Summary
3.5 Eating, Sex and Sleep Full Course Summary
- Course
- Institution
Full summary for the 3.5 block in the Clinical psychology track. I got an 8.2 in the exam.
[Show more]
Seller
Follow
gg12121
Reviews received
Content preview
minProblem 1: Eating DisordersLecture 1
➔ CBT-E (cognitive behavioral therapy-enhanced)
◆ Stage 1
● sessions 1-7
● intensive with appointments twice a week
● the therapist and patient collaborate to set up the formulation of the
underlying maintaining factors to use as a base for the rest of the
treatment
● aims to motivate & engage the patient in treatment
◆ Stage 2
● sessions 8-9
● weekly appointments
● brief stage where the therapist and stage evlaute progress, identify
barriers to change, modify the formulation and plan stage 3.
● this is important to identify problems with the therapy & adjust
treatment as needed
● after this stage, treatment will become more personalized
◆ Stage 3
● sessions 10-17
● main body of treatment
● weekly appointments
● aim is to address main maintaining mechanisms of the ED
● very personal
● the overvaluation of weight and shape is one of the frequent mechanisms
that are addressed
, 1
◆ Stage 4
● sessions 18-20
● appointments with 2-week intervals
● focus shifts to the future
● first aim is to ensure that the changes are maintained over the
subsequent 5 months when a review appointment is scheduled
● second aim is to minimize the risk of relapse in the long term
● a personalized maintenance plan is made
◆ review session
● after 20 weeks
● progress update
Eating Disorders in Children and Adolescents: State of the Art Review by Campbell & Peebles
➔ prevalence
◆ 10-25% boys
◆ pediatric patients have a higher prevalence of boys compared to adults
◆ Anorexia nervosa (AN)
● prevalence 0.5-2 %
● peak age of onset 13-18 years
● highest mortality rate of any psychiatric illness— 5-6%
◆ Bulimia nervosa (BN)
● prevalence 0.9-3 %
● older age of onset 16-17 years
● mortality rate around 2%
● suicide rate much higher
◆ EDNOS
● mostly subthreshold AN or BN
● prevalence 4.8%
● medical complication are similar to AN and BN
➔ risk factors
, 2
◆ dieting
◆ G x E interaction
◆ high heritability (estimates between 30-80%)
➔ adolescence is the most vulnerable age
◆ weight loss, unexplained growth stunting or pubertal delay, restrictive or
abnormal eating behaviors, recurrent vomiting, excessive exercise, trouble
gaining weight, or body image concerns— EDs should be suspected
◆ boys and overweight adolescents are at risk for delayed diagnosis
➔ younger patients— atypical presentations
◆ may fail to meet the expected weight/height gains
◆ might not endorse body image concerns
➔ AN Symptoms
◆ dramatic weight loss/ poor growth
◆ preoccupation with food and weight
◆ restriction of entire food groups or calories
◆ development of food rituals
◆ refusal to eat with family and friends
◆ refusal to eat foods they once liked
◆ over exercise
, 3
◆ fear of weight gain
◆ not reaching pubertal milestones such as linear growth or menstrual cycles
◆ body image distortion
◆ Amenorrhea as a criterion is removed from DSM-5 bc it excludes large groups of
patients
➔ BN Symptoms
◆ episodes of binge eating + compensatory behaviors at least once per week for 3
months
◆ any weight is possible
◆ frequent weight fluctuations
◆ mood swings
◆ increased time in the bathroom after meals, hiding food
◆ periods of fasting or excessive exercise
◆ marked distress & secretive regarding binge eating
➔ BED
◆ binges aren't followed by compensatory behaviors
◆ marked distress & secretive regarding binge eating
➔ Other specified feeding and eating disorders
◆ atypical AN (normal-weight AN)
◆ subthreshold BN
◆ purging disorder
◆ night eating syndrome
➔ Complications:
◆ cardiovascular and gastrointestinal complications
◆ electrolyte imbalances due to vomiting, laxative or diuretic abuse
◆ Patients with malnutrition are at risk for refeeding syndrome during treatment
◆ hormonal imbalances
◆ kidney problems
◆ anemia & vitamin deficiencies
◆ cognitive & neurological deficits
➔ psychiatric comorbidities
◆ may be premorbid, comorbid, or present after recovery
◆ commonly depression, anxiety, obsessive-compulsive disorder, post-
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller gg12121. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.78. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75282 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 15 years now