Anorexia Nervosa
The 2 subtypes of Anorexia Nervosa
1. Restricting type
2. Binge-eating/purging type
what is ARFID
What topic did we present on today?
Eating Disorders
T/F: An individual with bulimia may exhibit purging behaviors such as self induced vomiting or inappropriate use of laxatives.
True
True or False: Binge eating is the same as overeating
False
The major complication that can occur in hospital management of AN
Refeeding Syndrome
Name a reason a patient with ARFID may avoid certain foods
sensory properties of food, a lack of interest in eating, or a fear of adverse consequences with eating (eg, choking or vomiting).
True or false: Parent should force their children to eat everything on their plates even if the child is not hungry?
False
Overeating with a loss of control during the episode.
Binge Eating Disorder is defined as
recurring episodes of eating significantly more food in a short period of time than most people would eat under similar circumstances, with episodes marked by feelings of lack of control.
Common AN clinical manifestations
Weight loss, amenorrhea, dehydration, brittle nails, hair loss, electrolyte imbalances
True or false: The reasoning behind ARFID is a concern for body image
What is false
Does social media have a positive or negative impact no eating disorder prevalence?
Both - the link is still being studied!
Treatment for bulimia nervosa
Psychotherapy
Antidepressant therapy
Nutrition education
Inpatient treatment
Frequency of binge eating episodes
At least once a week for at least 3 months
T/F- BMI is a component of the DSM-V criteria for Anorexia Nervosa.
False
This eating disorder, present in the DSM IV, became a part of ARFID in the DSM 5
What is feeding disorder of infancy or early childhood
Define PICA
Compulsive eating of non-food substances with no nutritional value for at least one month.
Constantly worrying or complaining about being fat
Having a distorted, excessively negative body image
Repeatedly eating unusually large quantities of food in one sitting, especially foods the person would normally avoid
Strict dieting or fasting after binge eating
Not wanting to eat in public or in front of others
Going to the bathroom right after eating, during meals or for long periods of time
Exercising too much
Having sores, scars or calluses on the knuckles or hands
Having damaged teeth and gums
Changing weight
Swelling in the hands and feet
Facial and cheek swelling from enlarged glands
Types of therapy used to treat BED
CBT
Interpersonal psychotherapy
DBT
The behavioral therapy of choice for AN
Family Based Treatment
What is the first line medication for ARFID?
There are no medications specifically for ARFID
Define Rumination Disorder
Repeated regurgitation of food for a period of at least one month. Regurgitated food may be re-chewed, re-swallowed, or spit out.
T/F: Swelling of the hands and feet is a common symptom of bulimia nervosa.
True
Medications used to help treat BED
Topiramate (Topamax)
Antidepressants