remaja
1
ANOREKSIA NERVOSA
• UMUR 16-24 TH
• 5% REMAJA
• KELG STATUS SOSIAL MENENGAH KE ATAS
• PREDISPOSISI :
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BULIMIA NERVOSA
• EPISODE BINGE EATING
• MERANGSANG MUNTAH, GERAK BERLEBIHAN, PUASA
BERKEPANJANGAN, PENYALAHGUNAAN LAKSAN ATAU
DIURETIK
• TJD DI USIA 13-58
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ETIOLOGI
• ADIKSI MAKANAN & PERILAKU
• KELUARGA DISFUNGSI ATAU KEKERASA NFISIK & SEKSUAL
• SOSBUD MEDIA MASSA
• KOGNITIF & TINGKAH LAKU IRASIONAL BENTUK TUBUH,
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MANIFESTASI
• BINGE EATING 3000-7000KAL
• PURGING MEMUNTAHKAN DG MERANGSANG FARING,
LAKSAN, DIURETIK, ENEMA, GERAK BERLEBIHAN
• BODY IMAGE KELIRU
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GEJALA KLINIS
• PEMBENGKAKAN TANGAN /KAKI
• LEMAH, LELAH
• SAKIT KEPALA
• PERUT TERASA PENUH
• MUAL
• SAMA
TATALAKSANA
• MENURUNKAN POLA MAKAN BULIMIK
• HINDARI MAKANAN BINGE SPT ES KRIM
• OBAT ANTI DEPRESAN
• PSIKOTERAPI
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DEPRESI
• SEDIH
• GANGGUAN SOMATIK, MUDAH LELAH, KURANG ENERGI
• GANGGUAN PSIKOMOTOR, LAMBAT, KURANG ANTUSIAS,
RAGU2
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TERAPI
• CBT (COGNITIVE BEHAVIORAL THERAPY)
• PELATIHAN SOFT SKILL
• FARMAKOLOGI ANTIDEPRESAN
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SKIZOFRENIA
• Criterion A: two or more of the following symptoms must be present for a significant portion of
time during a one-month period (if the condition has been treated successfully, then the period
may be less).
• Delusions
• Hallucinations
• Disorganized speech, such as frequent derailment or incoherence
• Grossly disorganized or catatonic behavior
• Negative symptoms, such as affective flattening, alogia, or avolition
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SKIZOFRENIA
• Criterion B: a major area of function such as work, interpersonal
relations or self-care is severely impacted for a significant portion of the
time since the onset of the disturbance.
• Criterion C: the disturbance persists continuously for at least six months.
These six months must include at least one month of symptoms that
meet criterion A. The period may also exhibit prodromal or residual
symptoms, during which the signs of the disturbance may be manifested
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SKIZOFRENIA
• Criterion D: during the period of six months described under Criterion C, there have been
no major Depressive, Manic or Mixed Episodes occurring concurrently with the symptoms
of Criterion A. Further, if at all any mood disorder episodes have occurred during the six-
month period, these episodes have been of a duration that is much less than the period
when the Criterion A symptoms were active.
• Criterion E: the disturbance is not an outcome of the physiological effects of a substance or
a general medical condition.
• Criterion F: in case there is a history of autistic disorder or any other pervasive
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• The characteristic symptoms outlined in Criterion A may be conceptualized as falling into two broad
categories:
• Positive Symptoms: These symptoms appear to reflect an excess or distortion of normal functions.
Listed in Criterion A1 to A4, the positive symptoms further comprise two distinct dimensions, each
related to its own underlying neural mechanism and clinical correlates:
• Psychotic Dimension: The following two positive symptoms form part of the psychotic dimension:
• Delusions: distortions in thought content
• Hallucinations: distortions in perception
• Disorganization Dimension: The following two positive symptoms form part of the the
disorganization dimension
• Disorganized speech: distortions in language and thought processes
• Grossly disorganized or catatonic behavior: deficiency in self-monitoring of behavior