PSYB32H3 Chapter Notes - Chapter 10: Agoraphobia, Fluoxetine
4 Dec 2014
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40 70% of clients: most common eating disorder, because eating disorders have greater heterogeneity, but comparable to bulimia and anorexia in severity and degree of dysfunction, dsm v dropped ednos, unspecified feeding or eating disorder. Purging disorder: form of bulimia, self induced vomiting, laxatives, anorexia nervosa, at least once per week, for min. Comorbidity is high: depression, panic disorders, social phobia, women greater risk for, mania, agoraphobia, substance dependence. Occurs in secret: triggered by stress and negative emotions it arouses and continue until person is uncomfortably full, negative social interaction stressors are potent elicitors of binges, high level of interpersonal sensitivity. Binging episodes must involve at least three of the following: eating more rapidly than normal, eating until feeling uncomfortably full, eating alone due to feelings of embarrassment, eating large amounts of food when not feeling hungry, feeling disgusted with oneself or depressed or very guilty. Risk factors: childhood obesity, critical comments, low self concept, depression, childhood abuse.
