A Short Note On Anorexia Nervosa And Its Effects On The Body Image And Self Esteem

A Short Note On Anorexia Nervosa And Its Effects On The Body Image And Self Esteem

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Described within the vignette is a nineteen year old teenager named Brandy. Similar to girls her age, Brandy has difficulties dealing with her body image and self-esteem. For instance, she experiences hopelessness, isolation, sadness, and anxiety that all contribute to Brandy’s acknowledgement of her physical appearance. She completely overestimates her body size to the point of taking dieting pills then defaulting to purging. During the typical day, the meals are scarce but healthy compared to a bad day full of unhealthy snacking. Lastly, her family predicament is not a supportive one at that. Her mother was obese so she constantly dieted while Brandy’s father illustrated signs of sexual interest although he never physically touched her.
Continuing, based upon Brandy’s symptoms and experiences, I would diagnose her with anorexia nervosa. First, her daily routine of little to no food indicated a sign to the disorder because the DSM-5 checklist lists “restricted net intake of nourishment” for anorexia nervosa patients (Comer, 2013, p.318). Second, Brandy has experienced an intense feeling of embarrassment and anxiety since she is worried constantly about gaining more weight and other people disapproving of her body image. Subconsciously, she actually feels citizens in the society are disgusted by her appearance which encourages the isolation and sadness. Therefore, Brandy loses weight by resorting to purging after meals since the dieting did not help. Third, the DSM-5 checklist also states people with the disorder will demonstrate “persistent denial of the seriousness of the current low weight” (Comer, 2013, p.318). When Brandy’s coworkers expressed concern for her abnormal behavior, she pushed everyone further away and ultimatel...


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... offered. Honestly, all the treatment plans in the world may fix a problem but there will always be a reoccurrence if support from friends and family is not provided. For instance, going through family therapy is a positive option to choose from when trying to treat a disorder. Also with outside influences contributing to Brandy’s disorder, there is a limited chance she will recover completely. For example, societal pressures from coworkers contribute to her prognosis alongside her parents influence. Brandy’s family environment is rather negative considering her mom’s own personal weight issue and her father’s sexual overtones. In conclusion, if Brandy does recover, there is a high chance she will have a relapse and turn to her previous pathways. However, there is always hope she overcomes her issues after treatment and eventually find a supportive base of friends.

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