Treatment of Feeding and Eating Disorders Flashcards Preview

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Flashcards in Treatment of Feeding and Eating Disorders Deck (11)
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Why is anorexia nervosa harder to treat than bulimia nervosa or binge-eating disorder?

It is egosyntonic - the person feels good about their eating behaviours - whereas bulimia and binge-eating disorder are egodystonic and cause feelings of guilt, shame, and self-loathing


State some early presentations of eating disorders

Increased rigidity in eating behaviour, changes in mood and social withdrawal, cutting out favourite foods, process of denial


State the first step in managing an eating disorder

Stabilising the patient


State the 3 targets of treatment

Stabilising the patient, normalising eating and weight, and managing physical risk


What is the first-line treatment for anorexia nervosa?

Family-based therapy


What are second-line treatments for anorexia nervosa?

Eating-disorder targeted CBT or Maudsley anorexia nervosa treatment for adults (MANTRA)


Is inpatient care more effective than outpatient-based care?



What is the standard treatment for binge-eating disorder?

A guided self-help program supplemented with brief supportive sessions


Which part of family therapy for anorexia nervosa has been shown to have the greatest impact on recovery?

Inclusion of a family meal


Alongside therapy, what should all anorexia nervosa patients be prescribed?

An age-appropriate oral multivitamin and multimineral supplement, until their diet includes enough to meet their dietary reference values


What is the first-line treatment for bulimia nervosa?

Family therapy