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Psychotherapy: 119b - Eating Disorders

Psychology14 CardsCreated about 2 months ago

This flashcard set differentiates anorexia nervosa (binge/purge subtype) from bulimia nervosa, emphasizing weight status, motivation behind purging, and control patterns during binges. It also outlines the two anorexia subtypes (restrictive and binge-purge) and highlights clinical signs of anorexia, such as lanugo, hair loss, dehydration, and electrolyte disturbances.

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How can anorexia: binge/purge subtype be differentiated from bulemia nervosa?

  • Anorexia

    • Characterized by intense fear of gaining weight, history of significant weight loss

    • Binging then subsequent purge are to minimize calorie intake

    • More likely to have v low BMI

  • Bulemia nervosa

    • Characterized by loss of control during binges, purge to regain control

    • Weight may fluctuate

    • May also have fear of gaining weight, body dysmorphia

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Key Terms

Term
Definition

How can anorexia: binge/purge subtype be differentiated from bulemia nervosa?

  • Anorexia

    • Characterized by intense fear of gaining weight, h...

What are the two types of anorexia nervosa?

  • Restrictive

  • Binge-purge

List some of the clinical findings of anorexia nervosa

Clinical findings

  • Baby hairs on body

  • Hair loss on head

  • Electrolyte abnormalities

  • Dehydra...

What medication can be used to help manage binge eating disorder?

Lisdexamfetamine

Describe the clinical management of anorexia nervosa

Goal = weight restoration

  • Phosphorous: may need to replete

    ...

Which psychological disorder has the highest mortality rate?

Anorexia nervosa

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Psychotherapy: 119b - Eating Disorders
TermDefinition

How can anorexia: binge/purge subtype be differentiated from bulemia nervosa?

  • Anorexia

    • Characterized by intense fear of gaining weight, history of significant weight loss

    • Binging then subsequent purge are to minimize calorie intake

    • More likely to have v low BMI

  • Bulemia nervosa

    • Characterized by loss of control during binges, purge to regain control

    • Weight may fluctuate

    • May also have fear of gaining weight, body dysmorphia

What are the two types of anorexia nervosa?

  • Restrictive

  • Binge-purge

List some of the clinical findings of anorexia nervosa

Clinical findings

  • Baby hairs on body

  • Hair loss on head

  • Electrolyte abnormalities

  • Dehydration,

  • Hypotension

  • Edema

  • Constipation

  • Osteoporosis

What medication can be used to help manage binge eating disorder?

Lisdexamfetamine

Describe the clinical management of anorexia nervosa

Goal = weight restoration

  • Phosphorous: may need to replete

  • Psychotherapy = mainstay of treatment

    • CBT for adult patient

    • Family-based for younger patient

  • Nutritionist

  • Hospitalization if necessary

Medications are not effective: food is the medication!

But medication may be helpful to manage anxiety, comorbidities

Which psychological disorder has the highest mortality rate?

Anorexia nervosa

Anorexia restrictive type is associated with cluster personality disorders

Anorexia binge/puge type is associated with cluster personality disorders

Anorexia restrictive type is associated with cluster c personality disorders

Anorexia binge/puge type is associated with cluster b personality disorders

Which SSRI can be used to manage bulemia?

Fluoxetine (an SSRI)

But psychotherapy (CBT or DBT) is the mainstay of treatment

A patient has intense fear of gaining weight, body dysmorphia, and restricted food intake

Which eating disorder is most likely?

Anorexia nervosa

The severity of buimia is based on what behavior?

Severity is based on the number of inappropriate compensatory behaviors (not number of binges)

  • Mild = 1-3/week

  • Moderate = 4-7/week

  • Severe = 8-12/week

  • Extreme = 14+/week

What is Russel’s sign?

What is it indicative of?

Lacerations/abrasions on the backs of hands/fingers

Due to frequent contact with teeth

Indicative of bulimia nervosa

The prognosis of anorexia is [better/worse] than for bulemia

The prognosis of anorexia is worse​ than for bulemia

How is bulemia nervosa managed clinically?

  • Cognitive behavioral therapy

    • Esp. dialectial behaviorla therapy

  • Medication

    • Fluoxetine (SSRI) - better for adult patients than adolescents

What factors predict good prognosis for anorexia nervosa?

  • Younger age of onset

  • Restrictive type (vs binge/purge)

  • Shorter chronicity of illness

  • Higher weight at treatment

  • Good social functioning, support