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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


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)

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

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

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

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

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

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

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

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