DSM-5: Oppositional Defiant Disorder
Persistent pattern of angry, irritable mood lasting at least 6
months.
(exhibited during interaction with at least 1 individual who is not
a sibling)
Must have four symptoms from the following three categories:
Angry/Irritable Mood
Argumentative/Defiant Behavior
Vindictiveness
DSM 5: Conduct Disorder
Violation of the basic rights of others or age-appropriate societal
norms/rules; 3+ sxs in 12 mo.+ and 1+ sxs in last 6 mo.; 4
CATEGORIES: aggression to people and animals, destruction to
property, deceitfulness or theft, and serious violation of rules
DSM-5: Intermittent Explosive Disorder
Recurrent behavioral outbursts due to a failure to control
aggressive impulses; 2x/wk for 3 mo.+ OR 3 outbursts within 12
months and caused damage or injured people or animals; age 6+
-magnitude of aggressiveness is grossly out of proportion to
provocation
-outbursts are not premeditated or for tangible gain
,-outbursts cause marked distress in the individual or impairment
in interpersonal fn or legal consequences
Female Athlete Triad
health concern for active women and girls who are driven to
excel in sports.
It involves three distinct and
interrelated conditions:
1. disordered eating (a range of poor nutritional behaviors)
2. amenorrhea (irregular or absent menstrual periods) and
3. osteoporosis
Diabulimia
Deliberate insulin underuse in people with Type 1 diabetes for
the purposes of weight loss
Orthorexia
Orthorexia nervosa is not currently recognized as a clinical
diagnosis in the DSM-5, but many people struggle with
symptoms associated with this term.
Those who have an “unhealthy obsession” with otherwise
healthy eating may be suffering from “orthorexia nervosa,” a
term which literally means “fixation on righteous eating.”
, Orthorexia starts out as an innocent attempt to eat more
healthfully, but orthorexics become fixated on food quality and
purity.
Rumination Disorder
the regurgitation of recently eaten food into the mouth followed
by either rechewing, reswallowing, or spitting it out
Pica
an abnormal craving or appetite for nonfood substances, such as
dirt, paint, or clay that lasts for at least 1 month
Maudsley Model
Eating Disorder tx, effective for teens.
Family Based therapy that is an intensive outpatient refeeding
program w/ parents playing active and positive role in helping
child restore weight to normal levels
Refeeding syndrome
a syndrome consisting of metabolic disturbances that occur as a
result of reinstitution of nutrition to patients who are starved,
severely malnourished
-can be fatal if note recognized. If potassium, phosphate, and
magnesium are low this should be corrected
-usually occurs within first 4 days of refeeding
leads to: confusion, coma, convulsions, and cardiac failure