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.
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)
Jody is a 19-year-old female who has been through a lot of change: she has completed her freshman year of college miles away from home and her parents recently became divorced. Due to high conflict throughout the divorce Jody’s anxiety levels have heightened, especially when thinking about or talking to her parents and Jody’s grades also began to decline. She has been seeking help from the school-counseling center and with her free time plays club volleyball. Jody started going to the gym more to get into shape and started liking the results, which escalated into working out more than necessary, and restricting her diet.
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
Sara is a thirty three year old lesbian black female. She reports that she was 5’9” in eighth grade and has always been larger than everyone. She also reports that her grandmother was present in her life and would control her diet with slim fast starting around eighth grade, and her brother lived with her as well. Sara has stated that growing up, she did not feel safe, and that there has been trauma causing her life struggles. Her close friend, Julie, reports that she is aware of Sara’s condition but only because she has brought it up when something apparent relates, but declines to discuss in any further detail. Julie states that it is hard to believe Sara is struggling with such a condition and for so long because
As she walks into the room, all eyes are on her. She has everything an eighteen year old could ever want. She wears the latest name brand clothes, has beautiful long hair, and of course she has the hostess body. The guys all drool over her every time she walks by. All of the other girls envy her. However, little do they know, this beautiful young woman does not have it all together. She has a secret, and this secret is an eating disorder called bulimia nervosa. For this purpose, the topics that will be discussed are the meaning, symptoms, causes, and treatments for bulimia nervosa.
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
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
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.
Children that live an unhealthy lifestyle are more prone to becoming obese later in life. Furthermore, the cause of children becoming more obese includes; children that do not participate in physical activity, children that eat lots of snacks, play video games or watch TV, and that do not eat a healthy balanced meal. In addition, the parent or guardian of the child also plays a role in whether the child becomes obese or not by “What” they offer the child to eat, and the type of environment the food is served in such as “When” and “Where” food is offered. Moreover, as a child grows there are different food exposures that create a preference for food intake, these exposures include sweet & salty foods, familiar foods, consumption of foods high
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.
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
There are many different biological approaches that explain the reasons for eating disorders they all have some validity behind them to a certain extent. An eating disorder is a psychological dysfunction that causes a person to change their eating habits to eating less, or more etc.
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.
A great range of people have keen interest in their body shape. However, it becomes a problem when your effort to have an envious physical appearance becomes an obsession. When this obsession falters, you began to lose control of your life and the people affected turn to one of two paths: excessive eating, or self-starvation. This compulsion of food and a physical appearance is also known as an eating disorder. Eating disorders slowly deteriorate your body, beginning with your brain, leading to the start of mental illnesses. Although people suffering with eating disorders know that their body is degenerating, they become ignorant towards their disease and fail to recognize their problem until it is too late.