3258599416_Intervention Amy B_revised (1)

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Nairobi Institute Of Business Studies *

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Nursing

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Nov 24, 2024

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1 Intervention Amy B Student’s First Name, Middle Initial(s), Last Name Institutional Affiliation Course Number and Name Instructor’s Name and Title Assignment Due Date

2 Intervention Amy B Section 1 Relevant Symptoms: What psychological, emotional, social, or biological/physiological symptoms do you observe while listening to the case? . Bulimia is one of the conditions associated with secret binging. The condition is associated with consumption of large amount of foods. A person with this disorder have low control over eating. Purge has been also noted as a primary symptom associated with the disorder. Purging is featured by a person’s ability to get rid of large amounts of food. Amy considers weight loss and exercise as a way of addressing the eating disorders. However, the fact that pinging is a common habit noted raises concerns regarding excessive consumption of food. Amy's case shows a case of unusual eating behavior. Besides, her response to the comments about her body raises adverse outcomes to her emotions. Excessive workout, isolation when eating has been noted for Amy’s case (AIRNIKE555 (2018). Pinging is one of the core signs attributed to bulimia, Amy’s case also shows this as one of the core challenges that affects her ability to control her eating schedule. She is most affected by her inability to monitor her eating habits even after working out to get rid of excess calories. From the beginning of her conversation, it is evident that staying indoors, lack of social interaction with friends could have contributed to the Amy’s pinging habits DSM-5 specifies recurrent cases of binging, compensatory behaviors and self-evaluation based on body shape as an appropriate way of characterizing the symptoms. The case of Amy shows a significant aspect and progression of signs and symptoms of eating disorders (AIRNIKE555, 2018). Amy noted that her body image has been an essential component

3 associated with her purging. One of the prevalent signs is eating disorders. Eating disorders are noted in Amy’s eating behavior is the large consumption of food. Although food consumption is important after the workout, it is evident that the workout does not facilitate any weight control achievement Section 2 Medical Etiology: Discuss any relevant substances, medications, or medical conditions that could explain the symptoms from the previous section. The cause of bulimia remains unknown. On the other hand, many factors are associated with the development of this condition. Emotional health and societal expectations are considered to be the primary issues that contribute to bulimia. Amy’s case demonstrates a situation where genetics and societal expectation have significantly contributed to the condition. Medication can also contribute to pinging habits. However, Amy’s case is different since no medications had been administered on the time she started binging. Biological factors can be associated with bulimia. For example, family history predisposition to impulsivity and neural sensitivity have been significantly associated with Bulimia. Dieting factors are also considered to contribute to bulimia. Cases of body size, shape, negative self-view and history of dieting issues have been found to contribute to bulimia. I think Amy’s case falls under both dieting and biological factors. The grandmother described a case where the Amy’s mother had different eating behaviors. Societal perception has also contributed to the problem. Friends, issues of social media are described as part of the factors of creating a positive self-image. Societal dieting and genetic aspects can be attributed to Amy’s bulimia. However, societal aspect can be ruled out by considering the trend of her response to fat belly deposition.

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4 Genetic factors cannot be ruled out since Amy’s grandmother describes a case of binging on her daughter’s early childhood. Considering bulimia from a biological perspective is important in understanding the nature of behaviors attributed to binging. The unusual behavior exhibited by Amy with these symptoms is abnormal eating disorders, urge to taste and consume food in large amounts. Moreover, improper dieting can also cause negative outcomes to an individual’s health. Section 3 Stressors: Identify any potential stressors that occurred in relation to symptomology School and surrounding environment were identified as the primary stresses for the conditions. In one of the episodes, Amy's mother describes a scenario where her friends in school bullied Amy. This shows that friends and school have significantly contributed to one of the major stressors to the problem faced by Amy. The rapid outcomes of the patient's interaction with friends in school were shown to have an impact in determining the way a student responded to the bullying and personality behaviors toward the disorder. Discuss the timeline of symptoms to the extent possible, including when the symptoms began, how long they last, and the frequency at which they come and go. The symptoms began on the first week after schools opened. It then extended for one month after the parent noted the eating disorder. From her mother’s perspective, Amy has different symptoms associated with Bulimia. Firstly, binging and purging are the most prevalent signs noted from her behavior. Amy’s binging episodes are frequent and associated with tasting and consumption of food (AIRNIKE555, 2018). Although this is a common behavior among many people, purging and the number of times food is eaten can be categorized as part of the symptoms associated with Bulimia.

5 Amy reflects on her early years when her body was in good shape. She describes pinging behavior as one of the common problems affecting her concentration. The look and smell of food tend to affect her appetite. The urge for eating is also attributed to her idleness and being at home. Amy noted that, staying indoors affects her ability to control herself over food. Going out with friends could have enabled her to manage the problem. Besides parents should have also considered keeping her busy at home. Binging can be a common problem in some families. However, early identification of the symptoms facilitate recovery from this condition. Therefore, staying indoors is a major concern regarding Amy’s pinging. Section 4 Diagnosis: Offer a DSM-5 diagnosis (you can offer more than 1), including DSM-5 code numbers, relevant subtypes and/or specifiers. Also include the ICD code numbers and the impact of utilizing the DSM version compared to the ICD version on billing and epidemiological disease monitoring. Clearly justify your diagnoses by linking the symptoms to the DSM-5 criteria and to the clinical history. Make sure to address clinically significant distress and/or functional impairment caused by symptoms for each diagnosis offered. Binge eating is one of the episodes noted in Amy’s eating habit. Based on DSM-5 criteria, this is one of the criteria that should be met by the patient. Prevention of weight gain, compensatory purging, body shape issues have been majorly noted through Amy’s description of pinging episodes. Diagnosis of bulimia aims to understand the eating habits of a patient. If a patient has lost weight, a physical examination is required to rule out different medical conditions associated with body loss. Bulimia is diagnosed when a number of criteria are met. The case of Amy P can be diagnosed if she engages in binge eating, recurrent steps for preventing weight gain. The

6 diagnosis will also aim to understand if the patient experiences episodes of eating and compensatory purging behaviors. For some cases, a patient can be evaluated by analyzing if they experience episodes of binge eating and are preoccupied with self-evaluation on weight issues. Therefore, for diagnosis to be made, the health provider should ensure that disturbance experienced does not occur exclusively during the episodes of anorexia nervosa. Bulimia Nervosa diagnosis is achieved using DSM-5. The diagnosis is assigned to individuals who overeat and use inappropriate measures to prevent weight. The condition is characterized by eating excessive foods. Amy’s case has met criteria highlighted through this model. She visits the gym a day after overeating. This behavior is frequently noted especially when she feels her fat belly has grown. The victims are not in a position to control the amount of food they consume. Episodes of binges are featured by the victim's excessive consumption of food. Physical assessment is considered as a primary component for examining patients with bulimia. Dental cavities and cases of enamel erosion can emerge as a result of exposure to acid. Bulimic individuals can also have episodes of vomiting ranges and dehydration. ICD-10 is a primary tool for classifying Amy’s condition. Based on the diagnosis the condition is severe at 6 out seven. Section 5 Rule Outs: Differential Diagnosis: What are potential competing mental health diagnoses for this client that you can definitely rule out based on what you observed?

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7 America psychiatric association recommends the diagnostic and statistical manual for mental disorders (DSM-5) for diagnosing mantra disorders in children. Based on this model, Amy's symptoms can be assessed. Obsessive-compulsive disorders and related disorders include substance medication-induced due to other medical conditions. The criteria will be used to categorize Amy's symptoms. The symptoms can be rated out 6 out of 10. This is since the symptoms have not affected her thinking. Besides, disruptive behaviors are not prevalent as far as Amy's problem is considered to be a serious concern to the parents. Ruling outs an important aspect facilitated by the DSM-5 tool. Attention deficit disorders are one of the common problems affecting both children and adults. To rule out this case from Amy's situation, The DSM-5 will be used regarding the existing symptoms contributing to the eating disorders. Therefore, analysis based on the criteria outlined by the presented symptoms will follow the APA guideline. Amy's mother describes the cases as one of the problems that emerged after joining a new school. Efforts to address the problem were determined by the actual scenarios that affected problems faced by the child Prevention strategies aim to mitigate situations that could expose the victim to more scenarios of eating disorders. One of the steps to prevent the4 problem is by reducing food intake and limiting her to eat meals on the recommended mealtime. One of the strengths noted with Amy's situation is the ability to listen and appreciate that she has a significant problem associated with food consumption. Intraphysical issues and early relationships can be attributed to the problem. Mental health counseling is an essential step in assuring the patient of an inappropriate treatment strategy that aims to facilitate an efficient recovery. Counseling is a concept that aims to create a platform for a client to identify solutions that can work well as far as recovery and rehabilitation are concerned.

8 Section 6 Case Conceptualization How is it that this person came to have these particular problems? Amy came to have bulimia after she noted uncontrollable behavior appetite for food. Exercising and interaction with her friends could have mitigated the problem. Diagnosis can be challenged by errors and misappropriation of the core symptoms associated with a specific mental disorder. One of the issues raised in this case was attributed to society's role in responding to children's mental needs. The scenario further represents situations that require parents and psychotherapists to utilize collective methods in seeking to address major mental problems faced by the clients. Understanding underlying complications can be challenging when a client is not open up to highlight different problems facing them. Besides, identifying the right diagnostic tool is vital in developing an appropriate method for examining patients' primary symptoms. What prevention efforts might have mitigated these problems? Amy presented different information that facilitate efficient diagnosis. For example, during these binges, she exhibits lacks control over the consumption of foods. Her mother further described that the behavior started from early childhood. Where are these problems stemming from From her mother’s point of view, dieting and body shape image remained a primary concern for Amy. However, personality traits, emotions, and thinking patterns can significantly contribute to bulimia. Thinking patterns can be improved through other psychotherapeutic measures such as being mindful. Behavioral changes also vary depending on the surrounding. What cultural factors are relevant to this person’s problems?

9 Bulimia Nervosa diagnosis is achieved using DSM-5. The diagnosis is assigned to individuals who overeat and use inappropriate measures to prevent weight. The condition is characterized by eating excessive foods. The condition is also attributed to inappropriate methods of managing weights. As a result, the victims are not in a position to control the amount of food they consume. Episodes of binges are featured by the victim's excessive consumption of food. What ethical and legal considerations specific to clinical mental health counseling might be at play here? Ethical concerns regarding psychiatric medications should be analyzed based on an individual. Psychiatric medication is helpful in achieving nutritional rehabilitation. Besides, nutritional restoration also aims to establish structured meals. Access to nutritional therapy can have different outcomes since patients respond differently to eating disorders. Amy's scenario can be rated as a moderate case that requires considerable interventions from a psychotherapist. Besides, the aspect of weight is a major concern in addressing personality issues regarding the shape of the body. You are encouraged to utilize counseling theory to inform this section. Psychotherapy theory is an important tool that enables the therapist to interpret a client’s behavior. It is one of the interventions that can be used to manage the case. Family-based treatment and interpersonal psychotherapy play a significant role in addressing the case of Amy. Section 7 Treatment Recommendation What type of intervention/treatment would you implement with the client?

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10 Medical treatments are important in managing extreme cases of bulimia. Antidepressants such as fluoxetine are one of the drugs that is used to manage the conditions. Sometimes doctors recommend antidepressants as part of the medicines used to manage conditions. The effects of the current interventions described by the mother could have outstanding outcomes if the symptoms are well-monitored. What crisis intervention models would have been helpful and when? Responding to overeating behaviors and keeping Amy outdoors could have been helpful at initial stage. Treatment interventions have varied effects when it comes to the response exhibited by the patients. Besides, the approach used by the therapist could also determine recovery trends. Most of the patients with eating disorders respond to treatment interventions through a gradual behavior change featured by improvements in behaviors associated with the eating disorders. Nutritional therapy is one of the therapies that is used to facilitate the consumption of healthy foods. It also helps in gaining the right attitude about foods. Nutritional therapy also creates an opportunity to avoid triggers associated with food. For example, when stress and boredom trigger binges, healthier methods can be adopted by connecting with family members, friends, or other people in the community. If you were working with this client, what would be your treatment goals be i. Interact with friends daily. ii. Take a glass of water when feeling to eat excessive meals iii. Reduce indoor stay Which counseling theories would you draw upon to help this client?

11 Cognitive-behavioral therapy is one of the methods where a patient can learn normal eating habits and watch out for things to binge. Understanding Amy’s behavior based on this theory will facilitate effective diagnosis and treatment. Besides, irrational thoughts can be challenged. Family-based interventions also play a significant role in ensuring that amazing symptoms and causes treat teens with bulimia of the diseases. Section 8 Prevention What prevention measures would you employ to assist this client Bulimia prevention is one of the challenging strategies due to its unknown cause. However, children can be taught healthy habits. Such strategies include having regular mealtimes. Promoting a healthy and realistic image is also crucial in discouraging fad dieting. Therefore, once bulimia has developed, prevention should focus on keeping it from getting worse from harming a person's body. Although prevention can be difficult, eating disorders can make this intervention difficult, especially in children that have a challenge in controlling appetite. What crisis intervention models would you use to assist this client Education is one of the primary methods used to handle bulimia. It is one of the primary choices for treatment when other symptoms like depression are prevalent. Side effects can also emerge as part of the negative pacts of treatments strategies used by individuals. However, most bulimics are able to recover from the condition after therapeutic management of the problem. Providing an opportunity for a client to master different methods of handling the eating disorder is essential in facilitating recovery. Personality is one of the factors that determine an individual's

12 ability to recover from a specific condition. Attitude is a component of personality. Thus, education will create awareness and change perceptions regarding one's eating habits and inappropriate weight monitoring practices. Would the person benefit from psychotropic medications? Why and why not The medication relieves anxiety. I think this medication is important in helping Amy reduce her expectations on body shape and concerns of self-image. On the other hand, the drug’s side effects could threaten her ability to gain sleep. Bulimia has been shown to affect more women than men. The report from the association further shows that America suffers from bulimia at some point in its life. The condition can have various outcomes that affect an individual's well-being, thus negatively impacting their social life. Name the medication strategies that are found effective in the treatment of this disorder and are reasonably connected to the diagnoses and symptoms Bulimia is considered to be a comorbid condition associated with other psychological disorders. Most of the people suffering from bulimia and anxiety experience symptoms of psychological condition. For example, substance abuse is commonly comorbid with bulimia. Bulimic abuse substances such as tobacco and alcohol and stimulants tend to have severe effects on an individual's health. Almost half of the individuals affected with Bulimia exhibit dynamic episodes of post-traumatic stress. Section 9 Personal Reaction What are your personal reactions to this case? I believe that bulimia can be managed by incorporating different methods of bulimia prevention. Prevention is one of the interventions that facilitate an individual's ability to stay

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13 away from diseases. Awareness is one of the key factors that will improve an individual's ability to battle the condition. Understanding the patients' underlying condition is also essential in monitoring the progression of the condition. Amy’s case Represents instances that can be prevented by behavioral, physical, and cognitive management. Parental interventions also facilitate effective reinforcement of health improvement strategies What was it like for you to try to diagnose this case? What was easy for you and what was more of a struggle with this case study? Amy’s case was not easy to diagnose. Different people have different symptoms of bulimia. Changes in body and behavior are common among many people with the condition. Low self-esteem dissatisfaction faction with the body shaper and fear of becoming overweight can also contribute to cases of bulimia. I think staying indoors is a core factor that contributes to bulimia. Besides, someone with the condition may not lose much weight. Therefore, it is harder to determine the outcomes and threatening weight gain issues associated with the disorder. Physical examination is vital in providing the right interventions. Treatment requires a team of medical, medical, and nutritional interventions and healthy eating patterns. Mental professionals will therefore get the opportunity to restore health and proper eating patterns through an appropriate diagnostic tool. I think have a primary role in monitoring their children’s eating habits. The primary symptoms noted include overeating and experiencing loss of control of eating habits. Being extremely concerned with weight and body shape determines a person that has bulimia. Being on extra exercise can also contribute to the core symptoms associated with bulimia. Vomiting, misusing laxatives, and fasting for a period of time further determine a person with bulimia.

14 Reference AIRNIKE555 (2018). Intervention S08E16 - Amy P. https://www.dailymotion.com/video/x76khln .

3258599416_Intervention Amy B_revised (1)

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