Lecture 10 psych summary notes

Lecture 10 ps,ych Disordered eating - A reaction to a life situation, a habit Eating disorder - - An illness - Life threatening Are most people who have eating disorders in treatmet? - NO 90% are NOT in treatment When can medications be used for eating disorders - - Treating depression/anxity that co-exists with the eating disorder - Can help them normalize their thinking - antidepressants (SSRIs) may be used What are some good terapies for eating disorder - - Individual therapy - CBT - Nutritional counseling is critical - Try different techniques to help them undertand Prognosis of anorexia and bulemia - anorexia- 20% have poor outcomes bulimia- 21% have poor outcomes Anorexia nervosa - Characterized by a persuit of thinness that leads to self-starvation Bulimia nervosa - Characterized by a cycle of bingeing followed by extreme behaviors to prevent weight gain, such as purging Binge-eating disorder - Characterized by regular bingeing, but do not engage in purging behaviors DSM-5 Anorexia nervosa - severly limiting energy intake relative to reqirements, leading to a significant low body weight Two types of anorexia nervosa - - Restricting type loses weight by severely limiting the amount of food consumed: dieting, fasting and/or excessive exercise - Binge-eating-purging type engages in binges (large amount of food consumed) followed by purging (vomiting or use of laxatives) Is there a high mortality with anorexa nervosa - YESSS! - 40% remissions also Heath consequences of anorexia - - Reduction in bone density - Muscle loss and weakness - Severe dehydration- can lead to kidney failure - Fainting, fatigue, and overall weakness - Dry hair and skin, hair loss is common - Growth of a downey layer of hair called lanugo- to keep body warm What is the deadliest of all psychological disorder - Anorexia nervosa What is the first step in treatment for someone with anorexia - - Get cooperation and recognition - Restore the patients nutritional state What is another treatment for when they are very ill? - Inpatient Hospitilization Can you use SSRI? - Yes when there are other comorbidities Bulimia nervosa - Binge eating- eating a discrete time period an amount of food that is larger than what most individuals - THEN you have this compensatory mechanism of vomitting, laxative, or exercize How long do the symtpoms last for diagnosis? - at least once a week for 3 months Treatment for bulimia - A lot of the same therapies as anorexia - CBT, individual therapy, group therapy Pharm treatment for bulimia - - SSRI - Tricycles- more NE than Serotonin is better Binge eating disoder - Binge eating without the compensatory mechanism - does not involve losing weight - doesn't inolve the compensatory behavior or purging What are the symptoms that would occur with bindge eating disorder? - - Eating much more rapidly than normal. - Eating until feeling uncomfortably full. - Eating large amounts of food when not feeling physically hungry. - Eating alone because of feeling embarrassed by how much one is eating. - Feeling disgusted with oneself, depressed, or very guilty afterwards. What would diagnose a bindge eating disorder? - at least once a week for at least three months Avoidant/Restrictive food intake disorder - - Where little kids wont eat and they are not able to get to their nutritional value - Weight loss and nutritional deficiency Pica - Persistent eating of nonnutritive, nonfood substance over a period of at least ONE MONTH - Non nonnutritive nonfood substnaces is appropriate to the develipmental level of the individual