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. Labs/screenings: BUN, electrolytes, CBC, Thyroid function, UA, if malnourished perform an EKG, calcium, phosphorous, LFT, blood chemistry Medications: Stool softeners – docusate calcium 240mg capsule for constipation prevention, Remeron (mirtazapine) 15mg at hs for one week Teaching plan: Educating family that patients will resist hospitalization and plea for their families to remove them from the hospital. Body image correct BMI, nutritional counseling for appropriate diet and exercise. Counseling plan: individual therapy, family therapy, nutritional counseling (see treatment plan) Follow up: Continual monitoring of weight and progress. Continued outpatient therapy and family therapy.
Introduction Therapy and inpatient psychiatric units can be extremely helpful for patients who need professional help. There are multiple types of inpatient facilities and many to choose from for a specific condition. Types of inpatient psychiatric facilities may include: drug addiction, alcohol addiction, sexual addiction, trauma, mental health disorders, eating disorders, or other conditions. Laureate Eating Disorders Program is an eating recovery center located in Tulsa, Oklahoma. Laureate Eating Disorders Program
Through assessment, I have come to the understanding that these symptoms come from an underlying issue of abandonment. She is experiencing a negative cognitive shift where she has trouble seeing anything positive about herself leading to a lack of appetite. She is showing significant symptomology of an eating disorder, this coinciding with her high levels of irrational thoughts and faulty cognition (Lask, 2000). Her eating disorder has led to the problematic behaviors of panic disorder and it has to be dealt
This interview should consist of open-ended questions to make Sara feel she is able to express herself in a manner she sees fit. To help a client, a clinician needs to be able to create rapport with a patient and creating an open conversation for Sara to express herself will help her let go of the refrigerator and have someone to confide in. As well this interview should include questions about how Sara feels about herself personally, how she feels about her body image, experiences or trauma she may have had pertaining to her body image and size, and her perceptions on the importance of being “skinny”. This interview will be the last factor determining whether Sara has Bulimia Nervosa. Bulimia Nervosa is linked to psychosis so more questions would need to be asked to see if Sara feels as if she is mentally flawed and she blames others for her flaws (Miotto et al., 2010). A test of Sara’s DNA would also be helpful in this case. Sara states that she was always large, in a taller sense, but given her obsession with bingeing and purging and possible weight size that has not been revealed, a simple thyroid test could determine whether issues with weight are possibly thyroidal and/or from bad lifestyle habits such as overeating. Current research has been done on the link between genetics and Bulimia Nervosa. Lewin and Carter (2014), state that neurotrophic factors are a group of proteins that supplement the growth and
The clinical should look for the symptoms that might help him to identify the diagnosis of client. As Meredith mentioned that she cannot sleep and eat properly it is necessary to find out changes in her appetite and weight. Meredith also mentioned that she cannot work properly, so the clinical should ask about problems with concentration. The symptoms of Meredith case seem to be similar to depression, so the clinical should ask about suicide thoughts, thoughts about death and worthlessness; the frequency of such thoughts should be considered. Meredith also should be asked if she feels tired or exhausted easily as it also can point out that she is deeply depressed. is The clinical should ask about mood alteration during the day and define what does it depend on. Also Meredith should be asked about muscle tension as it points out anxiety disorder.
Chhaya is a senior in high school whose self identity problems began as a child with her mixed ethnic background. She blames her parents’ constant fighting (and threats of divorce) on her own behavior and, in turn, strives to become the perfect daughter. Chhaya consequently throws herself into her schoolwork where she repeatedly increases her goals despite the lack of disapproval of others. Social relationships and leisure activities are thrown to the wayside because Chhaya feels guilt whenever she experiences pleasure in non goal-directed activities. Although Chhaya has seemingly tried to control many aspects of her life, this tendency turned into an eating disorder, anorexia nervosa, after two major life events: finding out she did not receive valedictorian and the relationship with her first male interest ending. These events occurred within one month of each other at the end of Chhaya’s junior year in high school. Aside from her self-esteem and self-confidence plummeting, Chhaya also felt worthless and out of control of her life. When she discovered that she is very good at losing weight, she began using restricting her dieting to an extreme. She has been hospitalized and is now receiving occupational therapy at the children’s hospital.
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
Medical nutrition therapy for people with GD should be individualized based on a persons, height, weight, physical activity, food aversions, and other medical conditions. Monitoring of metabolic parameters, including glucose, lipids, blood pressure, and body weight, as well as the health of the developing baby, is important to assess the need for changes in medical nutrition therapy and to ensure successful outcomes.
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.
Her doctors suspected that her family’s dynamic and her upbringing may have contributed to the eating
Each year millions of people in the United States develop serious and often fatal eating disorders. More than ninety percent of those are adolescent and young women. The consequences of eating disorders are often severe--one in ten end in death from either starvation, cardiac arrest, or suicide. Due to the recent awareness of this topic, much time and money has been attributed to eating disorders. Many measures have been taken to discover leading causes and eventual treatment for those suffering from anorexia. (http://www.kidsource.com/kidsource ...er.html#Causes of Eating Disorders) )
The rising frequency of teen Internet and social media use, in particular Facebook, has cause parents to lose sight of these websites harmful attributes that lead to eating disorders and extreme dieting. Michele Foster, author of “Internet Marketing Through Facebook: Influencing Body Image in Teens and Young Adults”, published October 2008 in Self Help Magazine, argues Facebook has become the leading social network for teens and young adults aging 17 to 25 years of age, and is also the age range that has significant increases in Anorexia and Bulimia Nervosa in women. Foster accomplishes her purpose, which is to draw the parents of teen’s attention to the loosely regulated advertisements on Facebook and Facebook’s reluctance to ban negative body image ads. Foster creates a logos appeal by using examples and persona, pathos appeal by using diction, and ethos appeal by using examples and persona.
Binge Eating Disorder also known as Compulsive Eating Disorder, is a disorder in which a person uses food to deal with their stress and other negative emotions. A person affected from Binge Eating Disorder will secretly and compulsively overeat large amounts of food even if they were not hungry at all. During a Bingeing Episode, it could last several hours or all day, and can be reoccurring several times in one week. Often the foods that are consumed are “comfort foods” such as cookies, chips, candy, etc. Aside from the disorder there are its symptoms, who is affected, age of onset, causes, potential treatment methodology, and several resources for help. (Smith, Segal, and J. Segal; February 2014)
There is substantial evidence that supports the efficacy of individual and group CBT in treating binge eating disorder (“Part A,” 2006). The CBT approach for binge eating disorder is active and directive. At the cognitive level individuals in CBT are taught to identify, test, and correct their faulty cognitions. Behavioral strategies in CBT for binge eating include monitoring binge patterns, educating the individual, and introducing incompatible activities (Parrott, 1998). One study assessed the long-term efficacy of CBT in the treatment of binge eating disorder. They assessed a sample of 68 patients with binge eating disorder and a substantial reduction of binge eating was observed during treatment. There was a decline at the three-year follow-up and at the four, five, and six-year follow up there was a slight worsening of binge eating was observed in the individuals (Ricca, Mannucci, Zucchi, Rotella, & Faravelli, 2000). Other psychosocial therapies that show efficacy in the treatment for binge eating disorder are interpersonal therapy (IPT) and dialectical behavior therapy. There is evidence that both of these therapies are effective in the improvement of behavioral and psychological symptom (“Part A,” 2006).
Eating disorders are described as an illness involving eating habits that are irregular and an extreme concern with body image or weight. Eating disorders tend to appear during teenage years, but can develop at any age. Although more common in women, eating disorders can affect any age, gender or race. In the United States, over 20 million women and 10 million men are personally affected by eating disorders. There are many different causes of eating disorders such as low self esteem, societal pressures, sexual abuse and the victims perception of food. Eating disorders are unique to the sufferer and often, their perception of themselves is so skewed, they may not be aware they have an eating disorder. Media, for quite some time now, has played a significant part in eating disorders. Magazines with headlines ‘Summer Body’, or ‘Drop LB’s Fast!’ attract the attention of girls who may be insecure with themselves. Television productions such as the Victoria’s Secret Fashion Show or American’s Next Top Model, show airbrushed and photoshopped women who have body types that may be unachievable. Those who are suffering from eating disorders can suffer dangerous consequences, and it is important to seek help.
An eating disorder is characterized when eating, exercise and body image become an obsession that preoccupies someone’s life. There are a variety of eating disorders that can affect a person and are associated with different characteristics and causes. Most cases can be linked to low self esteem and an attempt to, “deal with underlying psychological issues through an unhealthy relationship with food” (“Eating Disorders and Adolescence,” 2013). Eating disorders typically develop during adolescence or early adulthood, with females being most vulner...