Psychiatric Mental Health- Module 6- EXAM 3
what is the DSM-5 criteria for anorexia nervosa? -restricting energy intake to below requirements
-significant loss of weight and malnourishment
-intense fear of weight gain or persistent interference with weight gain
-disturbance of body image
-self-evaluation linked to body weight or shape
what are the two types of anorexia nervosa? restricting type and binge-eating/purging type
what is the restricting subtype of anorexia nervosa? -a person loses weight mainly by severely limiting food intake (dieting, fasting,
excessive exercise) and does NOT regularly binge eat or purge
-RESTRICTING TYPE
what is the binge-eating/purging subtype of anorexia -when a person restricts food but also has episodes of binge eating followed
nervosa? by purging (vomiting, laxatives, or excessive exercise)
-they are significantly overweight and more likely to abuse substances and
engage in impulsive behaviors
what is bulimia nervosa? -eating disorder characterized by eating large quantities of food over a short
period of time (binge eating) which can be followed by inappropriate
compensatory behaviors, such as self-induced vomiting (purging) to get rid of
excess calories
what is the DSM-5 criteria for bulimia nervosa? -recurrent episodes of binge eating
-recurrent inappropriate compensatory behavior
-both occur, on average, at least once a week for 3 months
-self-evaluation is unduly influenced by body shape and weight
-disturbance does not occur exclusively during episodes of
anorexia nervosa
what are the two types of bulimia nervosa? purging type (self induced vomiting, laxatives, enemas)
-non-purging type (using other compensatory behaviors such as fasting or
excessive exercise)
what is binge-eating? -eating disorder where large quantities of food are eaten over a short period
of time without the use of compensatory behaviors
-eating 1500-5000 calories in a two hour period is considered binge eating
, Psychiatric Mental Health- Module 6- EXAM 3
what is the DSM-5 criteria for binge-eating? -recurrent episodes of binge eating
-eating, in a discrete period of time (e.g., within any 2-hour
period), an amount of food that is definitely larger than what most people
would eat in a similar period of time under similar circumstances.
-a sense of lack of control over eating during the episode (e.g., a feeling that
one cannot stop eating or control what or how much one is eating).
-marked distress over binge eating
-occurs at least once a week for 3 months & is not associated with other
disorders
binge-eating episodes are associated with three (or -eating much more rapidly than normal.
more) of the following: -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 afterward.
what are the signs of binge eating disorder? -eating until uncomfortably full
-eating to ease stress and anxiety
-recording weight fluctuation
-self-disgust, guilt, depression after binge eating
-feeling desperate to control eating and lose weight
-consuming excessive amount of food in short periods
what are mental status findings for patients with eating -overgeneralizations (ex: ppl dont like me b/c i am fat)
disorders? -all or nothing thinking (ex: if i eat dessert i will gain 50 pounds)
-catastrophizing (ex: my life is over if i gain weight)
-personalization (ex: when i walk through the hospital hallway everyone is
looking at me)
-emotional reasoning
what are psychosocial findings for patients with eating -depressed mood
disorders? -social withdrawal
-irritability
-insomnia
what are vital sign finding for patients with eating -low BP with possible orthostatic hypotension
disorders? -decreased pulse
-decreased body temperature
-hypertension with binge eating
what are weight findings for patients with eating -anorexia nervosa = less than 85% of expected normal weight
disorders? -bulimia nervosa = normal or slightly higher weight
-binge eating = overweight or obese
what is the DSM-5 criteria for anorexia nervosa? -restricting energy intake to below requirements
-significant loss of weight and malnourishment
-intense fear of weight gain or persistent interference with weight gain
-disturbance of body image
-self-evaluation linked to body weight or shape
what are the two types of anorexia nervosa? restricting type and binge-eating/purging type
what is the restricting subtype of anorexia nervosa? -a person loses weight mainly by severely limiting food intake (dieting, fasting,
excessive exercise) and does NOT regularly binge eat or purge
-RESTRICTING TYPE
what is the binge-eating/purging subtype of anorexia -when a person restricts food but also has episodes of binge eating followed
nervosa? by purging (vomiting, laxatives, or excessive exercise)
-they are significantly overweight and more likely to abuse substances and
engage in impulsive behaviors
what is bulimia nervosa? -eating disorder characterized by eating large quantities of food over a short
period of time (binge eating) which can be followed by inappropriate
compensatory behaviors, such as self-induced vomiting (purging) to get rid of
excess calories
what is the DSM-5 criteria for bulimia nervosa? -recurrent episodes of binge eating
-recurrent inappropriate compensatory behavior
-both occur, on average, at least once a week for 3 months
-self-evaluation is unduly influenced by body shape and weight
-disturbance does not occur exclusively during episodes of
anorexia nervosa
what are the two types of bulimia nervosa? purging type (self induced vomiting, laxatives, enemas)
-non-purging type (using other compensatory behaviors such as fasting or
excessive exercise)
what is binge-eating? -eating disorder where large quantities of food are eaten over a short period
of time without the use of compensatory behaviors
-eating 1500-5000 calories in a two hour period is considered binge eating
, Psychiatric Mental Health- Module 6- EXAM 3
what is the DSM-5 criteria for binge-eating? -recurrent episodes of binge eating
-eating, in a discrete period of time (e.g., within any 2-hour
period), an amount of food that is definitely larger than what most people
would eat in a similar period of time under similar circumstances.
-a sense of lack of control over eating during the episode (e.g., a feeling that
one cannot stop eating or control what or how much one is eating).
-marked distress over binge eating
-occurs at least once a week for 3 months & is not associated with other
disorders
binge-eating episodes are associated with three (or -eating much more rapidly than normal.
more) of the following: -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 afterward.
what are the signs of binge eating disorder? -eating until uncomfortably full
-eating to ease stress and anxiety
-recording weight fluctuation
-self-disgust, guilt, depression after binge eating
-feeling desperate to control eating and lose weight
-consuming excessive amount of food in short periods
what are mental status findings for patients with eating -overgeneralizations (ex: ppl dont like me b/c i am fat)
disorders? -all or nothing thinking (ex: if i eat dessert i will gain 50 pounds)
-catastrophizing (ex: my life is over if i gain weight)
-personalization (ex: when i walk through the hospital hallway everyone is
looking at me)
-emotional reasoning
what are psychosocial findings for patients with eating -depressed mood
disorders? -social withdrawal
-irritability
-insomnia
what are vital sign finding for patients with eating -low BP with possible orthostatic hypotension
disorders? -decreased pulse
-decreased body temperature
-hypertension with binge eating
what are weight findings for patients with eating -anorexia nervosa = less than 85% of expected normal weight
disorders? -bulimia nervosa = normal or slightly higher weight
-binge eating = overweight or obese
