The Client Who Abuses Food Unit 3 (1) Flashcards
Anorexia Nervosa
An eating disorder characterized by self-starvation, weigh loss below normal weight, intense fear ofbeing fat even when emaciated. Distorted body image an ammenorrhea in females.
Bulimia Nervosa
An eating disorder characterized by recurrent episodes of bingeeating subjectively experienced as out of control, followed by an inappropriate compensatory behavior to prevent weight gain such as self-induced vomiting, overuseof laxatives, diuretics, diet pills, fasting, or excessive exercise
Body weight AN
minimal normal weight not maintained; body weight less than 85% of that expected
Body weight BN
Slightly over, slightly under weight - more towards normal weight
Sexuality AN
little interest in sex, absence of at least 3 consecutive periods
Sexuality BN
promiscuous as a result of poor impulse control
Body Image AN
Disturbed/Distorted
Body Image BN
Normal body image
Personality type AN
meek, compliant, model child, perfectionist, over-achiever, overly sensitive, fears independence, fears sexual relationships, resists growing up and maturing
Personality type BN
extroverted, angry, labile, impulsive (involved with shoplifting, substance abuse)
Insight AN
poor insight, denies hunger, rigid conrol over amount and type of food eaten, total lack of concern about symptoms
Insight BN
aware that behavior is abnormal, feelings of loss of control followed by remorse
Attitude towards treatment AN
resistant
Attitude towards treatment BN
seeks treatment
Mortality Rate BN
Death rare
Mortality Rate AN
10-20% die, half of deaths are due to suicide
Risk factors associated with an individual developing an eating disorder
- Genetics
- Neuroendocrine Abnormalities
- Neurochemical Influences
- Disturbance in mother-infant interactions
- Conflict avoidance
- Power and Control
Symptoms AN
- Gross distortion of body image
- Preoccupation with food
- Refusal to eat
- Intense fear of gaining weight/becoming fat
- Significantly low weight (weight that is less than minimally normal)
Symptoms BN
- Recurrent episodes of binge eating
- Recurrent inappropriate compensatory behaviors in order to prevent weight gain, such as self-induced vomiting,misuse of laxatives, diuretics, or other medications, fasting, or excessive exercise
- Binge/Compensatory behaviors occur at least once a week for 3 months