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Case studies of anorexia
Background on anorexia nervosa
Anorexia nervosa history and background
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Nicholas Coke HCM 11 Section: E01/44599 11/28/2017 Anorexia Nervosa; how accessible are resources to those suffering, that is the question. Anorexia Nervosa may be described directly as an eating disease classified by a deficit in weight, not being able to maintain weight appropriate for one’s height. Anorexia means loss of appetite while Anorexia Nervosa means a lack of appetite from nervous causes. Before the 1970s, most people never heard of Anorexia Nervosa. It was identified and named in the 1870s, before then people lived with this mental illness, not knowing what it was, or that they were even sick. It is a mental disorder, which distorts an individual’s perception of how they look. Looking in the mirror, they may see someone overweight …show more content…
Anorexia Nervosa placed third behind asthma and type 1 diabetes as the most chronic disease which affects young people. It is estimated that teens and young adults betwixt the ages 15 and 24 who suffer from Anorexia have 10 times the chance of dying when compared to those of similar age. Of individuals with anorexia, only .25% are males which is why most times its after death males are identified as being anorexic. About 10% individuals die from complications of the disease. That number duplicates to about 20% if combined with the patients who have anorexia and who suicide, thus making it the most life-threatening and fatal mental disease in …show more content…
website. Accessed Feb. 2012. http://www.anad.org/get-information/about-eating-disorders/eating-disorders-statistics/ Crow, S.J., Peterson, C.B., Swanson, S.A., Raymond, N.C., Specker, S., Eckert, E.D., Mitchell, J.E. (2009) Increased mortality in bulimia nervosa and other eating disorders. American Journal of Psychiatry 166, 1342-1346. Hudson JI, Hiripi E, Pope HG, Kessler RC. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication.Biological Psychiatry. 2007; 61:348-58. The National Institute of Mental Health: Eating Disorders: Facts About Eating Disorders and the Search for Solutions. Pub No. 01-4901. Accessed Feb. 2002.
Ever since 1979, the world became introduced to a different type of anorexia disorder called bulimia nervosa by Gerald Russell. In the similar attempt to lose weight like anorexia, bulimia nervosa is characterized by having episodes of binge eating, followed by intense efforts to avoid gaining weight. Some of the methods to avoid gaining the weight can be to induce self-vomiting, and consuming laxatives or diuretics. As a result of Russell studying theses eating disorders, he discovered that approximately 1/100 women in Western societies were affected in 1990 (Palmer, 2014). Ever since bulimia nervosa became a known eating disorder, more people have been able to effectively be diagnosed with it, and more useful information about the disorder
The lecture discussed a single case study of sixteen-year-old girl who was dealing with anorexia. The speaker, Fisher, stated that he spoke to her parents only twice over the span of four and a half years that he worked with the girl. The initial meeting was to get some background information before the sessions started and the other was further into the sessions. During the only face to face meeting with the parents, he found that there were no outstanding issues in the family that could have caused the eating disorder, anorexia. In the first sixteen years of her life, she was a good daughter who seemed to be almost too good. She was obedient and kind and never got in trouble. She was an honor roll student who was in clubs that were considered
“Anorexia Nervosa, AN, the most visible eating disorder, is a serious psychiatric illness characterized by an inability to maintain a normal body weight or, in individuals still growing, failure to make expected increases in weight (and often height) and bone density.” (cite textbook) The behaviors and cognitions of individuals with AN adamantly defend low body weight.
Eating Disorder Case Study Mother is concerned that daughter is not eating enough, restricting food intake for 8 months because she feels fat, feels she needs to lose ten pounds, feels that her thighs and stomach are to large, reporting 35 lb weight loss over last 8 months, denies any eating problems, began menarche at age 16 periods normally regular, stop three months ago, exercises daily 20 min. to 2 hours, experiences low energy, chronic constipation and lightheadedness, favorite TV show is “America’s Next Top Model” and reports “feeling down in the dumps” for about nine months, college student, good grades, finding it difficult to concentrate, admits to feeling worthless and having no friends, moved to new city middle of senior year, has difficulty falling asleep awakens in middle of night often, mother reports that she is often irritable and cries often. When did the depressed mood start in relation to the move, was it within three months of the move, Is she taking any medications, has she ever felt like this before and if so what made it better, dose she take naps, what time does she go to sleep and wake up, does she take meds to go to sleep, how much caffeine does she use, does she have nightmares, does your mind race when you try to go to sleep, have you ever binged or fasted, used laxatives or vomiting, how often do you weigh, 24 hour diet recall, are you afraid of gaining weight, how would you describe your energy level, what do you enjoy doing, are the activities you use to enjoy still enjoyable, have you been feeling sad, angry, irritable, or happy, describe your mood on a scale of 1-10 ten being best, have you ever ... ... middle of paper ... ... rting family by telling them that 25% of patients fully recover and another half are improved and function well.
Eating disorders can be viewed as multi-determined disorders because there are many different factors that can play into a person developing an eating disorder. Each case is different and to get a clear picture of the disorder it must be looked at from numerous angles because often times it is a combination of different issues that contribute to someone developing an eating disorder.
...l, D. M., & Willard, S. G. (2003). When dieting becomes dangerous: A guide to understanding and treating anorexia and bulimia [Ebrary version]. Retrieved from http://libproxy.utdallas.edu/login?url=http://site.ebrary.com/lib/utdallas/Doc?id=10170079&ppg=4
As defined by the National Eating Disorders Association, “Anorexia Nervosa is a serious, potentially life-threatening eating disorder characterized by self-starvation and excessive weight loss.” (NEDA). The term “Anorexia Nervosa” literally means “neurotic loss of appetite”, and could be more generally defined as the result of a prolonged self-starvation and an unhealthy relationship regarding food and self-image. It is characterized by “resistance to maintaining body weight at or above a minimally normal weight for age and height”, “intense fear of weight gain or being “fat”, even though underweight”, “disturbance in the experience of body weight or shape, undue influence of weight or shape on self-evaluation, or denial of the seriousness of low body weight”, and “loss of menstrual periods in girls and women post-puberty.”(NEDA) Among women on a range of 15 to 24 years old, AN has been proved to have 12 times the annual mortality rate of all death causes, and from premature deaths of anorexic patients, 1 in every 5 is caused by suicide, which gives a rise of 20% for suicide probability. (EDV)
Bulimia Nervous, as defined by the National Eating Disorders Association, is a serious, potentially life-threatening eating disorder characterized by a cycle of bingeing and compensatory behaviors such as self-induced vomiting. It affects 1 - 2 percent of the adolescents and young adults. About 80 percent of the people it affects are female. Many people struggling with Bulimia Nervous also struggle with depression and social phobias. The disorder is often shortened from Bulimia Nervosa to just Bulimia. Many people do not understand the severity of the Eating Disorder (ED) at hand. Many people will brush it off as if the sufferer is just wanting attention. What many people do not understand is that, the sufferer has a warped body image and they are suffering mentally and physically with this disorder. Having Bulimia, you binge, and eat your desired food, then you realize the mass of intake and you purge, either through vomiting, exercise, or laxatives. This vicious cycle is a sensation and becomes very addictive which leads the person to the severe disorder of Bulimia Ne...
Eating Disorders." Current Issues: Macmillian Social Science Library. Detroit: Gale, 2010. Gale Opposing Viewpoints In Context. Web. 20 Oct. 2015.
All Eating Disorders lead to various health complications and may ultimately result in the death of the sufferer. For instance, Anorexia Nervosa has the highest mortality rate of all psychiatric disorders, as 5 to 9% of Anorexics will die from it (Nolen-Hoeksema, Susan. (2013). Abnormal psychology (6th ed.). New York, NY: McGraw-Hill Education.). Anorexia Nervosa and Eating Disorder Not Otherwise Specified (EDNOS) in its restrictive/subtreshold Anorexia subtype may cause severe organ dysfunction due to extreme malnourishment. These problems include, but are not limited to, cardiac, hepatic, renal, and neurological failure.
A 20-year-old female presents to your clinic with her mother who is concerned about her daughter’s eating habits. Patient’s BMI is 17 and she has amenorrhea for the last 6 months. The patient explains that she feels overweight and she needs to lose few more pounds. She is fearful from gaining weight that she sometimes stops eating for 48 hours. The most likely diagnoses is:
According to Laura Shapiro, a notable researcher on eating disorders, the medical condition of anorexia consists of several elements. By definition, anorexia nervosa is a condition characterized by intense fear of gaining weight or becoming obese, as well as a distorted body image, and a feeling of loss of control (Shapiro 69).
In 1978, Brunch called anorexia nervosa a 'new disease' and noted that the condition seemed to overtake ?the daughters of the well-to-do, educated and successful families.? Today it is acknowledged and accepted that anorexia affects more than just one gender or socio-economic class; however, much of the current research is focused on the female gender. ?Anorexia nervosa is characterized by extreme dieting, intense fear of gaining weight, and obsessive exercising. The weight loss eventually produces a variety of physical symptoms associated with starvation: sleep disturbance, cessation of menstruation, insensitivity to pain, loss of hair on the head, low blood pressure, a variety of cardiovascular problems and reduced body temperature. Between 10% and 15% of anorexics literally starve themselves to death; others die because of some type of cardiovascular dysfunction (Bee and Boyd, 2001).?
ANAD. “Eating Disorders Statistics”. National Association of Anorexia Nervosa & Associated Disorders, Inc., 2013.Web. 18 Nov 2013.
"Eating Disorders." Doctors, Patient Care, Health Education, Medical Research. N.p., n.d. Web. 20 Jan. 2014.