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Anorexia nervosa case study
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Slide 1
• Anorexia stems largely from the perception of the sufferer that they will not be happy until they lose the weight. It is a condition where individuals feel that their worth is measure by how they look. o This means that overcoming anorexia comes from understanding that weight loss is not the key to success, confidence and happiness o It is about individuals discovering who they are beyond their body image, eating habits and weight.
Slide 2
• Exact treatments may vary from patient to patient o Generally the treatment process will follow this structure
1. Ask for help from loved ones or professional
2. Find a specialist
3. Address health problems o Some individuals may be chronically malnourished and below 15% of their normal body weight and hence may require hospitalization
4. Long term treatment plan o Long term treatment plans are necessary as eating disorders are not just about symptoms and destructive eating habits o At the heart of the disorder is emotional problems and a struggle to cope with stress, anxiety, fear, sadness and other uncomfortable emotions.
Slide 3
• There are a number of different treatment option including o Cognitive behavioural therapy o Family therapy o Group therapy o Medication o Residential treatment facilities o Self help
Slide 4
• But no matter what treatment option is chosen, it is also important that: o A good support system is established during treatment and maintained following treatment. o Education about nutrition and healthy weight management is conducted to ensure that individuals adapt healthy eating procedures following treatment o These measures are important as individuals can easily relapse or fall into bad habits again.
Slide 4
Cognitive behavioural therapy
• Most common treatment procedure for anorexia
• It has a high success rate as it targets the unhealthy eating behaviours and the negative thoughts and triggers at the root of them. o By understanding the triggers for unhealthy eating they can help patients cope with these triggers in different manners. o They also help patients understand how food is being used to overcome emotions
Slide 5
• Cognitive behavioural therapy may uncover that o negative self image is created by specific traumatic events or memories within individual’s developmental stages of childhood
During these childhood stages and during treatment parents may inadvertently play a role in fostering the negative self image of the individual.
Cognitive behavioural therapy can be important here as they can uncover familial pressures to be thin, can educate the family and help the family ensure the patient’s compliance with the treatment measures
Slide 6
• In summary cognitive behavioural therapy helps individuals become aware of emotional problems and how to combat them. o They help make changes through specific behavioural interventions like promoting healthy eating by goal setting and rewards.
The National Institute of Mental Health: Eating Disorders: Facts About Eating Disorders and the Search for Solutions. Pub No. 01-4901. Accessed Feb. 2002.
The main action of the cognitive behavioural therapist is to recognise the client’s problems in a cognitive way (Curwen, Ruddell, and Palmer, 2000).
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) )
Cognitive Behavioural Therapy (CBT) is a form of therapy which can be used to treat a wide range of mental health problems. Cognitive Therapy is an active, directive, time limited, structured approach used to treat a variety of psychiatric disorders, for example depression, anxiety, phobias (Beck, 1967). It emerged as a rational amalgam of behavioural and cognitive theories of human behaviour and is based on the idea that our thoughts determine our behaviour and feelings (Kendall PC, 1979). On average a patient attends between 5 and 20 appointments with their therapist. (Blenkiron 2013)
Anorexia is a condition that goes beyond out-of-control dieting. This psychological disorder initially begins with dieting to lose weight. The excessive drive to lose weight becomes secondary to the concerns about control and fear of one’s own body. An adolescent continues an endless cycle of controlled eating which is then often accompanied by other psychological and emotional behaviors. In an FDA consumer special report, Dixie Farley states, “the anorectic becomes obsessed with a fear of fat and losing weight[…] she sees normal folds of flesh as fat that must be eliminated[…] Anorectics are described as having low self-esteem and feeling that others are controlling their lives. Some may be overactive and her obsession increasingly controls her life. It’s an addiction.” A teenage girl with anorexia often restricts her dieting, sometimes to a point of starvation in order to feel control over her body. As she keeps dieting, a domino of emotional and psychological stress begins to affect her body and the endless cycle of restrictive eating and over exercising begins to lead to depression. In the end, this depression ultimately leads to a cycle that becomes an obsession and an addiction.
The therapists help clients develop self-motivation and positive behaviors by embracing rational and logical thoughts. The client is expected to make a follow-up of the ideas and concepts provided by the therapists. Both clients and therapists should be in constant communication to encourage positive thinking and develop logical and rational ideas. Cognitive Behavior Cognitive behavioral therapy is an approach used by psychotherapists to deal with emotional and behavioral behaviors. One of the issues associated with this type of therapy is the approach can be used in the treatment of other diseases related to emotional and physical stress.
Anorexia is a psychiatric disorder that is most common in young women. Those who suffer with anorexia have a fear of gaining weight and have an inaccurate portrayal of their own bodies. They see themselves as being fat, even though they are already thin to begin with. They are willing to go to extreme measures to lose weight, but the only outcome is a severely unhealthy body weight. To achieve the weight they want they will either starve themselves or do a tremendous amount of exercise.
Estimates say that 10 million women and one million men in the US undergo an eating disorder and those numbers are increasing daily. Eating disorders “help” with things such as; emotional pain, conflicts dealing with separation, low self-esteem, depression, or trauma. Although they commonly affect young women, the number of males has increased by over 50% in the last ten years. These disorders are complicated yet very serious. If they are not treated they can cause potential death, physical problems, and mood swings. Although the following list...
Cognitive-Behavioural Therapy has its foundations in two distinctive therapeutic theories, Cognitive Therapy and Behavioural Therapy. Cognitive Therapy (CT) believes that thoughts, feelings and behaviour are connected. CT states and an individual with help; can identify an issue that is causing a behavioural or an emotional response and correcting that thinking to achieve a desired outcome. Behavioural Therapy believes that individual’s behaviour is due to conditioning during the early years of life and as such can be altered with conscious awareness. Cognitive-Behavioural Therapy is a combination of both of these theories and is based on an individual’s own history of thought an...
Anorexia nervosa is an eating disorder that effects both men and women of all ages but most common in women. Refusal to maintain a healthy body weight. Many women in this day and age are taught by the media that being skinny or tiny in size is the healthy or more wanted body type, because of this women refuse to eat or take other measures to keep their weight extremely low to accomplish this. Many believe that even when they are small in body type that they are still large and see an overweight self in the mirror. No matter how skinny they may become it is never enough and they will still have a poor self-image and low confidence. There are two types of anorexia. There is the restricted type where people will try and achieve weight loss
Most of you probably already know what anorexia is, however in case you don't anorexia is basically a disease involving self-starvation. Anorexia victims have a very low "ideal" weight. It might begin as a normal diet carried to extremes, reducing their food intake to a bare minimum. Rules are made of how much food they can eat in one day and how much exercise is required after eating certain amounts of food. With anorexia, there is a strong almost overwhelming fear of putting on weight and they are preoccupied with the way that their bodies look. Anorexia sometimes involves use of laxatives, diet pills, or self-induced vomiting to lose or to keep weight off (http://www.netdoctor.co.uk/diseases/facts/anorexianervosa.htm). Anorexics may show symptoms such as extreme weight loss for no medical reason. Also, many deny their hunger, chew excessively, choosing low calorie foods and exercising excessively (http://news.bbc.co.uk/hi/english/health).
Anorexia represents one percent of most prevalent eating disorder diseases. The word anorexia itself means, “ lack of appetite”. Anorexia is an all-encompassing pursuit of thinness. The person effected by Anorexia has an absolute fear of becoming obese (Matthew 4).
The SMART goal of the obesity program is to reduce the obese population in Pitt County by creating a healthier diet program. Different objectives will be needed in order to reach this goal. The first objective is that from July 2016 through December 2016 100 community members will participate in the health department’s health promotion activities. This objective aligns with the reinforcement construct of the Social Cognitive Theory. By repeatedly participating in the activities, the 100 community members will be rewarded with the knowledge they receive and also motivation to change their behavior. By having an enjoyable time, they will be rewarded and want to keep coming back to the activities. The second objective is that following the 6-month duration; the majority of the participants will lose 2-10% of their original body weight by changing to a healthier diet. The reason the participants need to lose 2-10% of their body weight is to either prevent or reduce the chances of gaining other health diseases associated with obesity, including coronary artery disease and Type 2 Diabetes. This objective aligns with the self-efficacy construct. By losing a little bit of body fat, the participants will believe in their ability to lose weight, and continue to do so. The third objective is that on June 17 and June 24, informational brochures will be distributed to the community members to create awareness and reminders to join the obesity program, and gain knowledge about the health condition of obesity. This objective deals with the behavioral capability construct of the Social Cognitive Theory because the participants will gain the knowledge and skills needed to change their behavior through the brochures.
Although the treatment process was often frustrating and challenging, I actually came to enjoy my appointments with the nutritionist in her tiny, cozy office, cluttered with food models and recipes. She taught me the basics of nutrition and helped me form a healthier relationship with food. It took time and quite a few tearful sessions, but I slowly started to view food in terms of the nutrients and benefits it could offer me instead of thinking of food as the enemy. During my recovery, I experienced the powerful impact that proper nutrition could have on overall health. I gained back all the weight I had lost, and my hair stopped falling out. However, the biggest changes were the ones most people could not see just by looking at me; they were the emotional and mental changes that came from properly nourishing my body again. I could concentrate on schoolwork instead of planning out my next meal, and I ...
Shapiro, C. M. (2012). Eating disorders: Causes, diagnosis, and treatments [Ebrary version]. Retrieved from http://libproxy.utdallas.edu/login?url=http://site.ebrary.com/lib/utdallas/Doc?id=10683384&ppg=3