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Case study anorexia counselling
Case study anorexia counselling
Case study anorexia counselling
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Anorexia nervosa is an eating disorder that I struggled with for the majority of my middle school years and a portion of my high school years. My classmates at Riverview High School were aware of my disorder, and it greatly affected the way they treated me. At the start of my junior year, I transferred to Madison High School. I decided not to tell anyone at that school about my eating disorder since I was mostly recovered by that time. Even though my friends at Riverview and Madison all showed concern for my well-being, their approaches differed greatly, especially in lunchroom behavior, conversation, and individual opinions about my personality and character. At Riverview, lunchtime was usually a nightmare for me. I would enter the cafeteria, …show more content…
No one knew that I had an eating disorder, so they did not care what I ate. This lifted an enormous amount of stress from my life. I finally had the freedom to eat what I wanted without being harassed. It was still hard for me to eat in front of other people, which is common for anorexics, but I was able to put some of my fears aside. I began to enjoy lunch instead of disposing of …show more content…
Girls would follow me into the bathroom, and instead of styling their hair, they would check to see if I was throwing up. We never got to gossip together like normal middle-school girls because we had to focus on anorexia instead. All I really wanted to talk about was how cute Mike Reynolds looked that day. I was totally shocked to find that all the life-and-death conversations disappeared when I went to Madison. It was so much fun to talk about the little things that occurred in everyday life. The subject of eating disorders rarely came up, and when it did, I was not the focus. I loved having the freedom to go into the bathroom without being followed. High school is meant to be filled with frivolous chatter, and at Madison I participated in more than my fair share. I found that the students at Riverview had made many generalizations about my character, and their behavior was guided by those generalizations. Their natural instincts told them to help me. I appreciated their concern, but they never took the time to find out who I was as a person. They knew me only as an anorexic. My friends cared about my health, but they failed to care about me. Truthfully, all I wanted was for them to love me for me and not to obsess over my
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
Very few people ever admit that they have an illness or get treatment for it. According to the National Association of Anorexia Nervosa and Associated Disorders about 30 million people in the world have an eating disorder but only one out of ten of them get help for their disorder. People need to learn more about eating disorders so that they know the signs and can help people. Also if people understand eating disorders more people will feel comfortable reaching out for help and treatment.
Anorexia Nervosa (AN) was the first eating disorder to be classified, with some specific diagnostic criteria developed in the 1970s (Fairburn & Brownell, 2002). AN is a serious psychiatric disorder in terms of aetiology and epidemiology. 0.48% of prevalence of AN is estimated in girls who fall under the 15-19 age group (Lock et al., 2012). In AN, pathological thoughts and behaviours concerning food and weight, as well as emotions about appearance, eating and food co-occur (Lock et al., 2012). These thoughts, feelings and behaviours lead to changes in body composition and functions that are the direct results of starvation (Lock et al., 2012). The illness in adolescents causes severe affects physically and emotionally, and affects the social development of the individual. The causes of AN are not known but most of the researchers and clinicians agree that AN has multiple determinants (Garner et al., 1982) that emerge in a developmental sequence. Many physiological symptoms, common to semi-starvation irrespective of causes such as depressed mood, irritability, social withdrawal, loss of sexual libido, preoccupation with food, obsessional ruminations and rituals, as well as reduced alertness and concentration are also associated with Anorexia nervosa (Fairburn & Brownell, 2002). The illness is also associated with premorbid perfectionism, introversion, poor peer relations, and low self-esteem (Fairburn & Brownell, 2002). Patients suffering from AN, are also known to suffer from other physical consequences of starvation and other weight losing behaviours. The body’s response to starvation includes bone marrow suppression with increased susceptibility to overwhelming infection, which in the longer term may lead to health consequences s...
The full extent of the problem is not known, but estimates very from one in every hundred school girls with anorexia, to six percent of Australian women with bulimia. Since bulimia is not a physically obvious condition, the numbers could be far higher. Social Isolation People who have anorexia or bulimia have probably been feeling isolated and friendless for a long time. This may have been one of the factors contributing to their belief that they are essentially unacceptable people. However, the condition itself increases social isolation.
Anorexia Nervosa (AN) is an eating disorder with the highest mortality rate of any other mental disorder. The National Association of Anorexia Nervosa and Associated Disorders characterizes the disorder as “a relentless pursuit of thinness and unwillingness to maintain a normal or healthy body weight”. (2014) Individuals also experience a “distortion of body image, intense fear of gaining weight and extremely disturbed eating behavior.” (National Association of Anorexia Nervosa and Related Disorders, 2014) As a result, they experience complications physically, mentally and socially. About 80% of individuals with eating disorders suffer from cardiac complications with death due to arrhythmias being the most common cause. This paper will focus on the connection between AN and cardiovascular rhythm disturbances. Individuals with this disorder have an increased chance of sudden death due to cardiovascular abnormalities like bradycardia, myocardial modification including atrophy and refeeding syndrome. (Casiero & Frishman, 2006)
Eating Disorders are on a rapid rise in the United States today, they sweep the halls of Junior High School, High Schools, College Campuses and even Elementary Schools. These disorders are often referred to by professionals as the “Deadly Diet,” however you may know them as Anorexia or Bulimia. Eating disorder effect more than 20% of young females and males in today’s society. Ranging in age from thirteen to forty. It is very rare for a child of a young age to not know someone who is suffering from an eating disorder or symptoms that are associated with one. Statistically it has been proven that one out of every five young woman suffer from serious issues dealing with eating and or weight. (Bruch, 25)
There are countless health problems that an eating disorder can lead to. However; if caught in time, professional assistance can help a person to overcome a disorder. I personally feel invested in this topic because my best friend developed an eating disorder. It was hard for me to see how much she hated the way she looked. I watched her weight drop to an unhealthy size in a matter of months. Thankfully, with the help of therapy, she has since moved past it. Learning the signs and characteristics of an eating disorder can aid in identifying individuals at risk. If you are suspicious that someone you know could have an eating disorder, it is important you talk to them about it. The results of eating disorders being caught early on could be the difference between life and death.
Anorexia Nervosa is an eating disorder that causes people to intentionally starve themselves or severely restrict their food intake. Anorexia usually occurs at the time of puberty and involves extreme weight loss. People who have this disorder have a fear of becoming overweight even though they are 15% below the average weight. Many causes of anorexia show that they adhere to strict exercise routines to keep off weight, 90% of all anorexics are women.
There may be murmurs about that girl who only fixes herself a salad with only vinegar at dining services or suspicious glances at someone who spends 45 minutes on the treadmill and then switches to the stair stepper at the rec. On-campus eating disorders are talked about everywhere and yet are not really talked about at all. There is observation, concern, and gossip, but hushed conversation and larger scale efforts to help and change never seem to earn public attention.
The main problem is that many Americans are suffering from an eating disorder that takes over their lives in a mental and physical state. The Centers of Disease Control and Prevention needs to take note of this problem and look into this solution. Many Americans struggle with an eating disorder their entire life because they think that they are fine or they are too afraid to admit that they have a problem. All victims of eating disorders need to realize that there are thousands of other people in the United States that are struggling with the same problem. By developing classes taught by survivors, the victims understand that the...
It is very rarely, even in the lives of normal human beings, that they are faced with a veritable, identifiable enemy. By controlling their eating disorders, patients can assert control over their lives. This is bound to reduce their depression (even eliminate it altogether as a constant feature of their mental life). This is bound to ameliorate other facets of their personality disorders. Here is the chain: controlling eating disorders=controlling my life=I am worthy, I have self-confidence, self esteem and self-worth=I have a challenge, an interest, an enemy to subjugate=I am strong=I can socialize=I feel better (I am a success) etc.
O’Dwyer, Michael P. Student Eating Disorders : Anorexia Nervosa and Bulimia. Washington, D.C.: National Education Association, 2005.
Christmas eve ended with me crying on our living room floor because my mom wanted me to eat just one of her famous sugar cookies. Her cookies had always been one of my favorite Christmas traditions, but this year when I looked at the cookies, all I could see were calories and guilt. They smelled and looked delicious, but just the thought of taking one bite filled me with anxiety and fear. I consider this the moment I realized my eating disorder had completely taken over my life. I had become obsessed with calories and weight as a way to feel in control of my life and gain confidence. In reality, my eating disorder had slowly stripped me of my independence, health, and happiness. After that Christmas, I finally decided to seek help after months of struggling, and at the age of 17, I began an intensive outpatient treatment program.
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.
Yet again, I was starting another school where I didn’t know anyone.I had to do it all over again, with the same thoughts going through my head, wondering what it was going to be like, always wondering if I was going to fit and make friends easily knowing how big it was. I decided that these next two years at this school were going to be focused on college and my school work, I wasn’t going to be in any clubs or sports. I thought to myself that joining a sport at a small school was very different and I didn’t want to know what it was like at a big school. I managed starting this school just like I managed starting high school. Good thing I am very outgoing so I enjoy meeting new people! I remember my first day of school there like it was yesterday. Walking in and seeing thousands of faces that I have never seen before. It was huge, 1500 in each grade. It was so big that they had two different campuses; one for the freshman and sophomores and another for the juniors and seniors. It was really hard making friends but I was lucky enough to be able to go to the Lake County Tech Campus associated with the College of Lake County and I made a lot of friends there in my nursing class. It was a very racial school, there wasn’t a majority of one race whereas Central was majority whites. I enjoyed all of my teachers that I ever had at Warren and I felt that I really learned a lot compared to feeling like I was ever