Anorexia Nervosa
Onset
Onset
What is late adolescence, early adulthood (average 18-19)?
Perfectionism
What is anorexia (history)?
Normal weight and appearance; willing to talk
What is bulimia (appearance and motor behaviour)?
Over-exercise, insomnia, oral health problems
What is anorexia and bulimia (physiological)?
A sub-type of anorexia nervosa: achieve or maintain their low body weight by strictly avoiding caloric intake
What is restricting type?
Sign and Symptom of Bulimia Nervosa:
- Normal weight or sometimes overweight
- Dental caries, damaged tooth enamel
- Low BP, pulse, respirations
What are physical symptoms?
Delusions about being fat, paranoia about family and HCP
What is anorexia (thought process and content)?
Low self-esteem, self-judgement, helpless, powerless
What is anorexia and bulimia (self-concept)?
Pleasant, cheerful, guilt, embarrassment
What is bulimia (mood and affect)?
Sign and Symptom of Anorexia Nervosa:
- Start to eat in silence
- Prolonged eating time
- Unusual mixing of food
- Preoccupation with food
What are changes in eating habits?
Sign and Symptom of Bulimia Nervosa:
- Feelings of guilt, remorse, shame, self-contempt
- Possible restrictive eating between binges; secretive storage/hiding of food
What are emotional/behavioural symptoms?
Emaciated, loose clothes, fatigued, slow
What is anorexia (appearance and motor behaviour)?
Lacking humour, serious
What is anorexia (mood and affect)?
What is bulimia (judgement and insight)?
A sub-type of anorexia nervosa: self-induced vomiting usually but also laxatives, diuretics, enemas, and/or excessive exercising
What is binge-eating/purging type?
When a person acts on purging
What is "often begins during or after dieting episode?"
What is bulimia (roles and relationships)?
Confusion, slowed mental process, impaired concentration and attention
What is severe anorexia (sensorium and intellectual process)?
Academic failure, social withdrawal
What is anorexia (roles and relationships)?
Sign and Symptom of Anorexia Nervosa:
- Depression
- Irritability
- Frequent angry outbursts
- Extreme mood swings
What are emotional changes?
Purging, laxatives, diuretics
Excessive exercise
Fasting
Limited insight and poor judgement, in denial
What is anorexia (judgement and insight)?
Please others, avoid conflict, impulsive, anxiety/depression
What is bulimia (history)?
Reluctant to talk, limited eye contact
What is anorexia (appearance and motor behaviour)?