-
Neurochemicals involved in eating disorders
- Increased cortisol
- Increased vasopressin
- Serotonin
- Neorepinephrine
-
What lobes involved in eating disorders?
Frontal/parietal
-
Genetic influence on eating disorders
twins
-
Ghrelin
recognition of hunger
-
Leptin
recognition of saiety
-
Regulates appetite
hypothalamus
-
Intense fear of gaining weight
Anorexia nervosa
-
Ignore hunger, yet preoccupied with food
Anorexia nervosa
-
Low self esteem
anorexia nervosa
-
Social isolation
anorexia nervosa
-
Perfectionism
anorexia nervosa
-
Good students, athletes
anorexia nervosa
-
No tolerance for change and new situations
anorexia nervosa
-
Focus on food instead of problems
anorexia nervosa
-
Fear of adult responsibilities
anorexia nervosa
-
Low BP, HR, Temp
anorexia nervosa
-
Metabolic alkalosis
anorexia nervosa
-
Irregular heart
anorexia nervosa
-
Calcium loss from bones
anorexia nervosa
-
dry skin, yellow, nails and brittle hair
anorexia nervosa
-
-
Freuent ill
anorexia nervosa
-
Anorrhea
anorexia nervosa
-
Goddess ana
anorexia nervosa
-
Weight gain that is acceptible
1-3 lbs per week
-
Goal of reaching ___ % of normal weight in anorexia nervosa
10
-
Lots of eating, and secretive
Bulimia
-
Fear of gaining weight
Bulimia
-
Vomit, laxative, exercising
Bulimia
-
Fasting to rid of calories
Bulimia
-
Promising to be good
Bulimia
-
Depreivation-hunger-bindge-purge
Bulimia
-
Depressed, lonely, ashamed, empty, self doubt, buried anger, 1/3 depression 1/2 preceding anorexia history
Bulimia
-
Competent, glamoous
Bulimia
-
-
-
Normal weight individuals
Bulimia
-
Russle's sign
Calloused backs of hands...Bulimia
-
Increased cholesterol, hypoglycemai, F&E imbalance
Bulimia
-
Dry skin and lips, enlarges salivary glands
Bulimia
-
Esophageal rupture
Bulimia
-
Hypertenstion, cardiac problems
Bulimia
-
-
-
Risk for heart attack/stroke
Bulimia
-
Calories to maintain normal weight
1500
-
Cognitive tool...
Food diary, journal
-
Plan meals in advance, tx
Bulimia
-
Daily eating schdule including meals and snacks
Bulimia
-
Active coping stratagies when triggers arise
TX
-
1750 - 2000 calories per meal
Binge eating
-
Guilt, but no change to binging hapbit
Binge eating disorder
-
HX of failed disorders
Binge eating disorder
-
Do not vomit, exercise or abuse laxatives
Binge eating disorder
-
Diet, hunger, bindge in response
Binge eating disorder
-
Form of malnourshment
Obesity
-
Not a mental illness
obesity
-
-
Decreased insulin production
Obesity
-
Increased cortisone production
Obesity
-
-
-
-
Prader willi, what chromosome
15
-
mild to severe mental retardation
Prader willi
-
Prozac 50-60mg/day until 6 months after sx disappear
Bulimia
-
NOT to be used with anorexia
SSRI, Prozac
-
If obsessions and ruminations, what meds
Atypica antipsychotics
-
If N&V/Laxative use present, what med?
Acidophilus
-
-
what herbs?
ginsing, ginger, peppermint
-
Weight loss meds
- Meridia
- Xenical
- CNS stimulants: Dexedrine, amphetamine
- Naltrexone-used in substance abuse
-
-
-
-
-
-
-
NSAIDS in Gastric bypass
can't use due to absorption
-
paina nd muscle relaxants in gastric bypass patients
more profound effect
|
|
