Eating Disorders
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Note BMI, take height and weight - if low BMI aim to measure to investigate anorexia vs bulimia.
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Eating pattern
“When did this start?”
“What do you eat on the average day?”
“Are there any foods you won’t eat?”
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View of weight
“What do you think of your weight?”
“Do you think you need to change your weight?”
“What is your ideal weight?”
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What are you doing to change your weight?
dieting - restricting intake, increased exercise to use energy, use of drugs - laxatives, diuretics, thyroxine etc, purging, vomiting
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Overeating followed by purging.
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Physical health problems - detailed physical health history.
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Menstruation - “Sometimes when people lose weight they stop having periods. Has this happened to you?”
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Libido - “Sometimes when people lose weight they are less interested in sex. Has anything like that happened to you?”
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Physical symptoms - constipation, muscle cramps etc.
Assessment > Psychiatric Interview > History of Presenting Complaint > Eating Disorders