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
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- Spring '17
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