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10 Cards in this Set
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Anorexia Nervosa DSM-5 |
The main symptoms are: Restriction of energy intake relative to requirements Intense fear or becoming overweight Distorted view of weight and shape Two main subtypes Restricting type - lose weight by dieting, fasting, and/or excessive exercise Binge eating/ purging type - lose weight by forcing themselves to vomit after meals, abusing laxatives or diuretics |
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Anorexia Nervosa |
90%-95% of cases are females The peak age of onset is between 14-18 years Between .5% and 3.5% of females in western countries develop the disorder Rates of anorexia are increasing in northern america, europe,and japan The typical case A normal to slightly overweight female has been on a diet Escalation toward anorexia nervosa may follow a stressful event Most patients recover (2%-6% become seriously ill and die) |
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Anorexia Nervosa |
The clinical picture The key goal for people with anorexia is becoming thin The driving motivation is fear: of becoming obese, of giving in to the desire to eat, of losing control of body size and shape Often think in distorted ways Usually have a low opinion of their body shape Tend to overestimate their actual problems Hold maladaptive attitudes and misperceptions |
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Anorexia Nervosa |
Medical problems Amenorreah Low body temperature Low blood pressure Body swelling Reduced bone density Slow heart rate Metabolic and electrolyte imbalances Dry skin, brittle nails Poor circulation Lanugo |
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Bulimia Nervosa DSM-5 |
Characterized by: Repeated bouts of binge eating Uncontrolled overeating during a limited amount of time Sense of lack of control over eating during episode Reccurent inappropriate compensatory behavior occur to prevent weight gain Binge eating and compensatory behavior occur at least once a week for 3 months Disturbance does not occur exclusively during episodes of anorexia nervosa |
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Bulimia Nervosa |
About 90%-95% of bulimia nervous cases occur in females The peak age is between 15-18 years old Patrons are generally of normal weight Often experience weight fluctuations May eventually qualify for a diagnosis of anorexia 25%-50% of students report periodic binge eating or self induced vomiting Some of these individuals qualify foe a diagnosis of bulimia The typical case The normal to slightly overweight female has been on an intense diet Research suggests that even among normal participants, bingeing often occurs after strict dieting |
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Bulimia Nervosa vs. Anorexia Nervosa: Similarities |
Begin after a period of dieting Fear of becoming obese Drive to become thin Preoccupation with food, weight, appearance Feelings of anxiety, depression, obessiveness, perfectionism Heighted risk of suicide attempts Substance abuse Distorted body perception Disturbed attitudes torward eating |
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Bulimia Nervosa vs. Anorexia Nervosa: Differences |
People with bulimia nervosa are more concerned about pleasing others, being attractive to others, and having intimate relationships More than one third of people with bulimia display charctersitics of a personality disorder Different medical complications 1/2 of bulimia cases have amenorrhea Serious dental problems Potassium deficiency |
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Treatment for Anorexia Nervosa |
The immediate aims of treatment for anorexia are to: Regain lost weight Recover from malnoirishment Eat normally again Combination of behavioral and cognitive interventions Clients are required to monitor feelings, hunger levels, and food intake and the ties among those variables They are taught to identify their core pathology |
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Treatments for Bulimia Nervosa |
The immediate aims of treatment are to: Eliminate binfe-purge patterns Establish good eating habits Eliminate the underlying cause of bulimic patterns Antidepressant medication Antidepressant drugs have been used in bulimia treatment Drugs help as many as 40% of patients Medications are best when used in combination with other forms of therapy |