Study Guide abnormal Exam 3 review

Know how cbt including exposure with response

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Know how CBT including exposure with response prevention treats the eating disorders Medical hospitalization versus psychiatric hospitalization may be necessary Stabilize medical crisis Medications have not been effective in helping with weight gain SSRIs may be used Once normal weight is restored, to prevent relapse in anorexia patients To reduce some symptoms of bulimia as well as of comorbid depression Prozac is the most widely studied Can help decrease bingeing, vomiting, and weight and shape concerns Cognitive-Behavior Therapy (CBT) Thoughts, feelings, and behaviors related to eating, food, and the body Considered treatment of choice because of its efficacy CBT for Anorexia
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Identifying and changing thoughts and behaviors that impede normal eating and maintain symptoms Decrease irrational thoughts and help develop more realistic thoughts Focuses on developing adaptive coping strategies Relaxation training and motivational enhancement therapy are employed CBT for Bulimia Thoughts, feelings, and behaviors that: Prevent normal eating Promote bingeing, purging, and other compensatory behaviors Thoughts, feelings, and behaviors related to body image and appearance Exposure with response prevention Exposure to anxiety-provoking stimuli such as foods typically eaten during a binge Patients consume a moderate amount of the food and must not purge Three possible mechanisms to explain the benefits of CBT Leads to more normal eating, decreases dietary restrictions, increases ability to cope with potential triggers Family therapy Identifies the problem as maladaptive family interactional patterns and structures Does not specifically address the patient’s eating and food issues In anorexia, family therapy is most effective for women and girls who live with their parents Maudsley approach Supporting parents as they determine how to lead their daughter to eat appropriately Does not view the family as responsible for causing problems and makes no assumptions about the causes of the disorder Initial phase of treatment requires enormous family commitment Chapter 11 (about 13-15 questions) Know the characteristics of Gender Identity Disorder, possible neurological factors, and sex reassignment surgery. - Gender identity o Subjective sense of being male or female - Gender identity disorder o Chronically uncomfortable with his or her biological sex o Sometimes referred to as transsexuals - Those with gender identity disorder : o Usually identify with the opposite biological sex in childhood o Prefer to dress or play with toys in ways typical of children of the other gender o Desire to adopt the gender role of the opposite sex - Sex reassignment surgery o More effective for biological males than biological females o Up to 10% later regret surgery o Taking hormones o Women - androgens o Men - estrogen or progesterone
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