Bulimia Nervousa
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often simply called bulimia, is an eating disorder characterized by recurrent
episodes of binge eating followed by inappropriate compensatory
behaviors to avoid weight gain, such as purging, fasting, or excessively
exercising. The amount of food consumed during a binge episode is much
larger than a person would normally eat.
Three Drug Types for Bipolar
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Treatment for bipolar disorder involves a lifetime regimen of medications—
either an antimanic agent called lithium or anticonvulsant medications used
as mood stabilizers.
Lithium
, Atypical Antipsychotics
Anticonvulsants
Types of OCD: BDD
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preoccupation with an imagined or slight defect in physical appearance
that causes significant distress for the individual and interferes with
functioning in daily life. The person ruminates and worries about the defect,
often blaming all of life's problems on his or her "flawed" appearance, that
is, the appearance is the reason the person is unsuccessful at work or
finding a significant other, for feelings of unhappiness, and so forth.
T/F A lithium level of 1.6 mEq/L is within the therapeutic range
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False (0.6 to 1.2)
Moderate Anxiety Physiological Responses:
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Muscle Tension, Diaphoresis, Pounding Pulse, Headache, Dry Mouth, Fast
Speech, GI Upset, Frequent Urination
,Bulimia Treatment
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Since the 1980s, many studies have been conducted to evaluate the
effectiveness of medications, primarily antidepressants, to treat bulimia.
Drugs, such as desipramine (Norpramin), imipramine (Tofranil), amitriptyline
(Elavil), nortriptyline (Pamelor), phenelzine (Nardil), and fluoxetine (Prozac),
were prescribed in the same dosages used to treat depression. In all the
studies, the antidepressants were more effective than were the placebos in
reducing binge eating. They also improved mood and reduced
preoccupation with shape and weight; however, most of the positive results
were short term. It may be that the primary contribution of medications is
treating the comorbid disorders frequently seen with bulimia.
What disorders are considered mood disorders?
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The primary mood disorders are major depressive disorder and bipolar
disorder (formerly called manic-depressive illness).
Secondary Gain
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, Secondary gains are the external or personal benefits received from others
because one is sick, such as attention from family members and comfort
measures (e.g., being brought tea, receiving a back rub). The person soon
learns that he or she "needs to be sick" to have his or her emotional needs
met.
Sleep disorders related to another mental disorder........
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Sleep disorders related to another mental disorder may involve insomnia or
hypersomnia. Mood disorders, anxiety disorders, schizophrenia, and other
psychotic disorders are often associated with sleep disturbances.
Treatment of the underlying mental disorder is indicated to resolve the
sleep disorder.
Pharmacologic Treatment of Somatic Illness
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Antidepressants such as Fluoxetine, Paroxetine (Paxil), and Sertraline
(Zoloft)
For clients with pain disorder, referral to a chronic pain clinic may be useful.
Clients learn methods of pain management, such as visual imaging and
relaxation. Services such as physical therapy to maintain and build muscle
tone help improve functional abilities.
Providers should avoid prescribing and administering narcotic analgesics
to these clients because of the risk for dependence or abuse. Clients can
use nonsteroidal antiinflammatory agents to help reduce pain.
Give this one a try later!
often simply called bulimia, is an eating disorder characterized by recurrent
episodes of binge eating followed by inappropriate compensatory
behaviors to avoid weight gain, such as purging, fasting, or excessively
exercising. The amount of food consumed during a binge episode is much
larger than a person would normally eat.
Three Drug Types for Bipolar
Give this one a try later!
Treatment for bipolar disorder involves a lifetime regimen of medications—
either an antimanic agent called lithium or anticonvulsant medications used
as mood stabilizers.
Lithium
, Atypical Antipsychotics
Anticonvulsants
Types of OCD: BDD
Give this one a try later!
preoccupation with an imagined or slight defect in physical appearance
that causes significant distress for the individual and interferes with
functioning in daily life. The person ruminates and worries about the defect,
often blaming all of life's problems on his or her "flawed" appearance, that
is, the appearance is the reason the person is unsuccessful at work or
finding a significant other, for feelings of unhappiness, and so forth.
T/F A lithium level of 1.6 mEq/L is within the therapeutic range
Give this one a try later!
False (0.6 to 1.2)
Moderate Anxiety Physiological Responses:
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Muscle Tension, Diaphoresis, Pounding Pulse, Headache, Dry Mouth, Fast
Speech, GI Upset, Frequent Urination
,Bulimia Treatment
Give this one a try later!
Since the 1980s, many studies have been conducted to evaluate the
effectiveness of medications, primarily antidepressants, to treat bulimia.
Drugs, such as desipramine (Norpramin), imipramine (Tofranil), amitriptyline
(Elavil), nortriptyline (Pamelor), phenelzine (Nardil), and fluoxetine (Prozac),
were prescribed in the same dosages used to treat depression. In all the
studies, the antidepressants were more effective than were the placebos in
reducing binge eating. They also improved mood and reduced
preoccupation with shape and weight; however, most of the positive results
were short term. It may be that the primary contribution of medications is
treating the comorbid disorders frequently seen with bulimia.
What disorders are considered mood disorders?
Give this one a try later!
The primary mood disorders are major depressive disorder and bipolar
disorder (formerly called manic-depressive illness).
Secondary Gain
Give this one a try later!
, Secondary gains are the external or personal benefits received from others
because one is sick, such as attention from family members and comfort
measures (e.g., being brought tea, receiving a back rub). The person soon
learns that he or she "needs to be sick" to have his or her emotional needs
met.
Sleep disorders related to another mental disorder........
Give this one a try later!
Sleep disorders related to another mental disorder may involve insomnia or
hypersomnia. Mood disorders, anxiety disorders, schizophrenia, and other
psychotic disorders are often associated with sleep disturbances.
Treatment of the underlying mental disorder is indicated to resolve the
sleep disorder.
Pharmacologic Treatment of Somatic Illness
Give this one a try later!
Antidepressants such as Fluoxetine, Paroxetine (Paxil), and Sertraline
(Zoloft)
For clients with pain disorder, referral to a chronic pain clinic may be useful.
Clients learn methods of pain management, such as visual imaging and
relaxation. Services such as physical therapy to maintain and build muscle
tone help improve functional abilities.
Providers should avoid prescribing and administering narcotic analgesics
to these clients because of the risk for dependence or abuse. Clients can
use nonsteroidal antiinflammatory agents to help reduce pain.
