Disordered Eating and Eating Disorders Flashcards
(26 cards)
number one cause of death of all behavioral issues
anorexia nervosa
personality trains associated with AN
harm avoidant, perfectionistic
rigid
biased
high cost for mistakes, no learning from mistakes, no joy in moments unfolding
2 AN subtypes
restricting type: self starvation
Binge-eating / purging type (laxatives, diuretics, enemas)
what subtype more deadly/harmful?
binge eating / purging type
DX criteria
low body weight
intense fear of wt gain
persistent alck of recognition of seriousness of their low body weight
mild an
BMI over or = to 17
mod an
bmi 16-16.99
severe an
15-15.99
extreme an
bmi under 15
how to grade severity of an in kids?
refer to percentiles
70% of AN pts also have…
depression
also.. substance abuse, ocd, social phobia premorbidly
an effects on brain
sad, moody, irritable, bad memory, fainting
an effects on hair
thin and brittle
an effects on blood
anemia, electrolyte imbalance
an effects on MSK
weak jts, bones, bone loss, fx, osteopenia
kidney an presentation
kidney stones, kidney failure
an causes ___in regards to bowels
constipation and bloating
skin an changes
easy bruising growth fine hair heat intolerance yellow skin brittle nails
role of weight in an tx
at beginning of session (ideal shar with pt) and plot on a chart weekly
what is mosley family therapy
works for AN for less than 3 yrs of condition
need supportive fam
intervention strategies for AN
emotional context to process issues
emotional wave
process vs outcome
self parenting
failure to meet nutrition needs with 1+:
sig. weight loss (kids fail grow)
sig. nutritional def
depend on enteral feed or oral supplements
interfere with social function
avoidant / restrictive food intake disorder
criteria bulimia
binge eating and compensatory behaviors occur avg 1 time per wk for at least 3 mo
tx bulimia
CBT
SSRI
tx the purge before the binge.. avoid starve that causes major hunger
