Dr. G Eating Disorder Study Guide

Top 3 eating disorders

• bulimia

• anorexia

• binge eating disorder

Most common eating disorder in U.S

binge eating disorder

difference between binge eating disorder and bulimia nervosa

• binge eating disorder

  • binge

• bulimia nervosa

  • binge and purge

Which eating disorder has the highest fatality rate than any other psychiatric disorders?

anorexia

List the treatment options for eating disorders

• AN — CBT and group therapy

• BN — Prozac (Fluoxetine)

• BED — Vyvanse Lisdexamfetamine

 List the FDA-approved medications for bulimia nervosa and binge eating disorder

• Bulimia nervosa

  • Prozac (Fluoxetine)

• Binge eating disorder + ADHD

  • Vyvanse (Lisdexfetamine)

what are true statements regarding eating disorders?

• patients think it is normal and deny help

• no meds for AN

• anorexia has the highest fatality among those with eating disorders — 6%

Which psychiatric disorders are common comorbid condition for people suffering from eating disorders?

depression

Which of the following statements regarding anorexia nervosa is FALSE?

admit hinger and eating problems

True or False? There are more females than males with AN and BN

 True or False? There are no FDA-approved treatment for the anorexia nervosa.

True

Which eating disorders may have close to normal BMI? What are the physical signs associated with this eating disorder from the induced vomiting/purging?

• Bulimia 

  • Lack of control over eating, high calorie content in short time 

  • Purging, exercising, laxative use to prevent weight gain 

  • Self evaluation focused on body shape

  • Swollen salivary glands (chipmunk cheeks) 

  • Russels sign

Why is bulimia nervosa associated with higher risk of seizures? Which antidepressant should be avoided?

• Electrolytes are imbalanced due to frequent vomiting 

• Wellbutrin avoided

Which of the following is true regarding binge eating disorder?

• Cannot control binges

• Eat more rapidly than usual

• Eat until uncomfortable

• Eat when not hungry

• Embarrassed, guilty after food binge

True or False? People suffering from binge eating disorder are preoccupied with body shape and image.

 ___________ (______________) is indicated for the treatment of moderate to severe binge

eating disorder in adults

What is the other FDA-approved indication and DEA schedule for the above treatment for binge eating disorder?

What is the FDA-approved medication for bulimia nervosa?

Prozax (Fluoxetine) → use higher doses than depression doses (60mg)

What is the prevalence of autistic spectrum disorders (ASD)?

• CDC data – 1/36 children, higher in California

• Approximately 4:1 male:female ratio

 What are the core sxs of ASD?

• impaired social interaction skills

• Communication difficulties

• repetitive or stereotyped behaviors, interests, and activities.

What medications are FDA-approved for the management of irritability in individuals with autistic spectrum disorder?

• Abilify (aripiprazole)

• Risperdal (risperidone)

Which of the above antipsychotic agents have less weight gain and prolactin increase?

Aripiprazole

What are the nonpharmacological treatments for ASD?

ABA (individualized reward system)

Are SSRIs FDA-approved for ASD?

• No

  • SSRIs were studied for the treatment of repetitive behaviors, obsessive-compulsive symptoms, aggression, anxiety, and depressive disorder, with conflicting evidence.

• Recommended for comorbid anxiety and depression.

Which anticonvulsant has been associated with increased risk of ASD when mothers are taking during pregnancy?

Valproic acid (Depakene, Depakote)

True or False: Environmental factors (e.g., toxins in food, air, etc.) play a role in increasing the risk of ASD.

True

 True or False: The gut microbiome (imbalance between bad and good bacteria) may contribute to risk of ASD.

True

What is the better diet for ASD, ADHD, depression, anxiety?

• Avoid Processed Foods

  • Reducing intake of processed foods may help minimize inflammation and oxidative stress.

• Focus on Whole Foods

  • Emphasize fruits, vegetables, whole grains, and lean proteins for optimal nutrition.

What are the behavior and communication treatments for ASD?

• Applied Behavioral Analysis (ABA)

  • When a behavior is followed by a reward, a person is more likely to repeat that behavior. 

  • this encourages positive behavior change

  • The therapist identifies a goal behavior. 

  • Each time the person uses the behavior or skill successfully, they get a reward

• Specialized therapies (speech, OT, social skills)