lOMoARcPSD|44532475
Mental Health Exam 4 Study Guide
Eating Disorders
Anorexia Nervosa
o Extremely low BMI (<15)
o Intense fear of gaining weight, distorted body image, often have
anxiety disorders
o NO FDA approved med
o Refeeding syndrome – potentially lethal complication –
reintroduce nutrients SLOWLY
o SSRI - Fluoxetine (Not FDA approved FOR anorexia) – can be
given for obsessive compulsive behavior only AFTER at
maintenance weight
o TX: Goal and individual therapy
o Goal – Comfortable eating in social settings
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Bulimia Nervosa
o Binge-eating followed by purging (vomiting, laxatives, increased
exercise, fasting)
o Usually normal to low BMI
o Enlarged parotid glands from vomiting, dental caries
o SSRI – Fluoxetine IS FDA approved for bulimia nervosa given at
higher doses for bulimia than for depression
o Monitor cardiac status
Binge-Eating Disorder
o Binging- no purging, often leads to obesity
o Vyvanse – FDA approved (contraindicated in SUD)
Substance Use Disorders
Caffeine
o Intoxication – Tachycardia to bradycardia, HTN to hypotension,
facial flushing, twitching, fever, seizures, respiratory failure
o Withdrawal – Irritability, flu-like S/S, HA, drowsiness
Cannabis
o Intoxication – senses heightened, motor skills impaired, red eyes,
hunger, dry mouth, increased heartrate
o Withdrawal – Irritability, anger, anxiety, insomnia, NM, abd pain,
sweating, fever, HA
o No specific TX
Hallucinogens (LCD/PCP)
o Intoxication – paranoia, impaired judgment, illusions AVH, dilated
pupils, increased HR, sweating, tremor
o PCP intoxication (MEDICAL EMERGENCY) – belligerent, impulsive,
nystagmus, HTN, ataxia, seizures, coma
o TX- restraint, antipsychotic, benzos
Inhalant
o Intoxication – euphoria, disinhibition in small doses, fear and AVH
in high doses, nausea, diplopia, anorexia, can lead to coma
Tobacco
Downloaded by madiba South Africa stuvia ()
Mental Health Exam 4 Study Guide
Eating Disorders
Anorexia Nervosa
o Extremely low BMI (<15)
o Intense fear of gaining weight, distorted body image, often have
anxiety disorders
o NO FDA approved med
o Refeeding syndrome – potentially lethal complication –
reintroduce nutrients SLOWLY
o SSRI - Fluoxetine (Not FDA approved FOR anorexia) – can be
given for obsessive compulsive behavior only AFTER at
maintenance weight
o TX: Goal and individual therapy
o Goal – Comfortable eating in social settings
Downloaded by madiba South Africa stuvia ()
, lOMoARcPSD|44532475
Bulimia Nervosa
o Binge-eating followed by purging (vomiting, laxatives, increased
exercise, fasting)
o Usually normal to low BMI
o Enlarged parotid glands from vomiting, dental caries
o SSRI – Fluoxetine IS FDA approved for bulimia nervosa given at
higher doses for bulimia than for depression
o Monitor cardiac status
Binge-Eating Disorder
o Binging- no purging, often leads to obesity
o Vyvanse – FDA approved (contraindicated in SUD)
Substance Use Disorders
Caffeine
o Intoxication – Tachycardia to bradycardia, HTN to hypotension,
facial flushing, twitching, fever, seizures, respiratory failure
o Withdrawal – Irritability, flu-like S/S, HA, drowsiness
Cannabis
o Intoxication – senses heightened, motor skills impaired, red eyes,
hunger, dry mouth, increased heartrate
o Withdrawal – Irritability, anger, anxiety, insomnia, NM, abd pain,
sweating, fever, HA
o No specific TX
Hallucinogens (LCD/PCP)
o Intoxication – paranoia, impaired judgment, illusions AVH, dilated
pupils, increased HR, sweating, tremor
o PCP intoxication (MEDICAL EMERGENCY) – belligerent, impulsive,
nystagmus, HTN, ataxia, seizures, coma
o TX- restraint, antipsychotic, benzos
Inhalant
o Intoxication – euphoria, disinhibition in small doses, fear and AVH
in high doses, nausea, diplopia, anorexia, can lead to coma
Tobacco
Downloaded by madiba South Africa stuvia ()
