Eating disorder could be coping for these o physical

Eating disorder could be coping for these
o Physical symptoms:
 Bradycardia, abnormal cardiac rhythm (hypokalemia), hypotension, amenorrhea, hypothermia, delayed capillary refill and blue
fingernails, brittle hair, lanugo , osteoporosis
 Bulimia Nervosa
o Consumption of large amounts of food in a short period of time, followed by an attempt to rid the body of that food (purge) through vomiting,
excessive exercise, laxative use
o Often overlaps with anorexia
o Can have normal BMI as opposed to anorexia where there is a drastic decrease in body weight
o Physical symptoms can include cardiac rhythm disturbances, bradycardia, irregular menses, scarring on the fingers, hair loss, dental
abnormalities
 Female Athlete Triad
o Disordered eating, amenorrhea and osteoporosis
o Essentially anorexia but seen in athletes in sports that emphasis thin frame (ballet, cross country, gymnastics, etc.)
o Generally due to the pressure of the sport/coach/teammates /self rather than a more complex underlying problem
o **Easier to treat than bulimia or anorexia – because don’t have the underlying depression
 Eating Disorder Treatment
o Therapy (group, family , cognitive behavioral)
o Monitored meals
 Have 30 min to eat, have to stay in bed for an hour, limit water intake, turn off water to room, must use hat to use bathroom, must
sign a contract – under 18 we can force feeding tube and feed them
o Fluid/electrolyte replacement
 Bradycardia, decreased BP, arrhythmias, etc
o Close monitoring of weight
 Stand backwards on scale – don’t let them see
o SSRIs
o **THEY ARE NOT their illness – they have an illness, do not refer to them as their illness**
 Substance Abuse
o 39% of high school seniors report drinking some alcohol
o 23% report using marijuana
o 16% report using cigarettes
o Increases risk for motor vehicle accidents and accidental death due to risk taking behaviors
o Adolescents, like adults, will often use substances to self-medicate for unwanted feelings
o The earlier a child or adolescent is exposed to alcohol or other illicit substances, the higher the likelihood of chemical dependence later in life
 This is further confounded if there is a family history of substance abuse
 CAGE questionnaire