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16 Cards in this Set

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Neurological factors:
Incentive-sensitization theory

activate what?
with what system?
and that is when?
want vs like

activate pleasure sensor
with dopamine system:
that is when dopamine system becomes sensitive to the drug AND cues associated with the drug. sensitivity cues induces and strengthens want.
tx of alcohol abuse
AA
inpt detox
counseling, therapy
CBT
aversion therapy: shock when approach alcohol
covert sensitization: imagine become violently ill from drinking
contingency-management: reinforce behaviors inconsistent w/ drinking = avoid places associated with drinking
control drinking - drink in moderation
medication - antabuse - HARM REDUCTION. puke if alcohol consumed.
psychological: CBT plus rogerian : making them think they can do it
desipramine
psych tx with CBT effective for cocaine. CBT very important for high dependence levels
drug replacement therapy
heroin replacement - METHADONE. wean them from dependence. most effective when combined w/ psych treatment.
DSMIV TR Criteria :
anorexia nervosa
-refusal to maintain normal body weight
- less than 85% norm
-intense fear of gaining weight and being fat
fear NOT reduced by weight loss
- distorted body image (body dysmorphic disorder) feel fat even when emaciated
amenhorhea: loss of menstrual period
2 types of anorexia nervosa
restricting
and
binge-eating-purging
ONSET anorexia nervosa
-early onset early to middle teen
- triggered by diet and stress
- women 10x as likely
- high comorbid (OCD [BDD], phobs, panic, pd)
prognosis of anorexia nervosa
70 % recover, relapse common, may take long time
DSM IV TR CRITERIA
BULIMIA
-uncontrollable eating binges followed by compensatory behavior to prevent weight gain
- at least 2x / week for 3 months
- either
purging or non-purg e(fasting, excessive exercise)
bulimia vs anorexia
extreme weightloss in anorexia
at or above normal weight in bulimia
binge often triggered by
stress and negative emotions
typical food choices:
affects what physiological?
avoiding craved food can...
high calorie and carbs = comfort
affect SEROTONIN levels
can increase likelihood of binge
bulimia comorbid:
depression, pds, anxiety and all the bad stuff
prognosis
70%, 10% fully asymptomatic
Binge Eating Disorder
Recurrent binges. 2x per week for > 6 months
loss of control during binge
binge cause distress
NO weight loss/purging
often accompanied by OBESITY
BMI>30
Neurobiological factors: Binge Eating Disorder
hypothalamus NOT directly involved (controls appetite)
LOW levels of endogenous opioids
- substance that reduces pain. released during starvation.
low levels = promote craving = binge