CHAPTER 13 Integrative Management of Disordered Eating

What is the second highest psychiatric illness with rates of mortality?

Eating disorders.

What characterizes eating disorders?

Harmful eating patterns and a preoccupation with shape and weight.

What is 'normative discontent'?

Dissatisfaction with one's shape and weight, often driven by cultural ideals.

What are the two forms of Anorexia Nervosa?

Restricting type and binge-eating/purging type.

Define Pica.

Consumption of nonfood substances.

What is Rumination Disorder?

Repeated regurgitation of undigested food.

What is Avoidant/Restrictive Food Intake Disorder (ARFID)?

A feeding disturbance leading to significant weight loss or nutritional deficiencies without concern for body shape.

Describe the key behavior in Bulimia Nervosa.

Binge eating followed by compensatory behaviors to prevent weight gain.

What distinguishes Binge Eating Disorder (BED) from other disorders?

Recurrent episodes of binge eating without compensatory behaviors.

What is Atypical Anorexia Nervosa?

Meets all criteria for AN but maintains a healthy or higher BMI.

What is the primary focus of Cognitive Behavioral Therapy for eating disorders?

To address the overevaluation of eating, shape, and weight.

What is the SCOFF questionnaire?

A screening tool used in primary care to detect concerns indicative of an eating disorder.

What psychological treatment is recommended for children with eating disorders?

Family-based treatment (FBT).

What are the risks associated with Refeeding Syndrome (RFS)?

Electrolyte imbalance due to extreme fluid shifts during refeeding.

How can technology assist in treating eating disorders?

Through computer-assisted programs, apps, and telehealth for increased access and support.

What is Health at Every Size (HAES)?

An approach promoting acceptance of body diversity without a focus on weight loss.

Why is early intervention crucial in pediatric eating disorders?

To ensure growth and health before growth plates harden.

What physical complications can occur with eating disorders?

Cardiovascular issues, GI distress, dental erosion, and metabolic disturbances.

Which medication is FDA approved for Bulimia Nervosa?

Fluoxetine.

What is the main concern for those with eating disorders regarding social media?

Increased body dissatisfaction and promotion of disordered eating behaviors.

What role do direct questions play in the assessment of eating disorders?

They help accurately identify disordered eating behaviors and associated psychosocial impairments.