Psychiatric Disease Flashcards
Define anorexia nervosa
Abnormal fear of becoming fat, leading to excessive dieting
Which 4 factors are required to diagnose anorexia nervosa?
Significant WEIGHT LOSS/failure to grow in children
SELF-INDUCED weight loss
Overvalued idea that OBESITY REPRESENTS FAILURE
Widespread ENDOCRINE ABNORMALITIES
BMI of less than 17.5 is the standard for diagnosis of anorexia nervosa. True/False?
True
What is Russell’s sign?
Calluses formed on fingers as a result of an individual trying to induce vomiting on themselves
What is the core psychopathology behind anorexia nervosa?
That obesity represents failure + slimness represents control and success
Restrictive type of anorexia nervosa shows no evidence of binge-eating or purging. True/False?
True
How is bulimia nervosa different to anorexia nervosa?
Involves periods of binge-eating that the individual cannot control, where excessive calories are consumed
List some depressive symptoms of anorexia + bulimia nervosa
Low mood
Social withdrawal
Insomnia
Pessimism
Men suffer from anorexia nervosa more than women. True/False?
False
10x lower risk in men
What is the essential treatment for anorexia nervosa? Why is it difficult?
Weight gain
Can be difficult if patient doesn’t feel they need to, or to dissuade them from their method of control of their life
List indications for when a patient with anorexia/bulimia may need to be admitted into hospital
Suicidal
Chronic state (> 5 years)
Comorbidities
Extreme social isolation
What is meant by somatization?
Underlying psychological disturbance produces physical symptoms that cannot be attributed to an organic cause
What is meant by factitious disorders?
Intentional faking/stimulation of an illness for no obvious external gain (other than attention/satisfaction of seeing people puzzled)
What is meant by malingering?
Deliberate stimulation of illness for physical gain, e.g. money, benefits, avoidance of prosecution
