Treatment of Feeding and Eating Disorders Flashcards

1
Q

Why is anorexia nervosa harder to treat than bulimia nervosa or binge-eating disorder?

A

It is egosyntonic - the person feels good about their eating behaviours - whereas bulimia and binge-eating disorder are egodystonic and cause feelings of guilt, shame, and self-loathing

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2
Q

State some early presentations of eating disorders

A

Increased rigidity in eating behaviour, changes in mood and social withdrawal, cutting out favourite foods, process of denial

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3
Q

State the first step in managing an eating disorder

A

Stabilising the patient

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4
Q

State the 3 targets of treatment

A

Stabilising the patient, normalising eating and weight, and managing physical risk

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5
Q

What is the first-line treatment for anorexia nervosa?

A

Family-based therapy

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6
Q

What are second-line treatments for anorexia nervosa?

A

Eating-disorder targeted CBT or Maudsley anorexia nervosa treatment for adults (MANTRA)

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7
Q

Is inpatient care more effective than outpatient-based care?

A

No

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8
Q

What is the standard treatment for binge-eating disorder?

A

A guided self-help program supplemented with brief supportive sessions

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9
Q

Which part of family therapy for anorexia nervosa has been shown to have the greatest impact on recovery?

A

Inclusion of a family meal

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10
Q

Alongside therapy, what should all anorexia nervosa patients be prescribed?

A

An age-appropriate oral multivitamin and multimineral supplement, until their diet includes enough to meet their dietary reference values

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11
Q

What is the first-line treatment for bulimia nervosa?

A

Family therapy

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