Anorexia And Inpatient Care Case Studies

The criteria that Andrea meets according to the DSM-V (American Psychiatric Association, 2013) is the following:

Bulimia nervosa is a second eating disorder that needs attention drawn to it. Bulimia was pretty much unknown before the mid 1970’s (Dippel, N. & Becknal, K., 1987). Bulimia consists of binging and purging (eating as much as possible and then throwing it up). In a study that was conducted it was found that after bulimics had attempted several diets without success, they then became aware of vomiting or laxatives as a means to weight loss (Herzog, 1982). The symptoms of bulimia heave to do with preoccupations with food, weight, body image, and ridding themselves of ingested food (Dippel, N. & Becknal, K., 1987). Most people throw up because they feel guilty for consuming all the foods they know they shouldn’t have. They vomit not only to get rid of the food but to get rid of any unwanted feelings and emotions. Most patients begin purging approximately 1 year after the binge eating has started. As scary as the facts may sound, what is even scarier is the affects

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 you begin to assess her, you notice that she has very loose clothing, she is wrapped in a blanket, and her extremities are very thin. She tells you, “I don't know why I'm here. They're making a big deal about nothing.” She appears to be extremely thin and pale, with dry and brittle hair, which is very thin and patchy, and she constantly complains about being cold. As you ask questions pertaining to weight and nutrition, she

In 1981, a researcher named Fairburn conducted the first study applying cognitive-behavioral therapy to the treatment of bulimia nervosa. In a recently published report by D. L. Spangler (1999), CBT is touted as “a well-developed, theoretically grounded treatment for bulimia nervosa with the strongest empirical support for its efficacy of any form of treatment for bulimia nervosa.” Today cognitive-behavioral therapy (CBT) is a form of therapy commonly used to treat patients with bulimia nervosa (BN).

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

Eating disorders are in no way, to be considered “no big deal”. It affects the lives of many poor unsuspecting human beings and in some cases, fatally takes lives. This topic presents many things that most people don’t know. Such as the fact that bulimia nervosa has similar symptoms to using the drug heroin! Rotten teeth, pale and dry skin, and even failing organs are usually signs that someone may have bulimia. There are always key signs and factors to recognizing an eating disorder. Eating disorders are serious. We all should be aware of the affect it has on an individual, and if anyone knows or sees a person struggling with an eating disorder, outreaching and a simple hand in the right direction can save a life. Eating disorders get in the mind of an individual, then ruin the body, then finally ruin the mind.

When looking for the best treatment options doctors primarily recommend cognitive behavioral therapy, antidepressants, and medical nutrition therapy. Similar to cognitive behavioral therapy, medical nutrition therapy attempts to help a bulimic understand outlying problems for their disease and how they can be fixed. However, medical nutrition therapy views how eating certain things can help to rejuvenate the body, while cognitive behavioral therapy attempts to rejuvenate the mind to help improve mental health. Compared to these therapies antidepressants are commonly used to elevate certain chemicals in the brain called neurotransmitters like serotonin and norepinephrine. While therapy sessions are used to talk and understand, how to treat bulimia

After reading, “Anorexia Nervosa: Friend or Foe?” by Serpell et. al., in 1998, “Bulimia Nervosa: Friend or Foe? The Pros and Cons of Bulimia Nervosa,” by Serpell and Treasure in 2001, and viewing the documentary, Dying to be Thin, from PBS in 2000, I found several significant points within this research. Specifically, AN is the deadliest of all psychiatric disorders and the most difficult psychiatric illness to treat. As mentioned in the video Dying to be Thin, while detection as well as treatment are critical for individuals suffering from AN and other eating disorders, the potential related health risks may be serious as well as irreversible, including osteoporosis, cardiac arrest, and amenorrhea leading to infertility as well significant

CBT treatment typically lasts about 20 weeks and can be divided into three stages (Fairburn et al., 1993). In the first stage, the cognitive view on the maintenance of bulimia is presented, and behavioral techniques are implemented to replace binge eating with more stable eating patterns. In the second stage, additional attempts are made to establish healthy eating habits, and an emphasis is placed upon the elimination of dieting. Cognitive processes (previously outlined) are focused upon extensively in this stage; the therapist and the individual examine his/her thoughts, beliefs, and values which maintain the eating problem. The final stage is concerned with maintaining the gains made in therapy once the treatment has been terminated (Fairburn et al., 1993).

If your eating/consumption disorder does not improve with the standard treatment(s) or causes any health problems, you may need to be hospitalized or another type of inpatient program may be needed.

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.

Cognitive behavioral therapy (CBT) is currently the most commonly used type of psychotherapy (Peterson & Mitchell 1999). It is based on the cognitive view of bulimia nervosa, which weighs attitudes towards shape and weight as most significant for maintenance of the disorder. Therapy actually includes a combination of behavioral and cognitive directives aimed at changing patterns of behavior, attitudes of shape and weight, and cognitive distortions such as low self esteem (Fairburn et al. 1993).

Brandy is a 21-year-old from Oklahoma City, Oklahoma. She is the oldest of four children and her parents have been married for the past twenty-two years. After suffering for the past seven years in silence, Brandy has finally sought out treatment for bulimia nervosa. Brandy is a textbook case of a patient suffering from bulimia. The Diagnostic and Statistical Manual of Mental Disorders (5th ed., DSM-5; American Psychiatric Association, 2013) diagnostic criteria includes: Persisting binge eating episodes, reoccurring behaviors to prevent weight gain, both harmful purging behaviors and binge eating episodes occurring at least once a week for a minimum for three months, evaluating oneself solely or predominantly influenced by one’s body shape and weight, and finally the patient must not exhibit the aforementioned symptoms during an episode of anorexia nervosa. Her difficulty with her weight started in high school with binge eating. Soon after starting to binge eat, she starting purging by forcing herself to puke. The roots of her disorder is in her persistent stress and anxiety as a result of her trying to strive to success.

April is 16 years old. She attends Sanford Magnet high school. She has started seeing a therapist because she throws up most of her food after eating. April is always worrying about her weight and how she look. She also worries about making captain of the cheerleading squad. She thinks that she is too over weight to perform all the stunts that is required for tryouts. April eats light meals every day to watch her weight. She “losses her mind” every time her mother cooks a big dinner and makes her eat everything on her plate.

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