Eating Disorder Treatments

1. Eating Disorder Treatments Abnormal Psychology Kerstin Brueck

2. 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

3. 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

4. Anorexia Outpatient Tx • Outpatient criteria • Ill less than _________ • not severely emaciated • _____________ recovery environment

5. 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.

6. Anorexia Inpatient Tx • Criteria for inpatient: • weight loss ____________________ • suicidal thoughts • abusing laxatives/diuretics or diet pills • outpatient tx has failed

7. 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

8. Additional Anorexia Issues Address underlying emotional problems, stress • -physical stresses • -relationship stresses • -power & control issues • - ___________________________issues • -problems w/ relaxation, fun

9. 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

10. Bulimia Nervosa Complications • Electrolyte imbalances (risks cardiac arrest) • Inflammation of esophagus • Erosion of tooth enamel/ damage to salivary glands • Dehydration/ Weakness • Heart Palpitations • _____________________

11. Bulimia tx: • Similar to anorexia- physical & history checkup • Therapy, Nutritionist • Pharmacologic Intervention • Tricyclics • MAOIs • _________

12. 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

13. 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

14. 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