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essay on treatment of anorexia nervosa
biopsychosocial approach
proponent of biopsychosocial model
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Davis 1 Anorexia nervosa is defined as a refusal to maintain a minimally normal body weight, in addition to a disturbance in perception of body shape and weight( DSM-IV-TR, 2000). In this paper we will examine Carolyn Costin’s battle with anorexia nervosa from a biopsychosocial perspective and what reinforced her disorder. This will be followed by diagnostically using the DSM-IV-TR in Carolyn’s case and conceptually using the sociocultural dimension. The implications for both Carolyn, her social and cultural context, as well as society at large will be addressed. The paper will then conclude with the successful treatments of anorexia nervosa and why we should care about the disorder. The biological dimension of Carolyn’s eating disorder includes looking at her first-degree relatives, more specifically females for a pattern of abnormal eating behaviors. In Carolyn’s family perhaps a genetic contribution made her vulnerable plus the changes her body was going through during puberty may have all contributed to her developing anorexia nervosa. Other factors to consider is maybe Carolyn’s hypothalamus which controls her eating behavior had contributed to her abnormal eating patterns, in addition to the high levels of dopamine in her brain that may have decreased her desire to eat. Research has shown perhaps there is a relationship between people with eating disorders having a shorter dopamine transporter train versus people who do not. In Carolyn’s case, she may have a shorter dopamine transporter train and because of this she has a less appetizing reaction towards food versus someone who does not have an eating disorder. Lastly, Carolyn’s changing eating patterns may have changed the amount o... ... middle of paper ... .... Lastly, the impact the eating disorder has on the individual, family, and friends are another reason why we should care. Davis 6 One of my best friends struggled with anorexia nervosa and after getting treatment at the Remuda Ranch in Arizona, she was able to recover from her eating disorder and now maintains a healthy weight and lifestyle. In this paper we discussed Carolyn Costin’s struggle with anorexia nervosa from a biopsychosocial perspective and what reinforced her disorder. We then explored Carolyn’s battle with her eating disorder using the DSM-IV-TR criteria and conceptually using the sociocultural dimension. The implications for both Carolyn, her social and cultural context, as well as society at large were discussed. Lastly, we covered the successful treatments of the anorexia nervosa and why should we care about the disorder.
Anorexia nervosa has many different symptoms. Some of those include restriction of food intake, intense fear of gaining weight, disturbed perception of weight/shape or lack of recognition of seriousness of current low body weight. Jody has all of these. She has failed to see how serious her weight loss has been. She is also restricting her eating to only 400 calories a day. As a result of always been over weight Jody has become more confident because of the compliments she has been receiving. Anorexia has developed as a result of all of the stress that she has been put under. It is typical for a teenager to undergo a great deal of changes at the age of 19. Jody recently moved away from home for college and her parents were going through a divorce. After the time she found out about the divorce, it seems that her exercising habits increased. After receiving compliments for the weight she has been losing and her increased stamina. Looking at her symptoms it appears that she has a restricting type as opposed to binge eating and purging. This just means that rather than having behaviors that are compensatory from eating too much she doesn’t eat enough. I diagnosed Jody with anorexia because this eating disorder does not have much to do with food but rather than emotional problems. She believes that by being skinny that she would be able to feel better about
Her doctors suspected that her family’s dynamic and her upbringing may have contributed to the eating
It is that sense of perfection and control that leads too many women, teens, and even children to become anorexic. Obviously, Martha Stewart is not anorexic; while some may proclaim that she is fixated with food, most of her attention is really on decorating. Sheila was displayed a few minor symptoms of anorexia, although we ex-employees believe she was a frequent user of coke instead of dieting. I am not arguing that either of them is anorexic; instead, I want to explain how their obsessions can be linked to anorexia.
Throughout her youth, Laurie suffered from a disease of her own: body image issues. She was made of fun by her peers and was even called “Baby Hippo” (Anderson). For years, Laurie had an “unhealthy relationship with food” (???)
Anorexia nervosa is a disease that revolves around the thought of “Never being skinny enough.” Once someone starts to live an anorexic lifestyle nothing else in his or her life matters anymore. Family, friends and other activities are pushed aside because all that matters in the life of someone with anorexia is losing weight (Anorexia Nervosa). However, anorexia isn’t just about eating unhealthy. Anorexia is about malnutrition, excessive weight loss and starvation of the body. Anorexia isn’t a very popular disease. Anorexia appears in less than one percent of girls (Rosen, Meghan).
Look in the mirror. Do you like what you see? Most of us have come to appreciate ourselves for who we are. While other’s struggle to achieve the perfect body. They strive to be what is depicted in fashion magazines and movies. The never ending obsession to be the perfect size zero. This inevitably can lead to eating disorders. Eating disorders can cause someone to have an unhealthy image of themselves and food is the enemy. In a national survey at the Mclean Hospital in Massachusetts it was estimated that over 9 million people suffer with eating disorders. They can struggle with anorexia, bulimia or binge eating. A study conducted by the National Association of Anorexia Nervosa and Associated Disorders states that most of these diseases start before the age of twenty. Another growing problem in the United States is obesity. Over 60 million Americans suffer from this disease, this according to the American Obesity Association (gale opposing viewpoints: eating disorders 2010).
Laurie was a size fourteen at age eleven and weighed one-hundred fifty-five pounds. She went through elementary school being the kid that everyone called fat and never felt love from any of her peers. Even a counselor at her after-school YMCA program made an example of her to the other children. The teacher told all the children that she used to be as big as Laurie. Putting aside all the criticism from her fellow peers and teachers she found the courage and strength to lose weight. She began doing sit-ups and eating “healthier”. In all reality, she was eating less and less every day. She went from a size fourteen to a nine and then from a nine to a five. This all happened to her between summer and Christmas. By the following summer Laurie was a size double zero. During the following school year, she was called to the nurse’s office to be weighed and the scale read ninety-seven pounds. Laurie had become anorexic from the mentally abusing childhood she experienced from her peers.
... is also accompanied by the National Association for Anorexia Nervosa and Associated Disorders (ANAD). These groups are paving the way to make these disorders easier to cure. They provide family therapy, psychotherapy, and hypnosis. Since there are so many philosophies about treating anorexia nervosa, exploring for a suitable therapist is suggested.
Anorexia is not a choice to be made. It is brought on by many pressures to be thin and it clouds one’s ability to see herself/himself as she/he really is, which is usually dangerously thin. Anorexia nervosa is an eating disorder. Sufferers starve themselves and have extreme weight loss. When starving themselves, anorexics may suffer from terrible hunger pains, but feel rewarded when they can make it through a certain time period, usually a day, then work up to two days and so on.
Anorexia Nervosa or just Anorexia, is characterized by an extreme and intense fear of gaining weight, which leads the person to pursue continuous weight loss. Sometimes, a diet can begin innocently, but anorexics don't stop at a rational point. They keep going until their lives may be threatened. Anorexics may use many methods of weight loss along with dieting and fasting. They use excessive exercise, diet pills, laxatives, diuretics, or vomiting as ways of feeling thinner or controlling calories, but whatever the method, the primary goal is thinness. One may wonder why anorexics don't stop dieting once they become skinny. The reason is that a major characteristic of anorexia is a problem called distorted body image. This means that anorexics look at their bodies very differently than other people do. When they look in the mirror, they never see themselves as being too thin. They "feel fat" And usually overestimate their weight. If an anorexic is told she is too skinny, she is more likely to be happy than upset. Many times, anorexics don't believe that they have a problem. Using weight reduction is just a way of coping with other pressures.
Anorexia nervosa is characterized by a fear of being overweight which results in becoming exceedingly thin. (guide) People with anorexia go to an extreme in abusing the way they diet, over exercise, and purge. When looking for symptoms in anorexia it is slightly hard to tell, for many times people keep their disorder a secret. Once someone starts undergoing this process, people sometimes gain weight rather than lose, which also initiates them to lose more weight. During the period of growth and maturation, anorexia leads to somatic and psychological development and which leads to serious health issues. (journal research) Although many don’t see what is happening, over time they are sev...
Many people think that they know all about eating disorders. They think that they already know all they need to know about them and that as long as your child or your friend or someone you care about doesn’t have it; you don’t have to worry about them. Well, how are you supposed to know when someone you love and care about has them if you don’t even know the basics about the eating disorders? Most of the times the person with the eating disorder was only trying to lose a couple pounds. However, the goal that was set turns into something more than just a couple of pounds and that person may go through extremes to try and get to that perfect body they have in mind. But the perfect body they have in mind is not perfect, not even close. It is a pure illusion in which teenagers are made to believe to be the definition of beauty.
Before treatment can begin, anorexic clients must undergo assessments that ensure they are physically capable of outpatient treatment. If these individuals are not ready for outpatient treatment, they must undergo hospitalization to stabilize their condition. For those clients who pass medical examinations, and are good candidates for outpatient care, it remains necessary for a physician and dietitian to be involved with treatment (Bowers, 2002). This ensures the client is cared for in a holistic manner by addressing “nutritional rehabilitation, possibly medical stabilization, and psychological interventions” (Bowers, 2002, p. 249). This multidimensional approach ensures the client’s physical wellbeing is addressed, in addition to the psychological aspects of the disorder.
Anorexic: this word is an adjective, a label, and to some, a lifestyle. Medically speaking, it is someone who suffers from the deadly and heartbreaking disease, Anorexia Nervosa. This term translates to “nervous loss of appetite”, but anyone who has battled through this sickness is aware how that is anything but true. Eating disorder patients do not, in fact, lose their appetite; there is more to it than that. Many perceive eating disorders as a choice to be thin, a diet, or a cry for attention; they do not see the mental destruction going on inside of the mind. Eating disorders have the highest mortality rate of any mental illness, yet only 30% of people fully recover (ANAD). The general mindset that society has about eating disorders walks hand in hand with these statistics, slowing down any advances patients may be able to make. Eating disorder patients are not getting proper treatment because of ignorant misconceptions about the illness.
Anorexia Nervosa has three Diagnostic Criteria. One is refusal to maintain body weight at or above normal. The other is, intense fear of becoming fat, even though under average weight. The last one is, Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self- evaluation, or denial of the seriousness of low body weight (Long 15).