Flashcards in Treatment of Feeding and Eating Disorders Deck (11)
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?
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