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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

Eating Disorder Treatments

Abnormal Psychology

Kerstin Brueck

anorexia complications examples
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
first steps of tx
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
anorexia outpatient tx
Anorexia Outpatient Tx
  • Outpatient criteria
    • Ill less than _________
    • not severely emaciated
    • _____________ recovery environment
outpatient continued
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.
anorexia inpatient tx
Anorexia Inpatient Tx
  • Criteria for inpatient:
    • weight loss ____________________
    • suicidal thoughts
    • abusing laxatives/diuretics or diet pills
    • outpatient tx has failed
inpatient continued
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
additional anorexia issues
Additional Anorexia Issues

Address underlying emotional problems, stress

  • -physical stresses
  • -relationship stresses
  • -power & control issues
  • - ___________________________issues
  • -problems w/ relaxation, fun
preventing relapse
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
bulimia nervosa complications
Bulimia Nervosa Complications
  • Electrolyte imbalances (risks cardiac arrest)
  • Inflammation of esophagus
  • Erosion of tooth enamel/ damage to salivary glands
  • Dehydration/ Weakness
  • Heart Palpitations
  • _____________________
bulimia tx
Bulimia tx:
  • Similar to anorexia- physical & history checkup
  • Therapy, Nutritionist
  • Pharmacologic Intervention
    • Tricyclics
    • MAOIs
    • _________
bulimia tx continued
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
preventing relapse13
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
effectiveness of ed tx
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