- Lanugo
- Bradycardia
- Dry skin
- Salivary gland hypertrophy
- Osteopenia
- Russell’s Sign
