8/15/2019 Eating Disorders Reviewer

1/3

1 EATING DISORDERS (ESCALANTE-SAAC)

EATING D/OS

1. Anorexia nervosa Most sim!e term" self starvation

Anorexia nervosa #ee!s t$eres %ist&r'ane in t$e a* t$e* +ee! a'o&t +oo%" t an% 'o%* ima,e

Anorexia nervosa St&''orn

. Ini%ene0 in omen2 !ess ommon t$an '&!imia

3$ite &er an% mi%%!e !ass

Most ommon in 

Daners" ,*mnasts" mo%e!s" s4aters Common in

Anorexia nervosa #oo% an% eatin, %ominate !i+e

5%* t an% s$ae 5eomes t$e meas&re o+ se!+ ort$

CA6SES0

1. C&!t&ra! ress&re 5ein, extreme!* t$in is t$e stan%ar% o+ 'ea&t* +or omen an% reresents s&ess" $ainess" an% se!+ontro!

C&!t&ra! ress&re 3omen are 'om'ar%e% / ms,s

C&!t&ra! ress&re 3t an% s$ae are ver* imortant

Com&ter ,ra$is Ma4es t$in mo%e!s t$inner

7. 8s*$o!o,ia! iss&es In!&%es0

Lo se!+ esteem#ee!in,s o+ ine++etiveness8oor 'o%* ima,eDeressionDi++i&!t* exressin, +ee!in,sRi,i% t$in4in, atternsNee% +or ontro!8er+etionism8$*sia!/sex&a! a'&se

. #ami!* environment #ami!ies ma*'e09Overrotetive9ri,i%9s&++oatin, in t$eir !oseness-%eve!os str&,,!e +or in%een%ene an% in%ivi%&a!it*

9over$e!min, aearane an% t$inness9ritisi:in, $i!%s t an% s$ae

;. Genetis O&rs < times more o+ten in eo!e $o $ave re!atives o+ ,eneti %/o

=. Li+e transitions O+ten tri,,er anorexia in someone $os v&!nera'!e

Exam!es A%o!esene'rea4 &+ai!in, in s$oo!/or4%eat$ o+ !ove% one

>. 8eret&atin, +ators #ators0sx o+ starvationot$ers eo!e reaxn to t !oss+ee!in,s o+ se!+ ontro!

emotiona! nee%s +i!e% '*  DSM-I? CRITERIA9Re+&sa! to maintain norma! t"9Intense +ear o+ a,in, even i+ &n%ert95o%* ima,e %ist&r'anes9In +ema!e a%&!ts" a'sene o+ at !east onse&tive menstr&a! *!es

Restring and binge/purging T@8ES0

#ear o+ !osin, ontro! MENTAL HEALTH PROBS ASSOC / ANORE!"ALo sex %rive#ee!in, o+ $e!!esnessOCDMaor %eressionS&'stane a'&se

8ersona!it* %/oBs#OO$% RELATE$ BEHA&"ORS "N ANORE!"ARestritin, inta4e" +astin,oar%in, +oo%i,$!* avoi%ant o+ ertain +oo%s8reo&ations / a!ories" mea!s an% reies8rearin,/servin, e!a'orate mea!s +or ot$ersRit&a!s 'e+ore an% %&rin, eatin,

METABOL"C CONSE'(ENCESLan&,o!oss o+ 'one mass'o%* tem %ros

8/15/2019 Eating Disorders Reviewer

2/3

7 EATING DISORDERS (ESCALANTE-SAAC)

s4in %r* an% sa!*onstiation$air is 'ritt!e an% +a!! o&ts!o t$*roi% +&ntionDe 58an% an% +t o!%5reat$in, an% R s!os

Ammenor$ea" %e %vt o+ se sex $ar"osteoenia/osteoorosis" ea4ness an% +ati,&e

MORE CONSE'(ENCES

eart +ai!&re"Car%ia ventri&!ar %i!ationDe ox*,enation

COM8LICATIONS

9Re+ee%in, s*n%romeCo)pli*ations of treat)entSevere +!&i% s$i+t +rom too rai% re-intro%&tion o+ +oo%-Extrae!!&!ar-intrae!!&!ar

9Car%iovas&!ar" ne&ro an% $emato!o,i

7. 5&!imia nervosa Eiso%es o+ 'in,e-eatin, +o!!oe% inaroriate met$o% o+ t ontro!

5&!imia nervosa ?omitin," +astin," enemas" exessive !axatives" %i&retis is &se%

5in,e Eiso%e $ere in%ivi%&a! eats m&$ !ar,er amnt o+ +oo% t$an most eo!e o&!% %o in simi!arsit&ation

5in,e Resonse to reression" stress" se!+-esteem iss&esIn%ivi%&a! exeriene !oss o+ ontro!

B"N+E EAT"N+ 9La4 o+ ontro!9O+ten %one in seret9i a!-$i ar'9Cons&me% !ess t$an 7 $rs +ee%in,9A%%ite% to $i,$ exeriene% $en eatin,

P(R+"N+ Co)pensator, be-avior +or 5INGE EATING

P(R+"N+ Man&a! stim&!ation" axatives" emetisSe!+ in%&e% vomitin," o&rs / minima! stim&!ationPost purging. sense of relief *al)

5&!imia 5e,ins in a%o!esent" in omen" sx over!a anorexia

5io!o,*&!t&reersona! +ee!in,sstress+&! events+ami!ies

56LIMIA CA6SES

S6n%ert" overt" norma! tma4es it $ar%er to 4no i+ someone $as t$e %/o

Si,ns09Extreme meas&res to !ose t96ses %iet i!!s9Goes to 'at$rm a!! t$e time a+ter s$e eats(t$ros &)9exerise a !ot9Si,ns o+ t$roin, &9se!!in, o+ $ee4s or a area9&ts an% a!!&sses 'a4 o+ $an%s an% 4n&4!es

Russel0s sign C6TS AND FN6CFLES

Sx0Erosion o+ %enta! ename!sore t$roatea4ness" ex$a&tin, '!oo% s$ot e*es

i%e eatin, %/o CHARACTER"ST"CSLa4 o+ t !ossCoexistin, menta! %/o0 %eression" ersona!it* %/oBs

Moo% %/oS&'stane a'&se

Con+!itDisor,ani:e%

#AMIL@ CARACTERISTICS

MGT0 ANOREIA In t to H o+ avera,e 53In se!+ esteemDe nee% +or er+etion

MGT0 56LIMIA Sta'i!i:e t it$o&t &r,in,

5OT MGT 9In t treatment +or me%ia! sta'i!i:ation an% %ietar* m,t9Lon, term o&tt tx. A%ressess s*$osoia! iss&es

MGT0 STAR&AT"ON PHASE Assess !a'sIOAssess ar%io" ne&ro omiation

8/15/2019 Eating Disorders Reviewer

3/3

EATING DISORDERS (ESCALANTE-SAAC)

Re+ee% s!o!*I? !ines an% +eee%in,s

IN ANOREIA 8t is +ore% to eatTreatment means !os o+ ontro!N&rse is enem*

IN 56LIMIA More !i4e!* ant $e!3ants to enter treatment o+ t$eir on vo!itioni%e %e,ree o+ ro'Ten%en* to mani&!ate

SSRIAnxio!*tis8s*$otera*09Anti%eressants

#or '&!imia PS1CHOPHARMACOLO+13$en re+ee%in,

MILLIE6 MGT9Orientation93arm n&rt&rin, environment9Non&%,menta! orientation9CONSISTENC@9Eno&ra,e t to ta!4 to sta++ $en antin, to &r,e