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Patient’s name is Molly Greenwell. She is a single non-Hispanic Caucasian Female. Molly is eighteen year old, with family background orientation of Italian culture. Molly does not work but she feels like she has enough stress surrounded around being a senior with a 4.0 GPA in an all-girls catholic school. She considers herself a shadow on the high school monarchy. This being said she feels like whatever she does, her parents are never happy enough. Having attended Italian school every Saturday, church and religion class every Sunday in the Roman Catholic Church; she feels like she has no friends. The one pleasure she does for herself is participate in a track team. Molly has two older brothers that tell her she is a piece of shit every day and she looks fat. Molly’s parents saying nothing has led to Molly feeling isolated in the family. Molly also has no mental health or dietary issues in her family history.
Acting as a counselor I feel Molly exhibits the symptoms of a panic disorder. I recognized the heightened anxiety as a stressor that evolved hand-in-hand from multiple years of Anorexia Nervosa. Anxiety-related disorders has been co-occurring with the Anorexia Nervosa. Through the use of Cognitive-Behavioral Theory, I intend to develop a hypothesis in
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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
In the article “Beating Anorexia and Ganing Feminism,” Marni Grossman shares her experiance of how she overcame her struggle with anorexia through understanding the feminist movement. Marni objectafies the ways in which society’s expectations and ideas of what it means to have “beauty” is having and negitaive impact. I had a very similar experiance to Marni, in fact the first time I hated my apperance was in the seventh grade. I have olive skin and bold brows, features which i was often complamented on, yet hated. Shawn and Lee argue that “there is no fixed idea of beauty”, suggesting how social ideals from society differs depending on the culture (183). I remember A male student was bullying all the females in the class by Inscribing Gender
To begin, Rys proposes that one of the main psychological factors of anorexia is the unknown identity of oneself and the ideal image of a woman. In this present day, media is everywhere. Women are constantly trying to change themselves to become the image that the population as a whole...
Mary has suffered with her illness for over 10 years. She has previously been diagnosis with a Cluster B type Personality Disorder. Mary comes across as narcissistic, self-engrossed and can be very demanding at times. Mary suffers from anxiety and is prone to panic attacks in relation to her PD diagnosis. At times Mary has been known to make ...
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
Major current stressors in patient H’s life are normal for a girl of her age; attending college at a prestigious university, a new puppy, and friends. Patient H also is suffering from a variety of mental illnesses (this will be discussed later), and her family majorly stresses her. Patient H is an only child and therefore has had her parents
The LPN-Team Lead contacted the social worker about Dr. Sundaram’s patient. The patient is a single, Caucasian grandmother and mother of two; she is alert and orientated to person, place and time. The patient reports that she lives with her 16 year old daughter and 3 month old granddaughter. The patient states that she works two jobs, one full-time and one part-time job and she assist with the care of her new granddaughter while her daughter is a work. The patient report that she is feeling (angry) and hurt because her boyfriend of 11 years cheated on her when she was in the hospital and left her a month ago; this and the loss of her child last year at 6 months gestation in addition to her CHF, COPD and influenza appears to have left the patient feeling of depression and hopelessness. The social worker noted that the patient scored a 19 on her PHQ-9, although she denies thoughts of suicide at this time. The patient states that she suffers from insomnia and gets approximately 2-3 hours of non-continuous sleep a night.
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
Anorexia nervosa is a psychosociological disease which affects young women. Anorexia is mainly a female's disease which has been evident for centuries-however, in the past twenty years, the incidence of this disorder has risen to horrifying proportions. It is characterized by the refusal to maintain body wight over a minimal normal weight for age and height; intense fear of gaining weight; a distorted body image; and, amenorrhea. (http://www.pgi.edu/hagopian.htm) This disorder becomes a disease when the mind starts to cause problems with one's physical well-being. A connection has been found between sociocultural pressures to achieve, familial characteristics, and individual personality traits.
Considering the growing preoccupation of teenage girls with their weight and their bodies, eating disorders have become even more of a concern. In light of the fact that mortality in anorexia nervosa is among the highest of all psychiatric disorders, it is increasingly important to understand what causes eating disorders and how best to treat them (Herzog et al., 1996). A meaningful area of research to consider when trying to understand eating disorders is comorbidity. Such psychiatric disorders such as anxiety disorders, affective disorders, personality disorders, and substance abuse have been found to coexist, at least to some degree, with the eating disorders anorexia nervosa and bulimia nervosa. This paper will examine how anxiety disorders have been found to interact with both anorexia nervosa and bulimia nervosa.
The next part of this paper will examine two cases involving anorexia and drug abuse. They will be examined from the Biopsychology perspective. The nature-nurture issue will be explored in connection to each of these disorders. The first case will involve a teenage girl suffering from anorexia. The second case will involve a middle age man who has a drinking problem. Case One: Anorexia
In the last 50 years, eating disorders have become more and more prevalent in the United States. Society is starting to realize that they do not just affect teenage women, but men and children as well (Caralat, Camargo & Herzog, 1997; Lask, 2000). Solitaire is a novel originally published by Aimee Liu was she 25 years old. It was considered America's first memoir of anorexia, with Liu describing her battle with anorexia as a teenager in the sixties. Gaining is the sequel to this groundbreaking novel, following Liu as she talks with her fellow (former) eating disorder sufferers. In Gaining, Liu talks with one specific person who is my main focus; Hannah Winters. This essay can be considered a case study of Hannah, looking specifically at her life, symptoms, diagnoses, and comparing them to the research that has been done on similar topics. From her story, Hannah could be considered a poster child of eating disorders; following very closely to the diagnosis of anorexia given in the Diagnostic and Statistical Manual (APA, 2000) and dealing with many of the typical issues that those who have eating disorders deal with.
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).?
There are many factors that can contribute to mental disorders in the cognitive-behavioral theoretical perspective. In the book Letting Ana Go part of a book series that is based on diaries written by anonymous teenagers that are left behind, Ana has an eating disorder called Anorexia Nervosa (307.1). Starting with the Summer sports starts, her coach makes her track team start a food diary, to monitor eating habits so that eating disorders do not happen. Ana's best friend Jill, is a ballerina trying to loose weight so that she can FINALLY win the main character in The Nutcracker. During the story, Ana goes on vacation with Jill and her brother Jack, who happens to be Ana's love interest. Jill talks Ana into 'counting her calories' and loosing
Out of all mental illnesses found throughout the world, eating disorders have the highest mortality rate. Anorexia nervosa is one of the more common eating disorders found in society, along with bulimia nervosa. Despite having many definitions, anorexia nervosa is simply defined as the refusal to maintain a normal body weight (Michel, 2003). Anorexia nervosa is derived from two Latin words meaning “nervous inability to eat” (Frey, 2002). Although anorexics, those suffering from anorexia, have this “nervous inability to eat,” it does not mean that they do not have an appetite—anorexics literally starve themselves. They feel that they cannot trust or believe their perceptions of hunger and satiation (Abraham, 2008). Anorexics lose at least 15 percent of normal weight for height (Michel, 2003). This amount of weight loss is significant enough to cause malnutrition with impairment of normal bodily functions and rational thinking (Lucas, 2004). Anorexics have an unrealistic view of their bodies—they believe that they are overweight, even if the mirror and friends or family say otherwise. They often weigh themselves because they possess an irrational fear of gaining weight or becoming obese (Abraham, 2008). Many anorexics derive their own self-esteem and self-worth from body weight, size, and shape (“Body Image and Disordered Eating,” 2000). Obsession with becoming increasingly thinner and limiting food intake compromises the health of individuals suffering from anorexia. No matter the amount of weight they lose or how much their health is in jeopardy, anorexics will never be satisfied with their body and will continue to lose more weight.
Anorexia nervosa and Bulimia nervosa are described as psychological eating disorders (Keel and Levitt, 1). They are both characterized by an over evaluation of weight. Despite being primarily eating disorders, the manifestations of bulimia and anorexia are different. They both present a very conspicuous example of dangerous psychological disorders, as according to the South Carolina Department of Health, “Eating disorders have the highest mortality rate of any mental illness” (Eating Order Statistics, 1). While Bulimia and anorexia both psychological disorders primarily prevalent in women, anorexia tend to have different diagnostic complexities, symptoms and physiological effects as compared to bulimia.