Topics: Pica, Digestion, Lead poisoning Pages: 3 (856 words) Published: July 28, 2013
Mental Health and Pica
Pica is the persistent eating of substances such as dirt or paint that have no nutritional value. How Is Pica Diagnosed?
If pica is suspected, a medical evaluation is important to assess for possible anemia, intestinal blockages, or potential toxicity from ingested substances. If symptoms are present, the doctor will begin an evaluation by performing a complete medical history and physical exam. The doctor may use certain tests -- such as X-rays and blood tests -- to check for anemia and look for toxins and other substances in the blood, and to check for blockages in the intestinal tract. The doctor also may test for possible infections caused by eating items contaminated with bacteria or other organisms. A review of the person's eating habits also may be conducted. Before making a diagnosis of pica, the doctor will evaluate the presence of other disorders -- such as mental retardation, developmental disabilities, or obsessive-compulsive disorder -- as the cause of the odd eating behavior. This pattern of behavior must last at least one month for a diagnosis of pica to be made. How Is Pica Treated?

Given the risk of medical complications (such as lead poisoning) associated with pica, close medical monitoring is necessary throughout treatment of the eating behavior. Additionally, close collaboration with a mental health team skilled in treating pica is ideal for optimal treatment of these complex cases. The Handbook for Clinical Child Psychology currently supports general behavioral strategies as the most effective treatment approach for pica, with training in which foods are edible and which foods cannot be eaten through the use of positive reinforcement. What Complications Are Associated With Pica?

There are many potential complications of pica, such as:
* Certain items, such as paint chips, may contain lead or other toxic substances and eating them can lead to poisoning, increasing the child's risk of complications including...
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