Asymptomatic Neuropsychological Impairment

This mildest form of neurocognitive complication is characterized by subtle changes in cognitive functioning that appear not to interfere in any obvious way in day-to-day functioning. Typically, a person will report feeling that he or she is not as "sharp" as he or she used to be and may complain of mild memory difficulties, difficulties in concentration, or some slight slowing down in mental functions. However, self-report alone is not sufficient to establish a diagnosis because this may be biased by mood disturbance (depression may lead to complaints that are unrelated to actual cognitive functioning) or lack ofinsight. The diagnosis requires demonstrating at least mild impairments in two different cognitive areas on comprehensive neu-ropsychological testing (Table IV).

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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