Chapter 12

Question 1

What is the diagnostic criteria for Pica?

Answer 1

persistently eating non food items, eating non nutritious food that is inappropriate for developmental level and the behavior is not socially/ culturally acceptable

Question 2

How often does Pica have to happen?

Answer 2

once a month

Question 3

What are the comorbidities of Pica?

Answer 3

Alvina Ingests Socks

Autism, Intellectual disability and Schizo

Question 4

What are some OT implications for Pica?

Answer 4

• self care associated with cooking/ eating always affected

- physical health (malnutrition, intestinal blockage, toxin), cognitive function and processin

Question 5

What are some OT behavioral interventions for Pica?

Answer 5

• establish strategies with positive direction/ outcome
• focus on providing other occupations and meal preps
• environmental modifications

Question 6

What is the diagnostic criteria of anorexia?

Answer 6

• restriction of caloric intake leading to significant low body weight
• intense fear of gaining weight or being fat
• disturbance in body image, excessive concern about body weight or shape, or lack of recognition of the seriousness of the current low body weight

Question 7

What are the comorbidities for anorexia?

Answer 7

depression and anxiety

Question 8

What are the treatments of anorexia?

Answer 8

• medical management to address nutritional deficits
• psychodynamic therapy
• CBT
• nontraditional antipsychotic meds (addresses dopamine dysfunction)
• combo prob most effective

Question 9

What are some OT implications for anorexia?

Answer 9

• occupational engagement
• therapeutic alliance (goal setting)
• focus on acceptable leisure pursuits that de-emphasizes food
• social skillls training
• stress management
• support and education for caregivers and fam

Question 10

What is the diagnostic criteria for bulimia?

Answer 10

• repeated episodes of binging
• purging or laxatives
• binging and purging
• self image is not excessivelty influenced by weight

Question 11

How often does Bulimia have to occur?

Answer 11

Once a week for 3 months

Question 12

What is the treatment for bulimia?

Answer 12

• DBT
• focus on awareness of problems and choices and mood regulation, techniques and coping skills
• invalidating environment

Question 13

In bulimia, what do the environments create?

Answer 13

sense of uncertainty, unpredictability or hostility

Question 14

What are some OT implications for bulimia?

Answer 14

• coping skills training focused on mood regulation, managing social situations and interaction with environment
• practice avoiding triggering situations
• meaningful occupations to reduce urge to binge (ex: yoga)

Question 15

What is the diagnostic criteria for binge disorder?

Answer 15

• repeated episodes of binge eating (limited time, eats amount larger than normal and lacks control)
• eats too quickly, until uncomfortable, large amounts when not hungry, eats alone, guilty after
• not associated with bulimia or anorexia

Question 16

How often does Binging have to occur?

Answer 16

once a week for 3 months

Question 17

What is the treatment for binging?

Answer 17

• integrative response therapy, group therapy based on guided self help
• CBT with meds
• meds

Question 18

What are some implications for OT in binging disorder?

Answer 18

• wellness efforts focused on changing behavior
• emphasis on healthy occupations that address eating habits
• health promotion/ prevention activities with children

Question 19

When does Pica usually occur?

Answer 19

childhood

Question 20

When does anorexia and bulimia often emerge and what therapy is considered?

Answer 20

Adolescence

family therapy

Question 21

Changes in blank production often cause decrease in appetite in older adults which can lead to malnutrition

Answer 21

neurotransmitter

Question 22

Why is anorexia of aging qualitatively different of that of younger adults?

Answer 22

it is not typically associated with conscious choice