Flashcards in Psychiatry and the GI Tract Deck (16):
1
What defines anorexia nervosa
The fear of becoming fat
Taking extreme measures to lose weight
2
What is significant weight loss (BMI)
17.5
3
How do patients with anorexia nervosa lose weight
Avoid fattening foods
Progressive dietary restriction
Calorie counting / excessive weighing
Self induced vomiting
Diuretics / Laxative
Excessive exercise - until over 30% body weight lost
4
What do many females also present with ?
Amenorrhoea (loss of periods)
5
What is the main difference between anorexia nervosa and bulimia nervosa
Binge eating is present in bulimia nervosa - there are periods where they engage in uncontrollable binge eating
6
If a bulimic patient has a BMI of less than 17.5, what do we reclassify them as?
Anorexics
7
What depressive symptoms may also present with Anorexia Nervosa
Low mood
Social withdrawl
Insomnia
Concentration difficulties
Pessimism
8
What are 3 types of personality disorder
Emotionally unstable
Anankastic
Avoidant / Anxious
9
If a patient has a personality disorder, what might they also have?
An eating disorder
10
What is the main aim for the treatment of eating disorders
Weight gain
depression
focus on low self esteem, binds of perfectionism, alternative strategies to deal with stress
11
What psychological interventions may be used?
Psychoanalytic Psychotherapy
Cognitive Behavioural Psychotherapy
Family therapy
12
What is somatisation
When patients present with pain but nothing is found organically. The mind triggers pain for no reason. Medically unexplained
13
What are 2 side effects of Tricyclics (TCAs)
Dry mouth
Constipation
14
What do tricyclics do?
Enhance monoamine activity in th ebrian
15
What are 4 side effects of selective serotonin reuptake inhibitors (SSRIs)
Nausea
Vomiting
Diarrhoea
ABdominal cramps
16