final exam

med complications common in AN

slow heart rate, low blood pressure, reduced bone density, gastrointestinal issues, and low body temp

3 purging methods in BN

vomiting, laxatives, and diuretics common in purging methods

symptoms accompanying binge eating for BED diagnosis

eating rapidly, eating when not hungry, eating alone, feeling guilt or disgust after binge

maudsley models success rate for early onset an

90% symptom free at 5 yrs for early onset, short duration cases

behaviors characterize obsessive compulsive personality disorder

hyperfocus on details, self doubt, over-conscientiousness, and hoarding

symptoms specific to borderline personality disorder

rapid mood changes, impulsive hostility, self injury, unstable relationships, high suicide risk

criteria for antisocial personality disorder

disregard for others rights, deceitfulness, impulsivity, aggression, irresponsibility, lack of remorse

psychosocial treatments for schizophrenia

social skills training, cognitive remediation, cbt, family therapy, illness management

positive symptoms in schizophrenia

new behaviors or experiences added to normal functioning; delusions and hallucinations

negative symptoms of schizophrenia affect functioning

diminished or lost normal functions, like flat affect, anhedonia, and avolition

cognitive domains impaired in schizophrenia

visual and verbal memory, information processing, abstract reasoning, and exec functioning

DSM5 criteria for schizophrenia

2 or more core symptoms for at least one month; 6 months of disturbance and functional impairment

3 phases of schizophrenia progression

prodomal (subtle decline), active (psychotic symptoms), and residual (persistent negative symptoms)

dopamine hypothesis

increased dopamine activity is linked to worsening psychotic symptoms; dopamine reducing drugs alleviate them

enlarged ventricles and reduced brain volume, especially in hippocampus, temporal, prefrontal, and limbic regions

neuroanatomical abnormalities common in schizophrenia

expressed emotion in families influence schizophrenia by

high expressed emotion doubles risk of onset and relapse by creating a negative, critical environment

main diff between typical and atypical antipsychotics

block dopamine; broader effect and diff side effect profiles

cognitive remediation therapy

computer based practice to improve memory, exec function, attention, and social cognition

schizoaffective disorder vs schizophrenia

includes schizophrenia symptoms plus major mood episodes; not req mood episodes

personality traits vs personality states

enduring and consistent; temp patterns in specific situations

DSM5 criteria for personality disorders

enduring, pervasive, inflexible patterns causing distress or impairment, deviating from cultural expectations

domains of functioning affected by personality disorders

cognition, affect, interpersonal functioning, and impulse control

personality disorders grouped in dsm5

into 3 clusters:

A. odd/ eccentric

B. dramatic/emotional/erratic

C. anxious/ fearful

paranoid personality disorder

pervasive distrust, suspiciousness, and interpreting others motives as malevolent without evidence

schizotypal personality disorder vs schizoid personality disorder

cognitive/ perceptual distortions and eccentricity; social detachment and restricted emotion

borderline personality disorder

instability in relationships, self image, affect, and marked impulsivity

antisocial personality disorder

requires evidence of conduct disorder before age 15

avoidant personality disorder

social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation

maladaptive traits defining psychopathy

arrogance, deceitfulness, affective deficits, impulsivity, and irresponsibility

dialectical behavior therapy

specifically designed for emotional dysregulation

an subtypes differences

restricting type- limits intake only

binge-purge type - binges or purges too

Lanugo (fine downy hair)

physical consequence unique to AN

compensatory behaviors

diagnostic feature distinguishing bulimia nervosa from binge eating disorder

perfectionism, obsessionality, neuroticism

personality traits associated with eds

differs from other ed

arfid lacks body image disturbance and more common in children

60-75%

heritability estimate for an

serotonin

neurotransmitter system implicated in ed satiety regulation

family dynamics contributions to an

enmeshment, rigidity, poor conflict resolution

CBT

therapy most effective for bn

main focus of Maudsley family therapy model

weight restoration and returning eating control to adolescent

weight stigma influence ed risk

reinforces unhealthy behaviors and increases body dissatisfaction

mood and anxiety disorders

comorbid disorders most prevalent w ed