00:01 Let's move on now to talk about some of the other eating disorders starting with bulimia. 00:05 The life time prevalence is 1%, females are more affected than males, and the median age of onset is about 18 years old, so again, in the teens. 00:15 Diagnostic criteria incur recurrent episodes of binge eating, eating in a discrete period of time within a 2 hour period, and a sense of lack of control. 00:27 There are recurrent inappropriate compensatory behaviors to help prevent weight gain and the binge eating and inappropriate compensatory behaviors can both occur. Their self-evaluation that's unduly influenced by body, shape, and weight, and the disturbance does not occur exclusively during episodes of anorexia. 00:50 Patients with bulimia actually tend to have an average body weight. 00:54 The major difference between bulimia and binge eating is that there is compensatory behavior influenced by guilt and a perception of appearance. So, what's the best treatment for bulimia? Well, it's individual psychotherapy, CBT, group therapy, and also pharmacology can help such as SSRI's which are usually the first-line agents. 01:19 So, what's the difference between bulimia and anorexia? Well, in bulimia, patients find their symptoms ego-dystonic. 01:27 In other words, they find their symptoms to be very distressing. 01:31 Whereas in anorexia, patients find their symptoms ego-syntonic, they're not distressing at all. 01:37 And in bulimia, patients are actually more likely to go to the doctor and ask for help. 01:42 Whereas in anorexia, patients are very reluctant to get help from their doctor. 01:48 We've reviewed now some of the eating disorders. 01:51 You know a little bit about their diagnosis and a little bit about how to approach that patient and manage them.
The lecture Bulimia Nervosa by Helen Farrell, MD is from the course Control Disorders. It contains the following chapters:
Which of the following NOT a diagnostic criterion for Bulimia nervosa?
Which of the following statements regarding eating disorders is TRUE?
A 7-year-old girl is brought in by her mother complaining that she has been eating small pebbles for the past 2 months, even after the mother’s repeated attempts to stop her. What is the most likely diagnosis in this patient?
Which of the following disorders features repeated regurgitation not associated with a medical or psychiatric condition?
The content of what was ingested may indicate if the intent is due to pica or self-injurious. Which of the following would elevate your suspicions of self-injury?
5 Stars |
|
5 |
4 Stars |
|
0 |
3 Stars |
|
0 |
2 Stars |
|
0 |
1 Star |
|
0 |