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Psych 3a Flashcards

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1
Q

Treating Depression

Medical

A

Adults: SSRI (Sertraline) SNRI (Venlafaxine)
Children: SSRI (Fluoxetine)
Elderly: Mirtazapine - also given to Warfarin Pts

SSRIS: citalopram, paroxetine SNRIS: duloxetine. Careful with Fluoxetin

When starting SSRI, prescribe for 6mths at least, avoid triptans

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2
Q

Medical treatments

Non Medical Treatments for Depression

A

Non medical 1st line: CBT, IAPT Fam therapy in CAMHS
Encourage resuming old activities

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3
Q

Side FX SSRIs

Sertraline, Citalopram, Fluoxetine

SSRI can increase risk of suicide so double check

A

GI symptoms (most common)
Sexual Impotence
Hyponatremia
Agitation, Weight gain
Upon Discontinuation: Restless, Sweating, Parasthesia, GI symptoms

Interactions: NSAID (Give PPI), Sumatriptan, Warfarin/Heparin

Fluoxetine and Paroxetine risks of interactions

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4
Q

Medical treatments

Other Treatments for Depression

other than SSRi and SNRI

Generally avoided

A

MAOI - Tranylcypromine, phenelzine Side FX: HTN crisis when taken with cheese, pickles etc.
TCAs - Amitriptyline Side Fx: Urinary retention, dry mouth, lethargy, blurry QT interval increased

These both are avoided due to side fx profile

MAOI treate atypical depression TCA commonly used for neuropathic pain and chronic TTH

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5
Q

Assesment and management Frontal Lobe Syndrome

Hx

A
  • Developmental, Trauma & Social Hx
  • Check B12. TFT, Syphilis screen
    Management
  • General Supportive Care
  • Speech therapy
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6
Q

Treatment Acute Mania

A
  • Stop Anti-Depressants
  • 1st line antipsychotics

Haloperidol, Olanzapine, Queitapine, Risperidone

Li can be used short term & Benzodiazepnes

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7
Q

Chronic Management of Bipolar Disorder

A
  • CBT
  • Mood stabilisers: Lithium
  • 2nd Line: Na Valporate, Carbamezipine Olanzipine

Pregnancy use antipsychotic: Haloperidol

Lithium is teratogenic causing Ebsteins Foetal Anomaly

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8
Q

Treating Depression in Bipolar

A
  • Avoid antidepressant (Can cause Mania)
  • 1st line Antipsychotic: Quietapine
    If you are to prescribe SSRI such as Fluoxetine then prescribe Mood stabiliser alongside it

Olanzapine can be used as Mood Stabiliser although it is a antipsychotic

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9
Q

Side FX Lithium

Due to narrow Therapeutic Index you must check LI bloods evry wk for 3w

Then check every 3m

A

Leukoytosis (Excess WBC)
Insipidus Diabetes
Tremors
Hydration (Dehydrates)
Increased GI motility
Underactive thyroid
Metallic Taste

Long-term lithium use can result in hyperparathyroidism and resultant hypercalcaemia (stones,bones, abdominal moans & psychic groans)

Wt gain, hypoparathyroidism

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10
Q

Think of a drunk man

Lithium Toxicity

Conc of LI in blood above 1.5mM

NEPHROTOXICITY

A

Reduced renal function due to Li accumulation leading to

  • Dehydration
  • D&V
  • Sleepy
  • Motor signs: Coarse Tremor + Hyperflexia
  • Neuro: Confusion, seizures

Mild Toxicity: Stop Li & Rehydrate

Avoid with Li: NSAIDS, THiazide diuretics, ACEi, ARBs, metronidazole

Severe: Haemodialysis, Gastric Lavage, Diuretics

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11
Q

What is Dysthymia?

Not severe enough to be classed as something (Hint)

Treated with SSRI (Sertraline) + CBT

A

Chronic, midly depressed mood and diminished enjoyment
Presence of low grade symptoms for around 2y

Not severe enough to be classified as severe illness

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12
Q

What is Alogia

poverty of speech.

A

Refers to difficulty with speaking or the tendency to speak little due to brain impairment.

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13
Q

Treatment Schizophrenia

Antipsychotics

Extrapyramidal Side Fx caued by Typical Antipsychotics

A

1st line: Atypical (Quietapine, Olanzapine, Risperidone)
2nd Line: Typical (Haloperidol, Chlopromazine)
3rd Line: Clozapine
Treatment steps: 6mths -> 5Y -> Lifelong

Regular monitoring of: Wt, Lipids, Glucose, & ECG

Psycho: CBT Social: Housing, Financial Advice

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14
Q

4 Extra Pyramidal side Fx of Typical antipsychotics

Haloperidol Chlorpromazine

Increased risk of stroke and VTE

A
  1. Acute Dystonic Rxn (Hours)
    Muscle spasms, acute torticolis, Eyes rolling back
  2. Parkinsonism (Days)
    Tremor, bradykinesia
  3. Akathisia (Days to weeks)
    Inner restlessness, agitation, suicide risk in young
  4. Tardive Dyskinesia (Months to Years)
    Grimacing, tongue protrusion, lip smacking

Difficult to treat Tardive Dyskinesia as Dr Receptors upregulated

Torticolis: Neck spasms Bradykinesia: slow movement

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15
Q

Side Fx Profile Antipsychotics

Apart from Extrapyramidal

Atypical (Clozapine, Queitapine, Olanzapine, Aripiprazole, Risperidone)
Typical (Haloperidol, Chlorpromazine)

A

Typical : Dry mouth, Galactorrhoea, Urinary retention, blurred vision, constipation, QT interval increase
Clozapine: Agranulocytosis
Olanzapine: Dyslipidaemia, Hyperlipidaemia

Agranulocytosis: Severe reduction in the number of white blood cells
Monitor clozapine evry week for 18wks

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16
Q

Treatment for Extrapyramidal Symptoms

Caused by Typical Antipsychotics like Haloperidol and Chlorpromazine

A

Procyclidine for Acute Dystonic Rxn

Tetrabenazine may be used to treat moderate/severe tardive dyskinesia

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17
Q

Young Age Dementia

Define Frontal Lobe Syndrome & Causes

fronto-temporal dementia

A
  • Damage to prefrontal regions of frontal lobe
    important in Motivation, planning, social behaviours, speech production
  • Damage leads to speech problems, reduced attention and abstract thoughts

Ubiquitin Deposits

Causes: Head Injury, CVA, Infection, Picks Disease (neurosyphillis)

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18
Q

Endocrine disorders causing Psych symptoms

DM, Thyroid, Parathyroid, Adrenal

A
  • T1DM: Anorexia, Bulimia
  • T2DM Bipolar, Schizo
  • HyperThy: GAD, Depression, Thyroid storm -> Mania
  • HypoThy: Depression, Myoxydema -> Psychosis
  • HyperCalc: Depression, apathy, irritation
  • HypoCalc: Anxiety, mania
  • Cushings: Depression, anxiety, mania
  • Addisons: Fatigue

Cushings: hyperaldosteronism: More cortisol
Addisons is opposite

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19
Q

Panic Disorder Vs GAD

generalised anxiety disorder

A

GAD: Constant worry with external stimulus of particular thing
Panic: Discreet episodes of anxiety w/out stimulus (spontaneous

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20
Q

RF for OCD

A
  • FH
  • Parental Overprotection
  • PANDAS (Paediatric neuropsychiatric disorders associated with strep infection)
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21
Q

Dopamine

Pathophysiology of Schizophrenia

4 main dopaminergic pathways in the brain

A
  1. Mesolimbic Reward, excess dopamine here leads to +ve symptoms (Delusions, Hallucinations etc)
  2. Mesocortical Pre Frontal: low dopamine here -> -ve symptoms (anhedonia, blunted effect, alogia)
  3. Nigostriatal Basal Ganglia: excess dopamine -> motor movements
  4. Tuberoinfundibular: Excess dopamine -> rise in PRL (nipple leaks)

3 & 4 refer to Sid Fx of Antipsychotics

Dopamine in mesocortical needed for executive functioning such as emotion, speech

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22
Q

ALCOHOLISM

Investigation & Treatment for Drinking problem

Questionaiire

A

CAGE questionaire
- Have you ever tried to CUT down
- Have you been ANNOYED at the fact that you may have alcoholism
- Have you ever felt GUILTY
- Have you ever had an EYE OPENER first thing in morning
Alcohol dependence treatment
- Acute detox
- Psycho therapies
- Meds

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23
Q

Stepwise Detoxification from Alcohol

Alcohol dependence 4 drugs

A
  • Benzos (Diazepam, Lorezepam, Chlordiazepoxide)
  • Rehydration with correct electrolytes
  • Thiamine
    Disulfram - Prevents alcohol metabolism - causes nausea if you drink
    Acamprostate - Reduce cravings
    Naltrexone - Opiod antagonist
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24
Q

Treatment for Delirium Tremens

Acute withdrawal from alcohol

A

First line: Lorezepam or chlordiazepoxide

Treat with Thiamine
or Antipsychotics (Haloperidol)

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25
Treatment for Delirium Tremens | Acute withdrawal from alcohol
Treat with **Thiamine** Lorezepam or Antipsychotics (Haloperidol)
26
What is Korkasoff | Think Thiamine ## Footnote Due to Alcohol misuse
* Short term memory loss + Cofabulation *Thiamine deficiency due to alcohol misuse* Damage to hypothalamus mamiliary bodies | Other Cause: Head Injury, Post anasthesia, Encephalitis CO poisoning
27
Treatment for Korkasoff Psychosis
* Oral Thiamine replacement therapy for up to 2Y * Treat psychiatric co morbidities * Cognitive Rehab
28
# Caused by Thiamine B1 deficiency Triad of Wernickes Encephalopathy | & Treatment ## Footnote Develops further on from Korkasoff
* Opthalmoplegia (*eye muscle paralysis*) * Ataxia * Confusion High risk Pts: prophylactic vit(s) | Treat with IV Pabrinex (vit) ## Footnote Can also present alongside Korkasoff: Wernicke's Korkasoff
29
Delirium Screening & Symptoms
* 4 AT assesment Symptoms * Confusion * Disorientation * Hallucinations * Agrresion * Labile mood (yoyo) | ICD 10: cognitive, attention disturbance over short period of time ## Footnote Delirium: evidence of physical cause
30
4A's of Alzheimers
1. Amnesia; Poor recent memory 2. Apraxia: unable to button up 3. Agnosia: unable to recognise body parts 4. Aphasia: Struggle with language
31
Diagnosing Alzheimer's
CT - Brain atrophy, sulcul widening, large ventricles - **Amyloid Plaques** - **Neurofibilary tangles** - Shrinkage of cortex - Alzheimer's disease causes widespread cerebral atrophy mainly involving the **cortex and hippocampus** | **Use ACE III for diagnosis**
32
Medical Management Alzheimer's | Non Pharm: ## Footnote Acitivities promoting wellbeing & group cognitive simulation therapy
1st: Ach inhibs: **Donepezil, Rivastigmine, Galantamine** 2nd NMDA antagonist: **Memantine ** (when 1st line contraindicated) Mild-Moderate AD: 1st Severe AD: 1st + 2nd line | Donepezil: insomnia, contraindicated bradycardia
33
# Related to Parkinsonism Lewy Body Dementia Features | Common in 50-80y ## Footnote Same Treatment as AD
* Caused by Lewy bodies (alpha-synuclein cytoplasmic inclusions) in the substantia nigra * Early impairments in attention and executive function rather than memory * Parkinsonism * Visual Hallucinations * Fluctuating cognition (Confused for delirium)
34
Baby Blues | 1st
- 60-70% women - 3-7 days post birth - Anxiety & Fearful | Treatment: Reassurance from Health Visitor
35
Post Natal Depression | 2nd
* 10% Women * Start at 1m peak at 3m * Symptoms of Depression * Reassurance + CBT * SSRI (Sertraline) | SSRI can come in breast milk so be mindful
36
Puerperal Psychosis | 3rd (most critical of the lot)
* 0.2% of Women * 2wk Post Partum * Bipolar 1 - Mania * Disordered Perceptions * Psych emergency
37
What is ECT? | What treatment is it used in? ## Footnote Catatonia: a disorder that disrupts a person's awareness of the world around them
* Treatment in Depression with catatonia * +/- Psychotic Symptoms * contraindicated in Raised ICP | Side Fx: Headache, nausea, arrythmias. Long term: Impaired memory
38
Schizoid Personality | Cluster A
* Indifferent to praise and criticism * Prefers solitary activities * No interest in sex * cold * few friends
39
What are the four Ps
1. Predisposing 2. Precipitating 3. Perceptuating 4. Protective | e.g. 1. Genetics 2.Particular event 3. Drinking 4. Support network
40
Depression and its Core 3 symptoms | Other symptoms: Sleep deprived, apetitie change, agitation, labile mood
* Pervasive Lowering of mood 1. Anhedonia 2. Low of mood 3. Loss of energy
41
ICD classification for Depression | Time frame + mild/moderate/severe
* At least 2/3 core symptoms * over 2wks Mild: Core + 2/3 symptoms Moderate: Core +4 symptoms Severe: Several symptoms +/- Suicide risk also marked loss of functioning
42
Signs & Investigations of Depression | Hx, Risk Assesment
* Wt loss * Psychomotor retardation * Lack of eye contact * Slow + Quiet **Take a full Hx and blood test** Risk Assesment: Self neglect/harm, suicidal thoughts
43
RF & DD For depression
RF: FH, History of Abuse, Socio-economic status, Drugs and alcohol, trauma DD: Bereavement, Schizophrenia, Substance Withdrawal
44
RF & DD For depression
RF: FH, History of Abuse, Socio-economic status, Drugs and alcohol, trauma DD: Bereavement, Schizophrenia, Substance Withdrawal
45
Downsides of Antidepressants | Time, Symptoms, Exacerbation of other symtoms
1. Take time to work - 4wks 2. Can initially increase suicide tendencies 3. Improve some symptoms but not all | Important to assess Pts after 2wks and 1wk if they have suicide risk
46
Define Bipolar Affective Disorder | And Risk factors
Recurrent episodes of altered mood and activity - Hypomania/Mania + Depression - Onset early 20s - M:F 1:1 RF - FH - Trauma - Sleep deprivation - Cannabis use in adolescence - BAME - History of Abuse
47
What is Cyclothymia | Think Bipolar
Chronic Mood fluctuations over last 2 years Episodes of Depresssion and Hypomania Rapid Cycling lasting only a few days
48
Bipolar 1 vs Bipolar 2
Bipolar 1: Most common: Mania + Depression Bipolar 2: More symptoms of Depression + Mild Hypomania | Bipolar 2 is often harder to spot
49
Hypomania Symptoms | Lasts 4 days
* Elevated mood * Increased Energy & Talkativeness * Poor concentration * Mild Reckless behaviour (Overspending) * Increase in Libido and confidence * Little need for sleep * Change in apetite | No Psychotic Symptoms
50
# Psychotic Symptoms Mania Symptoms | Last >7days
* Extreme uncontrollable reaction * overactivity * pressure of speech * impaired judgement * Very reckless (Spending spree, Jumping buildings) * Social Disinhibition * Increase in Self esteem and Gradiosity * Absent insight - Hallucinations
51
# Psychotic Symptoms Mania Symptoms | Last >7days
* Extreme uncontrollable reaction * overactivity * pressure of speech * impaired judgement * Very reckless (Spending spree, Jumping buildings) * Social Disinhibition * Increase in Self esteem and Gradiosity * Absent insight - Hallucinations ## Footnote pressure of speech: words can't get out quick enough
52
DD Bipolar Disorder
* Substance Abuse (Amphetamines, Cocaine) * Endocrine Disease (Cushings - Steroid Induced Psychosis) * Schizophrenia * Schizoaffective disorder * ADHD * Personality disorder
53
Investigations & Signs for Bipolar | History and Signs
Perform Full History and MSE Signs * Pressure of speech * Restlessness * Flight of ideas ## Footnote Look out for endocrine signs like purple striae (Cushings)
54
Define Schizophrenia
* A spiltting/dissociation of thoughts * Loss of contact with reality * Affects person's thoughts and perceptions | Most common type is paranoid schizophrenia
55
RF for Schizophrenia | In order of strongest to weakest
* FH (Twin>Parent>Sibling) * Black ethnicity * Migration * smoking ganga in youth * adverse life event * bullying
56
1st Rank Symptoms | Schizophrenia
* 3rd person auditory hallucinations * Thought disorders * Passivity phenomena (somebody controlling thoughts) * Delusional perceptions
57
Second Rank Symptoms | Schizophrenia
* Delusions * 2nd Person Auditory hallucinations * Formal thought disoder (FMD) * Catanoic behaviour * -ve Symptoms | FMD: When words come out wrong because of muddled up thoughts
58
Diagnosing Schizophrenia | Rank Symptoms
* 1 first rank symptoms or * 2 second rank symptoms | For at least a month
59
+ve Symptoms
Delusions Persecutory (think they're being watched) Delusions of Reference (Things being placed in a certain way to highlight they are evil) Hallucinations Thought Disorders
60
-ve Symptoms
Poverty of speech Flat affect Poor motivation Social Withdrawal
61
Treatment Acute Transient Psychosis
* Haloperidol ## Footnote Typical Antipsychotics
62
Charles Bonnet Hallucinations | Akhaaaaaa
Visual Hallucinations in a person with partial or severe blindness *Visual impairtments promote sensory deafferentiation leading to disinhibition thus resulting in sudden neural findings of the visual cortical regions*
63
Cotard Syndrome | maree gaya
False belief of death | Dangerous as Pts may no longer eat or drink thinking they are dead
64
De Clerambault's Syndrome | Erotomania
Seen in young women Falsely believing that a famous person has fallen in love with them
65
Othello's
Pt believes spouse is being unfathful without any solid proof
66
Folie a Deux
Symptoms of delusional belief transmitted from one individual to another
67
Schizoaffective disorder
Schizophrenia symptoms plus depression | Treat with antpsychotics, mood stabilisers etc
68
GAD | Generalised Anxiety Disorder
* Persistent worry (excessive) * About a nr of events (School, work, bills) * Individualised; find it difficult to control worry * 3mths ICD 10 * 6mths DSM
69
RF for GAD
* Alcohol * Benzo use * Co-existing depression * FH * History of abuse * Pushy parents * | Excessive salbutamol use is also another factor
70
Symptoms GAD
* Unpleasant emotional state * bodily discomfort * palpitations * chest pain * tachycardia * tremor * insomnia * increased vigilance
71
Treatment for GAD | Bio Psycho Social
Bio: SSRI, Pregablin, Benzo Psycho: CBT, Relaxation therapy Social: arrange for housing etc | Beno used in acute settings ## Footnote Sertraline is SSRI of choice
72
Agoraphobia Vs Social Phobia | Both Very similar ## Footnote Treatment: CBT, Exposure therapy
**Agoraphobia**: Fear of crowded places & places without easy escape route **Social Phobia**: Fear of situastions (social) where individual isn't familiar with the people around them
73
Obsessive Compulsion Disorder | Obsessions which lead to compulsive behaviour
**Obsessions**: reflected by intrusive, unwelcome, unpleasant thoughts/images doubts **Compulsions**: A repetitive, purposeful, physical or mental behaviour performed in response to obsession
74
Presentation & Investigations OCD
P/ Time consuming obsessions present most days for 2 weeks Distressing & interferes with daily life I/-Detailed History + MSE
75
Treatment OCD
PsychoEducation CBT SSRI
76
Somatisation Disorder | Leads to needless surgeries ## Footnote Common in Females
- Physical Symptoms without physical explanation - Persistent for 2Y - Common in Women - GI & Skin Related | Important to rule out organic causes using detailed history
77
Conversion Disorder | Neuro
Pt presents with neurological signs such as: Paralysis, Weakness, Amnesia - Examination is inconsistent - Pt is not faking it
78
Alcohol Abuse | Alcohol dependence Syndrome
- Regular binge consumption of alcohol - Sufficient to cause physical, neuro, social damage - **Alcohol dependence Syndrome** inability to control intake of substance, oft used to avoid withdrawals
79
Signs of Alchol dependence | CANT STOP
Compulsion to drink Aware of harm but persists Neglect of ther activities Tolerance to alcohol Stopping causes withdrawal Time preoccuppied with alcohol Out of control use Persistent
80
# medical emergency Delirium Tremens
- Acute confusional state secondary to alcohol withdrawal - Occurs 1-7 days after last drink - Clouding of consciousness - disorientation - amnesia of recent events - psychomotor agitation - tremors - visual, auditory + tactile hallucinations - Risk of CVD collapse
81
Causes of Delirium | Delirium: Acute confusional state ## Footnote Infection, Toxic, Vasc, Metabolic, Meds, Vit
**Infection**: UTI, Septicaemia **Toxic**:Substance misuse,opiods **Vascular**: Stroke, Head trauma **Metabolic**: Thryoid, Diabetes, Hypoxia **Meds** Anticholinergics, benzo, polypharmacy **Vitamin Deficiency**
82
Symptom of Delirium | Hypoactive Vs Hyperactive
**Hypoactive**:Withdrawn, sleepy, quiet behaviour, (less likely to be recognised so dangerous) **Hyperactive**: Restless, Agitated, aggresive | management: treat cause + hydration & nutrition
83
Dementia | Define, late onset vs early onset
- Decline in higher cortical function - no clouding of consciousness (Delirium) - Usually irreversible - Deterioration present for 6mths - Decrease in memory, orientation, language, comprehension - Resulting in impairment in activities of daily living - Late onset: >65Y - Early onset: <65Y
84
# Most common form of Demetia Alzheimer's Disease | genes involved different in early v late onset ## Footnote Unknown Aeitiology
- Insidious onset of dementia due to deterioraton of brain - Early Onset: APP gene, Preslin 1+2 - Late Onset: Apoliprotein E | 50% off Downsyndrome Pts develop AD
85
# 2nd Most common form of dementia Vascular Dementia
Dementia caused by infarction(s) in the white matter - Stroke related VD - Subcortical VD (Small vessel disease) - Mixed Dementia (VD+AD) VD can be inherited: CADASIL | Sudden stepwise deterioration of cognition : NINDS-AIREN criteria
86
PTSD Vs Acute Stress Disorder | Time, Symptoms, Treatment
**PTSD** Symptoms: >1mth Flashbacks, nightmares, avoid certain people or situations. Treatment: CBT & EMD **ASD** Symptoms: within 4 wks, same as above. Treatment: CBT, Benzodiazepene
87
Histrionic Personality type | Cluster B
- Inappropriate sexual seductiveness - centre of attention - impressionistic spech lacking detail - self dramatization - Relationships considered more intimate than they are
88
Narcisstic Personality type | Cluster B
- Grandoise sense of self importance - Arrogant and lack empathy - Pre-occupied wuth fantasy of self power - taking advantage of others
89
Schizotypal Personality | Cluster A
- Idead of Reference Odd beliefs + magical thinking - Unusual perceptual disturbance - paranoid - Odd eccentric behaviour - Odd speech - Inappropriate affect
90
Paranoid Personality | Cluster A
- Hypersensitivity and unforgiving - Question loyalty of friends - Reluctance to confide - Conspiratorial
91
Antisocial Personality | Cluster B
- Common in Men - Disrespectful of Law - Lying deceipt, conning, assault, irresponsible all common traits - Lack of remorse
92
Borderline | Emotionally unstable personality disorder
- Unstable relationships alternating b/ween idealization and devaluation - Unstable self image - Impulsive and suicidal - Feel empty
93
Learning Disabilty | Different to Learning Difficulty
IQ Below 70 Intelectually delayed in every aspect of life. Onset before the age of 18.
94
Downsyndrome | goes hand in hand with AD
- Trisomy 21 - RF Mother above 40 - Characteristics: Short, fat with hypotonia - Congenital Heart Defects very common
95
Fragile X Syndrome Features
- Common in men - Large testes, ears, etc - CGG triplet defect
96
Symptoms of common LDs | Aspergers Rett's Heller's Tourettes Enuresis
Aspergers: Autisim spectrum disorder Rett's: Affects brain develpment common in girls Heller's: Similar to autism Tourettes: Motor and vocal tics Enuresis: Involuntary urination
97
# Excess Serotonin in body Serotonin Syndrome | Treated using Chlorpromazine
- Caused by SSRI. MAOI, Ecstasy, psycho active stimulants - Rapid onset - Increased Reflexes, Clonus, Dilated pupiils - Youn Pts, Tachycardia, Hypertensive, Pyrexia, Diaphoresis (sweating)
98
# Lifethereatening reaction to Antipsychotics Neuroleptic Malignant Syndrome | Treatment: Dantrolene (muscle relaxant)
- Slow onset - Decrease reflexes, rigidity, diaphoresis (sweating) confusion - Normal pupils
99
# Eating Disorder Anorexia Nervosa Features | Suicide affects 1/5 mortality due to AN ## Footnote MARSIPAN used to treat sick patients from AN
- Least common in adults - most common in children - Failure to gain weight/ weight loss - overvaluead ideation regarding weight/shape - Lagune hair common symptom Two types 1. Anorexia Nervosa Restricting Consumption of less than 500kcals daily 2. Anorexia Nervosa Binge purging Low wt but engages in binge eating/purging
100
Bulimia Nervosa Features
- Recurrent binge eating followed by compensatory behaviour to avoid wt gain - at least once a week for 3mths - Self induced vomitting, laxatives, diuretics - Look out for cavities from vomit acid damage and marks on knuckels/hands
101
Binge Eating Disorder | Different to Bulimia as no compensatory mechanisms
- BED episode once a week for 3mths
102
OFSED | Other specified feeding and eating disorder
Features of all three: AN, BN and BED
103
ARFID syndrome | Eating
Avoid certain foods due to sensitiveity to particular foods i.e. might not like texture of one food so will avoid or PTSD of a choking incident - Seen often in autistic children - general disinterest in food

3a Notes AC (20 decks)

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