Psychiatry and the GI Tract Flashcards
What defines anorexia nervosa
The fear of becoming fat
Taking extreme measures to lose weight
What is significant weight loss (BMI)
17.5
How do patients with anorexia nervosa lose weight
Avoid fattening foods Progressive dietary restriction Calorie counting / excessive weighing Self induced vomiting Diuretics / Laxative Excessive exercise - until over 30% body weight lost
What do many females also present with ?
Amenorrhoea (loss of periods)
What is the main difference between anorexia nervosa and bulimia nervosa
Binge eating is present in bulimia nervosa - there are periods where they engage in uncontrollable binge eating
If a bulimic patient has a BMI of less than 17.5, what do we reclassify them as?
Anorexics
What depressive symptoms may also present with Anorexia Nervosa
Low mood Social withdrawl Insomnia Concentration difficulties Pessimism
What are 3 types of personality disorder
Emotionally unstable
Anankastic
Avoidant / Anxious
If a patient has a personality disorder, what might they also have?
An eating disorder
What is the main aim for the treatment of eating disorders
Weight gain
depression
focus on low self esteem, binds of perfectionism, alternative strategies to deal with stress
What psychological interventions may be used?
Psychoanalytic Psychotherapy
Cognitive Behavioural Psychotherapy
Family therapy
What is somatisation
When patients present with pain but nothing is found organically. The mind triggers pain for no reason. Medically unexplained
What are 2 side effects of Tricyclics (TCAs)
Dry mouth
Constipation
What do tricyclics do?
Enhance monoamine activity in th ebrian
What are 4 side effects of selective serotonin reuptake inhibitors (SSRIs)
Nausea
Vomiting
Diarrhoea
ABdominal cramps
