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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 friends,
moved to new city middle of senior year, has difficulty falling asleep
awakens in middle of night often, mother reports that she is often
irritable and cries often. When did the depressed mood start in
relation to the move, was it within three months of the move, Is she
taking any medications, has she ever felt like this before…
… middle of paper …
…mg capsule for
constipation prevention, Remeron (mirtazapine) 15mg at hs for one week
Teaching plan: Educating family that patients will resist
hospitalization and plea for their families to remove them from the
hospital. Body image correct BMI, nutritional counseling for
appropriate diet and exercise.
Counseling plan: individual therapy, family therapy, nutritional
counseling (see treatment plan)
Follow up: Continual monitoring of weight and progress. Continued
outpatient therapy and family therapy.