Case Study 130 You are a nurse on an inpatient psychiatric unit. J.M., a 23-year-old woman, was admitted to the psychiatric unit last night after assessment and treatment at a local hospital emergency department (ED) for “blacking out at school.” She has been given a preliminary diagnosis of anorexia nervosa. As
Back in 2005, Amy, at age 17, was diagnosed with Anorexia nervosa after dropping twenty-two pounds for a school dance. Amy had been under a great amount of stress with organizing their school ball, trying to find a partner, and getting a dress. She decided to drop weight before this special occasion. While at the ball, Amy received multiple compliments about her weight loss. This was a contributing factor to her Anorexia. Soon after, Amy’s family noticed she was still dropping weight. Amy was then given the opportunity to meet with an eating disorder therapist (Amy).
Fairborn (2005) points out that there is a range of treatment options and a variety of treatment settings for anorexia nervosa, however there is inadequate empirical support for this abundance of options as what minimal research on the treatment has been inconclusive. One reasoning behind this is that anorexia nervosa has been an uncommon disorder and sample sizes for studies have been low. Furthermore, the lack of evidence based treatment research can be attributed to the individual’s avoidance of treatment and dropping out of treatment. Many individuals with anorexia nervosa are unwilling to change as their identity and self-worth are intertwined with their distorted body image; they tend to deny that anything is wrong with their weight and are ambivalent on changing (Abbate-Daga, Amianto, Delsedime, De-Bacco & Fassino,
Anorexia Nervosa is usually psychological as well as possibly an eating disorder which is life-threatening well-defined by a tremendously low body weight comparative to stature, great and needless weight loss, fear of gaining weight and distorted discernment of an individual’s self-image and body. There are several clinical factors of this eating disorder, and they are the following: the victim has a tendency of fearing his normal body weight where in this case, a person fears to be fat. In other words, the fear of normal body weight is very common in this eating disorder which is observed as a pathognomonic of the situation. In the case of Joshua, his parents should understand that he fears to get fat such that he already feels that his body
Anorexia Nervosa is an emotional disorder that causes its victims to have an obsessive desire to lose weight by refusing to eat. It is known to be the third most common eating disorder among adolescents. Many who suffer from the disorder have a strong fear of gaining weight and they 're very determined to prevent any weight gain. AN patients are also incapable of recognizing the severity of their condition. In the article entitled, "A Factor Analysis of the Meanings of Anorexia Nervosa: Intrapsychic, Relational, and Avoidant Dimensions and Their Clinical Correlates", Enrica Marzola explains, "AN sufferers often refuse treatments, show poor compliance with therapy leading to high dropout rates, relapse, and high mortality" (Marzola 2). Marzola examines how many patients become very attached to their illness and do not wish to be recovered from it. In addition, Not only do many AN patients believe that the disorder has help them gain their ideal body image, but they 've also described their starvation as a way to escape from any negative emotions, strengthen their identity, and reveals their distress. Enrica Marzola also addresses, "These instruments confirmed that AN sufferers experience a
The story of Stephanie does indeed resemble several of the characteristics on the list of those suffering from an eating disorder. Stephanie suffers from anorexia nervosa because she is very obsessed about losing weight and being thin. In the video, she stated that she counts the caloric intake on a daily basis. she meets some of the criteria on the list because she does live in the U.S, is on a never-ending diet, she is preoccupied with her weight daily, she maintain the distorted body image of herself, she has some kind of Obsessive-compulsive disorder, and she is a single mother of four who may be suffering from a low
Psychotherapy for Anorexia Nervosa What is anorexia? Anorexia nervosa is an eating disorder that consists of self-regulated food restriction in which the person strives for thinness and also involves distortion of the way the person sees his or her own body. An anorexic person weighs less than 85% of their ideal body weight. The prevalence of eating disorders is between .5-1% of women aged 15-40 and about 1/20 of this number occurs in men. Anorexia affects all aspects of an affected person's life including emotional health, physical health, and relationships with others (Shekter-Wolfson et al 5-6). A study completed in 1996 showed that anorexics also tend to possess traits that are obsessive in nature and carry heavy emotional
Question 1 The first person is an estimated 30-40-year-old male with normal body symmetry, multiple facial piercings, no obvious deformities or assistance aids and his level of wellness appeared overall okay (Estes, Calleja, Theobald & Harvey, 2016, p. 137). The person appeared to have a high body mass index (BMI) and an uneven body fat distribution with his abdominal region being significantly larger. His limbs and trunks were proportional to his body height, however, he maintained a slumped back position (Estes, p. 138). His body movement and gait were unsteady with him favouring his left side and the moderate effort it took to mobiles. Body and breath odour could not be observed in this type of situation (Estes, p. 139). The person's hair
When children are ill, they expect mom and dad to make it go away. They don't understand the definition of a disease, or at least that is the way I thought at the age of five. It was not until my own classmates started to make rude comments about my appearance, that I wondered what was wrong with me. Now at the age of seventeen, I comprehend that this stumbling block that almost ruined my strive of growing up successful was anorexia. Up until today, it is a shame how society has always had the ability to perceive individuals in a cruel way.
Nurses’ puzzle, bemused: friends step back: parents ask, ‘what can we do’: therapists analyse. Meanwhile, that individual, the one with the eating disorder, involve themselves in a complex, irrational, exhausting, lonely and enduring conquest of who will win: the person who needs nutrition and subsistence, or the person who will not falter from their will.
Berman, Boutelle and Crow (2009) conducted an experiment in which they investigated the positive effects of acceptance and commitment therapy to treat patients who were treated for Anorexia Nervosa in the past. Participants received several therapy sessions and interviews to determine whether they met the criteria for anorexia nervosa. The
Jill is the main character Ana’s, best friend. Jill appears to know what Ana is feeling before Ana does. Ana’s parents were just divorced and she needed an escape from reality when Jill invited her to go on a vacation with herself and her family. While on vacation, Jill asks
Effects caused by pro-eating disorder online services on anorexia: A critical literature review. This paper is a critical analysis of how research into pro-anorexia websites effects is insufficient for determining their influence on body dissatisfaction, dieting and anorexia nervosa (AN) disorder. These unorthodox services have received outrage in recent New Zealand (NZ) news coverage because they are seen to advocate engagement in eating disorder behaviour, and disengagement from professional treatment (Hawkes, 2017).
1. The case study. Christine is a sixteen year old girl who has severely restricted her dietary intake. She is currently forty nine kilograms and height 163cm. Her mother says she was 60kgs six months ago. In form three, at age fifteen, Christine was removed from the public school she was attending
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