Schizophrenia Case Study Bulimia Nervosa

Keeping in mind that she has always strove for perfection, some irrational thoughts and psychological symptoms have developed concerning her standards for both food consumption and weight. These irrational fears have led her to believe that food is bad, and since she is terribly scared of getting fat, she finds fulfillment by abiding by her restrictive diet and maintaining her abnormal weight by restricting food and using laxatives when necessary to avoid weight gain. It’s easy to see that Joan has developed an obsession with both food and her weight that has taken over her life. All of these psychological symptoms have also caused some social symptoms which have negatively impacted her relationships, mainly stemming from concern of friends and family which usually result in arguments about eating. Joan’s physiological systems are also reflecting concerning symptoms such as dry, inelastic skin, liver problems, unhealthy hair, dizziness, amenorrhea, and of course, excessive

Ms. Deyo is a 35 year old Caucasian female who was referred to MCM by Stephanie Antkowiak from the Arc of High Point. Ms. Antkowiak contacted MCM with concern for Ms. Deyo expressing today she was ready to end her life. MCM Dispatcher contacted Ms. Deyo who denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Ms. Deyo reported what she said to Ms. Antkowiak was taking the wrong way. She reported having a lack of supports, is experiencing chronic pain, and trying to receive services. QP responded to call to see what services may be available to assist Ms. Deyo in her crisis.

Andrea has learned to cope with life stressors by binge eating food, so Andrea needs to learn healthier coping skills. In addition, it is important that Andrea sees a medical doctor as well as a therapist because her binge eating has already led her to obesity, which has its own physical risks like type II diabetes, metabolic syndrome, arthritis, chronic pain, hypertension, and ulcers (Bulik, Trace, Kleiman & Mazzeo, p. 499, 2014). It would be irresponsible as a counselor or a medical doctor to treat Andrea with just talk therapy or just medication. Andrea needs a holistic approach that will target her disordered eating through cognitive behavioral therapy, interpersonal psychotherapy, nutritional counseling, and possibly psychotropic medications to help with depression, anxiety, obsession and compulsion. Since many people who suffer with BED have a history that dates back to their childhood (Bulik, Trace, Kleiman & Mazzeo, p. 499, 2014), it is vital that a counselor explores this start with talk

On the 19th December the patient was transferred from Daisy Hill Hospital to a specialist Neurosurgical unit in the Royal Victoria Hospital. On admission to the neurosurgical unit the Glasgow Coma Scale (GCS) was 14/15 and she had no neurological deficits with the nerve, spinal cord, or brain function, although she was still complaining of neck stiffness and pain in head. Although the CT scans showed no evidence of subarachnoid haemorrhage, due to her very strong history the patient was referred for further imaging through angiogram techniques. This included use of catheters inserted under the skin to provide a contrast material which was detected through the use of magnetic resonance imaging scans (M.R.I). The results for these again showed no evidence of a recent bleed.

A second diagnosis for Kathie is Mild Binge Eating Disorder (BED) (F50.8). BED is characterized by recurrent episodes of binge eating in which the client eats a large amount of food in a two-hour period that most people would consume in a similar situation. There is sense of lack of control over the eating. The binge episodes one to three times a week for three months. The client must meet three of the five criteria listed in the DSM-V for BED which include eating more rapidly than normal, feeling uncomfortably full after binge eating (BE), eating when not hungry, feeling embarrassed, and feeling guilty, disgusted, or depressed after the binge eating episode. Additionally, there is a feeling of marked distress over the binge eating episode. There are no compensatory behaviors such as vomiting, using laxatives, medications or excessive exercise (APA, 2013). Kathie has been secretly struggling with an eating disorder (ED) for the last six months. She has meets 3 of the 5 criteria listed in the DSM-V including eating excessively until she feels uncomfortably full. After binge eating, she feels ashamed and helpless, which makes her more depressed. She feels a loss of control over her eating. She eats alone and feels guilty after binge

An equally disruptive eating disorder that has been seen in increasing numbers in recent years is Bulimia. About two percent of American women are affected by this disorder. Bulimia is characterized by a distinctive binging and purging cycle. Individuals with this disorder will often times consume large amounts of food, and the immediate throw it back up. These binging and purging actions have substantial medical risks. Additionally, some individuals consume large amounts of food and then proceed to exercise for exorbitant amounts of time. This can also be a risk to ones wellbeing. Other characteristics associated with Bulimia include the abuse of laxatives and diuretics. Individuals with this disease often times completely lose control over their dietary habits. The massive highs and lows cause emotional instability. The mood swings that

Bulimia Nervosa is the other eating disorder Kesha suffered from. The APA describes bulimia as eating in “..excessive quantities, then [purging] their bodies of the food and calories they fear by using laxatives, enemas, or diuretics; vomiting; or exercising.” Bulimia is more common in young women, but can also occur with young men. Because it involves purging the food after eating, the person with the disorder is usually aware of the problem and can feel guilty about it. The National Library of Medicine states that bulimia can be caused by a number of things, including “genetic, psychological, trauma, family, society, or cultural factors.” Symptoms include immediate trips to the restroom after eating, excessive exercise, eating large amounts of food in one sitting (binging), and using laxatives. Bulimia can cause dehydration, gingivitis, worn enamel on the teeth, pancreatitis, tears in the esophagus, and broken blood vessels in the eyes. A person with bulimia may only eat in secret, or eat large sums of food in one sitting. This can cause discomfort and purging can either cause relief or guilt. Support groups, therapy, and antidepressants may be used to treat a person with bulimia. Hospitalization or inpatient treatment is rarely necessary unless another disorder accompanies the bulimia.

Differences - I could not distinguish any variations in the textbook description of anxiety. All patient S/S were spot on.

Throughout psychology today there are six different theoretical models that seek to explain and treat abnormal functioning or behavior. These different models have been a result of different ideas and beliefs over the course of history. As psychology began to grow so did the improvements in research techniques. As a result psychologists are able to explain a variety of disorders in terms of the six different theoretical models. In the movie A Beautiful Mind it follows the mathematician John Nash as he struggles with schizophrenia. It an attempt to explain John Nash’s disorder the six different theoretical models will be looked at, they include biological model, psychodynamic model, behavioral model, cognitive model, humanistic model,

Bulimia Nervosa is an addiction that can be a very destructive aspect in someone’s life because it can result in regularly engaging themselves in self-induced vomiting or the abuse of laxatives, diuretics, or enemas after binging. However, solutions to this problem include antidepressants, counseling, and therapy.

Bulimia Nervosa is the diet-binge-purge cycle. It is an illness that is mostly found in young females. This cycle involves a strict diet, uncontrollable eating and then unhealthy strategies to get rid of the food and therefore the guilt. This addictive eating disorder is based on guilt. The individual tends to under-consume and thereby becoming very hungry. Once the individual gives in and allows one’s self to eat, the person begins to over-eat. After finishing the large quantities of food, the individual begins to feel immense

Document speech pattern and disorganized behavior upon admission. Rational- for the physician to interpret and determine care plan.

Epigenetic’s is a term that describes everything that happens in the gene expression process that is above the genome. The epigenetic process is typically due to histone modification, CpG island methylation, RNA associated silencing, and some other factors. The process is triggered via cell-to-cell signaling, neighborhood cells sending signals, physiology, and environment. The epigenetic change can be transient, permanent, or heritable. In my chosen paper, the researchers are looking into how the social environment can ‘get into the mind’ in a way that results in psychiatric disorders such as schizophrenia, major depressive disorder (MDD), post-dramatic stress disorder (PTSD), anorexia nervosa, and substance dependence. Even though the review article covers five types of mental disorders, I’m going to focus on schizophrenia and anorexia nervosa. Overtime, research has shown a robust relation between the social environment and the prevalence of mental illness. In large western cities, like NYC, there is a higher frequency in those that have schizophrenia, increased labor stress helps facilitate MDD development, natural disasters have been associated with PTSD, and social and relationship problems help induce the onset of eating disorders. It is also important to note that heritable factors also play a part, and that the resulting mental disorder is thought to occur due to an interaction between the social environment and heritable factors. In a schizophrenia twin study, even

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.

           The patient M. is a 26 year old married female who was brought to the ER by her husband after increased anxiety and depression worsened after a “spiritual attack” that lasted for over four days.  While in the ER the patient admitted to hearing multiple distant male and female voices all around her head and outside of her head.  She states not being able to make out the message but interprets them to be negative in nature. She told the ER Doc she felt people were trying to harm her and that “people in her life have used things against her.”  She felt her extended family may have used witchcraft and “chakra dolls” to cast spells on her.  She is cognizant of the strangeness of her claims but believes them to be real