AN
When given alone, this type of therapy is not enough for AN.
What is nutrition therapy?
This is the minimal amount of binge eating to qualify for BN or BED.
What is once a week for 3 months or more?
These are 3 co-morbidities of Pica
What are (any 3 of): autism, intellectual disabilities, anxiety disorder, OCD, trichotillomania, excoriation d/o, ARFID, personality d/o, schizophrenia
Low quality evidence suggests this location of treatment can be more effective and less costly.
What is outpatient eating disorder treatment
This eating disorder is as much as 10X less common in males than in females
What is BN?
This is the mortality rate for AN, the highest in psychiatric disorders.
What is 5% per decade?
These are 3 (out of 5) qualities of binges required for BED.
What are:
-eat more rapidly
-eat until uncomfortably full
-eat large amounts when not hungry
-embarrassed by binging and so eat alone
-Feel disgusted at self for binging
This is an example of avoiding or restricting food that is NOT ARFID
What is inability to obtain food?
What is concerns about body weight as in AN or BN?
These are 2 out of 5 theories of therapy that can be applied to therapy for people with eating disorders.
What are:
-CBT
-Interpersonal
-Psychodynamic
-Dialectical behavioral
These 2 out of 3 disorders are common co-morbidities of AN, BN and BED.
What are:
-anxiety disorders
-mood disorders
-substance disorders
This screening tool screens for both AN and BN
What is the SCOFF?
S = sick (from vomiting)
C = control, loss of
O = one stone or 15 pounds lost in 3 months
F = fat, do you see yourself as?
F = food, does it dominate your life?
This psychotherapy may be helpful for adults with BN/BED.
What is DBT?
This is an example of swallowing a non-food substance that is NOT Pica.
What is swallowing a tissue so as to be full and not eat in AN?
What is age or culture appropriate swallowing of non-food items?
What is swallowing a non-food item that does not require medical attention
These are 3 out of 6 maintenance factors that can be targeted in treatment.
What are:
-Malnutrition and nutritional deficits
-Social isolation and avoidance
-Emotional responses (depression and anxiety)
-Cognitive distortions (tunnel vision concentration and attention problems)
-Body image distortions (negative body image, overestimation of body's size)
-Problematic behaviors that perpetuate the problem (avoiding food, purging, frequent weighing)
This is the percentage of people with eating disorders that are normal weight or heavier (+/- 10%)
What is 80 - 90%?
This is 1 of 2 medical risks when a woman with AN becomes pregnant.
What are
-worsening of mother's illness
-low birth weight and developmental issues in child
This type of therapy for AN and BN empowers parents to manage the eating of children and teens, and then gradually give the control back to the patient.
What is family based therapy?
This is an example of regurgitation of food that does NOT qualify for Rumination Disorder
Regurgitation due to severe GERD or pyloric stenosis.
Regurgitation in AN or BN to be able to eat, but not absorb calories.
These are an SSRI approved for BN and a stimulant approved for BED.
What are Fluoxetine (Prozac) and Lisdexamphetamine (Vyvanse)?
Neither the US preventative services task force (USPSTF) nor the National institute for health and care Excellence (NICE) recommend screening this population for eating disorders.
What are adults who are not underweight and have no symptoms of eating disorders?
These are the 3 requirements of AN.
What are:
-voluntary restriction of food (NOT caused by health issues) that leads to abnormally low weight (usually BMI <18.5)
-Fear of gaining weight
-Disturbance of body image
These are 2 out of 4 reasons BN/BED and other eating disorders worsened during Covid.
What are:
-uncertainty
-financial and job stresses
-being confined to home, especially when relationships difficult
-loss of established support systems
In this eating disorder, the prevalence is actually higher in males than in females.
WHat is autism?
This is why genome-wide association disorders are important for psychiatry
What is understanding mechanisms which can lead to new therapies?
This is the nervous system's sensing and interpreting body signals. Abnormalities of it exist in eating disorders and may help cause eating disorders
What is Interoception?