Sunday, May 17, 2020
The Effects Of Anorexia Nervosa ( Birmingham Et Al
Introduction Even if anorexia nervosa (AN) is a severe mental illness potentially resulting to serious ongoing psychiatric and physical health issues, there are not many clinical trial studies for treating AN published worldwidely focused on psychotherapeutic interventions (Birmingham et al., 2005; Herzog et al., 2000; Le Grange and Lock, 2005; Rome et al., 2003). According to Ale Grange and Lock (2005), of the interventions investigated for AN only the family therapy based approach developed by Dare and Eisler at the Maudsley Hospital, has been studied more than once in a clinical trial setting. Investigations completed at the end of treatment from the available studies of this approach suggest that it is effective in the short term,â⬠¦show more contentâ⬠¦After discharge it was decided by the medical team in the hospital that Olga has to receive family treatment and she got a referral for it. Assesment The family of Olga had to meet for an initial assessment before the beginning of treatment. The initial assesment lasted for about 2-hours for clarifying Olgaââ¬â¢s diagnosis and to asses if it could be any other possible comorbid mental health issue and ifs Olga is mentally ready for family treatment based on the Maudsley model. Olga got a diagnosis of anorexia nervosa, binge- eating/purging type without other concurrent psychiatric illness based on DSM-V (American Psychiatric Association, 2013). Parallel with the family based treatment, Olgaââ¬â¢s physical health was uninterruptedly examined by her outpatient pediatrician specialist. Signs and symptoms supporting Olgaââ¬â¢s DSM-V diagnosis contain (a) her denial to keep body weight at or above a minimally normal weight for her age and height (85% of her IBW); (b) her constant fear of putting weight and ending up being overweight, albeit she is recently very underweight and malnourished; (c) her biased body image; and (d) the lack of more than three successive menstrual cycles. Olgaââ¬â¢s lowest weight was 125 pounds, which is 74% of her ideal body weight.Olga she didnââ¬â¢t get her menstrual cycles for seven times in a row and was binge eating and purging up to eight times per day. As it is common with people having AN her
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