psych 4 - cjay

[ArchivalUser]

A 19-year-old woman comes for a routine healthcare visit before leaving for college. Although she has no complaints about her health, she does request treatment with a new prescription diet pill that she has heard about in the news. On further questioning, she gives a history of trying to diet, but she reports only minimal success, as she says she often eats when she is stressed. Vital signs, including height and weight, are within normal limits. Physical examination is basically normal. Chipping and erosion of the enamel on the front teeth are noted, however, as are slightly enlarged, nontender parotid glands. In addition to counseling, which of the following is the most appropriate medical intervention?

A. Antibiotics and lozenges for infected parotid glands
B. Inpatient psychiatric treatment and caloric supplements
C. Lithium with close monitoring of lithium levels
D. Long-term, high-dose fluoxetine treatment
E. No additional treatment, follow for comorbid conditions

[ArchivalUser]

E. No additional treatment, follow for comorbid conditions

[ArchivalUser]

bulemia nervosa D .

[ArchivalUser]

ya appears D

[ArchivalUser]

D. Antidepressants, in particular the selective-serotonin reuptake inhibitors (SSRIs), have been shown effective in the treatment of bulimia nervosa. Long-term, high-dose therapy has been found to be the most effective treatment strategy. Fluoxetine is FDA approved for the treatment of bulimia.