Understanding Anorexia Nervosa, Bulimia Nervosa, and Post-Partum Psychiatric Disorders
Anorexia nervosa is characterized by significant weight loss, fear of gaining weight, and disturbed body image. It predominantly affects women in adolescence, often associated with dieting and harmful behaviors. Diagnosis involves criteria such as weight loss and amenorrhea. Complications include emaciation and cardiac issues. Lab findings may show anemia and electrolyte imbalances. Management includes behavioral interventions and psychotherapy. Bulimia nervosa involves binge eating and compensatory behaviors, with similar etiology to anorexia. Post-partum psychiatric disorders encompass maternity blues, puerperal psychosis, and depression, which require timely recognition and support.
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Presentation Transcript
Anorexia nervosa Diagnostic criteria 15% decrease in wt. Fear of gaining wt. Disturbed body image Amenorrhea
Anorexia nervosa more in women adolescence dieting exercise,vomiting,purgatives binge eating
Psychotropic drugs in pregnancy and lactation Lithium Teratogenic, 2nd trimester Can reach toxic levels by lactation Tricyclics and antipsychotics No evedence for teratogenicity Better avoid during lactation BDZ Floppy baby, withdrawal syndrome
Anorexia nervosa Complications emaciation,bradicardia,hypotension,hypot hermia,lanugo hair,odema,dental enamel erosion
Anorexia nervosa Lab findings Dehydration, anemia, lucopenia, metabolic alkalosis, liver function impairment, low sex hormones
Anorexia nervosa Etiology social,thinnes,ballet sp. Pathology Control Avoid maturity 15% death
Anorexia nervosa Management Behavioral Drugs Psychotherapy
Bulimia nervosa Binge eating Behaviors to compensate: exercise etc. Normal body wt. Again adolescent female
Bulimia nervosa Etiology Similar, wt.preoccupation Complications low K, renal damage, arrhythmia, enamel erosions Management; cognitive behavior therapy
Post partum psychiatric disorders Post partum psychiatric disorders maternity blues puerperal psychosis depression
Post partum psychiatric disorders Maternity blues 2-3 days after delivery Resolve rapidly Liability, tearfulness, irritability 1stdelivery, 3rd trimester depression, PMT
Post partum psychiatric disorders Puerperal psychosis 1/500 births 1stchild, previous or family history Affective, schizophrenic, organic 15-20 relapse
Post partum psychiatric disorders Mild to moderate depression 10-15 % 2 weeks Poor social support, Social and psychological interventions
