Eating Disorder Treatments

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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 ups-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 individuals 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