Eating Disorder Treatment Flashcards

Which psychological comorbidity is most commonly co-occurring with anorexia nervosa?

Answer: Anxiety disorders (OCD, social anxiety)

Anxiety disorders, particularly OCD and social anxiety disorder, are highly prevalent comorbidities in anorexia nervosa and often predate the eating disorder.

A patient completes a 3-day food record showing 900 kcal/day. The dietitian uses this to identify which component of the cognitive-behavioral model of eating disorders?

Answer: Dietary restraint perpetuating the disorder cycle

In CBT-E, dietary restraint is a central maintaining factor that perpetuates the binge-purge or restriction cycle.

When working with a male patient with an eating disorder, which clinician consideration is most important?

Answer: Males are less likely to engage with treatment due to under-recognition and stigma

Eating disorders in males are frequently under-recognized and stigmatized, leading to delayed diagnosis and treatment-seeking.

Phosphate supplementation during refeeding should be initiated when serum phosphorus drops below:

Answer: 2.5 mg/dL

Phosphate supplementation is typically initiated when serum phosphorus falls below 2.5 mg/dL to prevent refeeding syndrome complications.

Enhanced Cognitive Behavioral Therapy (CBT-E) for eating disorders adds which modules compared to standard CBT?

Answer: Perfectionism, low self-esteem, interpersonal difficulties, and mood intolerance

CBT-E's 'enhanced' modules address perfectionism, low self-esteem, interpersonal difficulties, and mood intolerance as additional maintaining mechanisms.

A patient recovering from bulimia nervosa reports eating past fullness at most meals. The dietitian recommends mindful eating practices to address:

Answer: Interoceptive awareness of hunger and satiety cues

Bulimia nervosa disrupts interoceptive signals; mindful eating rebuilds awareness of internal hunger and fullness cues.

Which vitamin deficiency is most clinically relevant to monitor in long-term anorexia nervosa due to its role in bone density loss?

Answer: Vitamin D

Vitamin D deficiency, combined with low estrogen and inadequate calcium intake, significantly accelerates bone loss (osteopenia/osteoporosis) in anorexia nervosa.