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Eating Disorder Treatments Abnormal Psychology Kerstin Brueck Anorexia Complications Examples Musculoskeletal- cramps, stress fractures, weakness Dehydration Cardiovascular- Hypotension, decreased _________ Endocrine- decreased estrogen, testosterone Dermatologic- dry skin, thinning hair

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Eating disorder treatments l.jpg

Eating Disorder Treatments

Abnormal Psychology

Kerstin Brueck


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Anorexia Complications Examples

  • Musculoskeletal- cramps, stress fractures, weakness

  • Dehydration

  • Cardiovascular- Hypotension, decreased _________

  • Endocrine- decreased estrogen, testosterone

  • Dermatologic- dry skin, thinning hair

  • Cognition & Behavior- depression, poor concentration, impaired sleep


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First steps of tx…

  • Initial goal: prevention of __________

  • History assessment:

  • -eating habits, body image, menstrual pattern, laxative/diet pill use, exercise patterns, family history

  • Physical examination:

  • -height and weight, blood count, _______________, vitamin deficiencies

  • Outpatient or Inpatient depending on severity


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Anorexia Outpatient Tx

  • Outpatient criteria

    • Ill less than _________

    • not severely emaciated

    • _____________ recovery environment


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Outpatient continued…

  • First step: Correction of starvation state, physical well being

  • Set goal weight, monitor wt gain: _________

  • Nutritionist, psychological counseling

  • Must have social support- family monitoring improvement etc.


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Anorexia Inpatient Tx

  • Criteria for inpatient:

    • weight loss ____________________

    • suicidal thoughts

    • abusing laxatives/diuretics or diet pills

    • outpatient tx has failed


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Inpatient continued…

  • Overseen by psychiatrist, nurses, therapist, dietitian

  • Most successful: _________ wks

  • In extreme cases, tube feeding

  • Comfortable with normal meals & weight before discharge (to prevent relapse)

  • Weekend home visits before full release- see how pt handles everyday life


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Additional Anorexia Issues

Address underlying emotional problems, stress

  • -physical stresses

  • -relationship stresses

  • -power & control issues

  • - ___________________________issues

  • -problems w/ relaxation, fun


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Preventing relapse

  • Once recovers, support group important

  • Find enjoyable activities, friendships

  • Important not to ______ - can lead back to anorexia

  • “Slip up’s”-learning experience, need better coping strategy in future


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Bulimia Nervosa Complications

  • Electrolyte imbalances (risks cardiac arrest)

  • Inflammation of esophagus

  • Erosion of tooth enamel/ damage to salivary glands

  • Dehydration/ Weakness

  • Heart Palpitations

  • _____________________


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Bulimia tx:

  • Similar to anorexia- physical & history checkup

  • Therapy, Nutritionist

  • Pharmacologic Intervention

    • Tricyclics

    • MAOIs

    • _________


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Bulimia tx continued…

  • Cognitive-Behavioral therapy:

  • Treat cognitive distortions

    • preoccupation with food, wt, perfectionism, _________________, low self-esteem

  • Treat behaviors

    • disturbed eating habits, binge eating, purging, dieting & ritualistic exercise


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Preventing Relapse

  • Restore control over dietary intake

  • Avoid caloric restriction & dieting- leads to binge

  • Journal- food intake and feelings

  • Know what _________- have a plan-engage in hobbies, get out of situation when urge to binge

  • Cognitive Methods-challenging irrational thought patterns, improving self esteem

  • See relapses as learning experience, not defeat


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Effectiveness of ED Tx

-~ ___% stop binging & purging

-Largely individual’s desire to give up destructive behavior

-Most effective when all aspects of individual are considered

-Pt must work on every dynamic of life-social, fun, academic, emotional, physical, etc.

-Positive _________ of a dynamic life


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