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Eating Disorders Case Study Essay

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1. What diagnosis does the client have? You must state what you see in the case study that is leading you to believe the client has a particular diagnosis.
My client, Andrea, should be diagnosed with Binge-eating disorder (BED). We know this to be an accurate diagnosis by the criteria set in the DSM-5. The DSM-5 describes binge eating disorder as, “eating, in a discrete period of time, an amount of food that is definitely larger than what must people would eat in a similar period of time…and, a lack of control during the episode (American Psychiatric Association., 2013).” Andrea disclosed that during these periods of binge-eating she is eating in private so no one will judge how much she is eating, she will eat until she is uncomfortable, …show more content…
Are there any ethical considerations? For example, are there concerns related to offering medication versus talk therapy? Cultural considerations in the presentation of symptoms, or which treatment options you select? Andrea reported that she was in psychotherapy before and tried to discuss her weight issues there, but the therapy was ineffective to her. Andrea needs to work with someone who specializes in eating disorders so she is able to work through her binge eating disorder. The therapist she works with should also be well versed in cognitive behavioral therapy (CBT). Andrea needs to be responsible and take accountability and the best way to do that with this disorder is through homework.
My biggest concern, which could be seen as an ethical concern, is that she would go to just her primary care physician and they would recommend weight-loss surgery for Andrea. While weight-loss surgery is a viable option for many that are struggling with weight issues, it would not currently suit Andrea. The concern for this is that she would be able to stabilize her weigh, but nothing has been done about her want to binge eat, as the surgery will not fix the brain chemistry causing this. She is liable to get the surgery, then still binge eat, which could cause severe issues post-op, or just result in weight gain

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