Week 8

Question 1

BN diagnosis

Answer 1

recurrent episodes of BE (2 hours above normal intake, lack of control)
recurrent inappropriate compensatory behaviour to prevent weight gain
symptoms at least once a week for 3mo
self evaluation unduly influenced by body shape and weight
disturbance not exclusively during periods of AN/ normal weight

Question 2

BED diagnosis

Answer 2

recurrent episodes of BE
BE associated with 3+ of: more rapidly than normal; until uncomfortably full; large amount when not hungry; alone because of embarrassment; feeling disgusted/guilty/upset after
Marked distress regarding BE episode
BE occurs once a week for more than 3Mo
no compensatory behaviours

Question 3

Neurobiological risk factors

Answer 3

endogenous opioids increased during starvation and exercise; enhance mood and suppress appetite; reinforcing state
serotonin promotes satiety so binges may be due to serotonin deficits (AN and BN decreased serotonin metabolites; AN who recover less well respond worse to serotonin agonists; SSRIs effective for BN treatment)

Question 4

Environmental risk factors

Answer 4

early menarche
stress in mothers during pregnancy
premature birth and birth complications

Question 5

Self-monitoring procedures

Answer 5

Situation (trigger), comparison targets, attribute for comparison, consequences of comparison
provides awareness and insight
recognise that comparisons are upward
comparisons are habitual, but conscious choices about the behaviour can be made
opportunities for intervention: cognitive restructuring; behavioural techniques

Question 6

CBT for BN

Answer 6

Cognitive: challenge perception of ‘thin’
Behavioural: being taught assertiveness skills

Question 7

Tier 1 (bottom)

Answer 7

community health services
GP
primary health networks
RACGP
Schools
Sports coaches
youth services
university counselling clinics

Question 8

Tier 2

Answer 8

headspace centres
private practitioners
NGO CMHSS
EDV
Mental health nurses

Question 9

Tier 3

Answer 9

CAMHS/CYMHS
adult MHS
Paediatrics OP
Community specialist program
case management
private clinic (ED day program)
registered nurse team
nurse/general managers
ED specialists

Question 10

Tier 4

Answer 10

Public iP hospitals
private clinics IP
ED

Question 11

CBT-E Map

Answer 11

1. starting well
2. taking stock
3. body image; dietary restraint; events, moods and eating
   3b. setbacks and mindsets
4. ending well

Question 12

FBT phases

Answer 12

1. parent led refeeding and weight restoration
2. gradual transitioning of regulation of eating back to adolescent
3. supporting the adolescent and family to get back on track with life development

Question 13

Key principles of HAES

Answer 13

1. weight inclusivity: accepting and respecting all sizes; stop the pathologising of weight
2. health enhancement: support practices that improve human wellbeing; thinking about health holistically
3. respectful care: acknowledging our biases, addressing inadequacies
4. eating for wellbeing: eating based on hunger, pleasure and satiety
5. life enhancing movement: enjoyable movement participation

Question 14

Peer worker vs mentor

Answer 14

worker more informal and ‘professional friend’ providing emotional support, advocacy and working towards goals; individual or group setting
mentor more structured program and focused on specific goals