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Treatment Guidelines for Eating Disorders

Understanding Eating Disorders (EDs)

1. It has been suggested that patients with EDs tend to show alexithymia, which is commonly described as consisting of all of the following features, except for:

A. Difficulty identifying and describing subjective feelings.

B. Difficulty distinguishing between feelings and the bodily sensations of emotional arousal.

C. Overactive fantasies.

D. An externally orientated cognitive style.


2. Which eating disorder voice makes promises to remove pain and suffering?

A. The seducer

B. The coach

C. The mentor

D. The abuser / bully


3. In seeking to counter the impact of the ED voice, it is the ‘seducer’ and ‘abuser’ roles that would seem to merit primary attention and the patient be taught to recognize the ‘eating disorder mindset.’

A. True

B. False


Treatment

4. Why should the threshold for intervention in adolescents be lower than in adults?

A. The potentially irreversible effects of an eating disorder on physical and emotional growth and development in adolescents.

B. The risk of death.

C. The evidence suggesting improved outcome with early treatment.

D. All of the above.


5. Outpatient psychological treatment for anorexia nervosa should normally be of at least _____ duration.

A. 3 months

B. 6 months

C. 9 months

D. 12 months


6. The focus of cognitive remediation therapy is primarily to:

A. Increase food intake.

B. Address ED specific symptoms such as weight and shape concerns.

C. Decrease rigidity and achieve a balance between local and global information processing strategies.

D. All of the above.


7. In most patients with anorexia nervosa, and average weekly weight gain of 1 kg in outpatient settings should be an aim of treatment.

A. True

B. False


8. As a possible first step, patients with bulimia nervosa should be encouraged to follow an evidence-based self-help program.

A. True

B. False


9. As an alternative or additional first step to using an evidence-based self-help program, consideration should be given to offering a trial of an SSRI antidepressant drug to patients with binge eating disorder.

A. True

B. False


10. Dissatisfaction with treatment has been linked to:

A. Treatment delay.

B. The fact that treatment interventions have not had the desired outcome.

C. A premature cessation of treatment.

D. All of the above.


11. In the narratives by young people in treatment, they speak about the importance of all of the following in relation to coming to an end of treatment, except for:

A. Reaching a certain weight.

B. Feeling strong.

C. Having improved their relationship with food.

D. Young people speak about the importance of all of the above.


12. Most adolescents are of the opinion that the treatment should include only individual therapy sessions and no family-based therapy sessions.

A. True

B. False


13. Clinicians describe increasing the individual time with transition age youth patients for which reason?

A. TAY were seen as more capable and willing to share details of their meals/symptoms with clinicians.

B. Time spent individually was more necessary to build therapeutic alliance with TAY when compared to younger adolescents.

C. Both (A) and (B).

D. None of the above.


14. Clinicians indicate that they meet individually with TAY in phase 3 of Family-Based Treatment to address all of the following, except for:

A. Externalization

B. Body image concerns

C. Self-esteem issues

D. Relapse prevention


15. In spite of resistance, it has been found essential that the therapist issues an invitation to cooperate, and that it is done over and over again until the young person realizes that the therapist is there to help.

A. True

B. False


16. If medication is used for anorexia nervosa, it should be used as the sole or primary treatment.

A. True

B. False


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