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1.6 Clinical Psychology Problem 4 Summary

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A complete summary of problem 4 on eating disorders for course 1.6 clinical psychology of Erasmus University Rotterdam.

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Available practice questions

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Some examples from this set of practice questions

1.

a persistent disturbance in eating behaviour

Answer: eating disorder

2.

the disorder where the patient has a fear of becoming fat or gaining weight

Answer: anorexia nervosa

3.

this subtype of patients with anorexia will limit their food intake by any means

Answer: restricting subtype

4.

this subtype of anorexia has episodes of binging and purging

Answer: binge-eating/purging subtype

5.

patients with this eating disorder can have a yellow or even purply/blue skin tone, brittle hair, and downly hair on their body

Answer: anorexia nervosa

6.

What is the difference between bulimia nervosa and the binge-eating/purging subtype of anorexia nervosa?

Answer: the patient\'s weight

7.

How long must bulimia symptoms be present for to make a diagnosis?

Answer: at least 3 months

8.

Puffy cheeks, small red dots around the eyes, and calluses on the hands are physical presentations of which eating disorder?

Answer: Bulimia nervosa

9.

What do bulimic patients do that patients with binge eating disorder don\'t do?

Answer: they purge

10.

What is the usual weight of people with BED?

Answer: they are usually overweight/obese

Problem 4: You Are What You Eat
Eating Disorders → a persistent disturbance in eating behaviours.


Anorexia Nervosa → a fear of gaining weight or becoming fat, accompanied by behaviours
causing the low body weight observed in patients. Patients deny having a problem with their
perception of food and eating and conceal it by wearing baggy clothes or drinking a lot of water/
hiding bulky objects in their clothing to increase their weight. There are two subtypes of the
disorder:

Restricting subtype → these patients will limit their food intake by all means and tend to be
admired by others with eating disorders.

Binge -eating/purging subtype → these patients have episodes of binging and purging, where
their eating is out of control and excessively in a short amount of time, and then remove the
ingested food from their body with methods like self-induced vomiting, laxatives, etc.



DSM-5 Diagnostic Criteria for Anorexia Nervosa:
1. Restriction of energy intake relative to requirements, leading to a significantly low body
weight in the context of age, sex, developmental trajectory, and physical health. Significantly
low weight is defined as a weight that is less than minimally normal or, for children and
adolescents, less than that minimally expected.
2. Intense fear of gaining weight or of becoming fat, or persistent behaviour that interferes with
weight gain, even though at a significantly low weight.
3. Disturbance in the way in which one’s body weight or shape is experienced, undue influence
of body weight or shape on self-evaluation, or persistent lack of recognition of the seriousness
of the current low body weight.



The Face of Anorexia Nervosa → patients with anorexia nervosa often times have brittle
hair and nails, and dry skin with a yellow tone. Downy hair referred to as lanugo grows on their
face, neck, arms, back, and legs. Additionally, low blood pressure and poor oxygen circulation
could cause their skin to adopt a purple or blue shade that is very cold to the touch. Deficiencies in
vitamin B1 accounts for depressive feelings and mood changes, and an imbalance in electrolytes,
for example low potassium, can lead to heart arrhythmia and kidney damage. Due to malnutrition
at a still-developing age, even recovered patients have a higher risk of developing osteoporosis
later in life. Finally, the abuse of laxatives can lead to electrolyte imbalances, dehydration, kidney
disease, and damage to the bowels and gastrointestinal tract.

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