The Complexity of Eating Disorder Recovery in the Digital Age

Discussion: The Complexity of Eating Disorder Recovery in the Digital AgeThrough this week’s Learning Resources, you become aware not only of the prevalence of factors involved in the treatment of eating disorders, but also the societal, medical, and cultural influences that help individuals develop and sustain the unhealthy behaviors related to an eating disorder. These behaviors have drastic impacts on health. In clinical practice, social workers need to know about the resources available to clients living with an eating disorder and be comfortable developing interdisciplinary, individualized treatment plans for recovery that incorporate medical and other specialists.For this Discussion, you focus on guiding clients through treatment and recovery.To prepare:Review the Learning Resources on experiences of living with an eating disorder, as well as social and cultural influences on the disorder.Read the case provided by your instructor for this week’s Discussion.By Day 3Post a 300- to 500-word response in which you address the following:Provide the full DSM-5 diagnosis for the client. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may be a focus of clinical attention). Keep in mind a diagnosis covers the most recent 12 months.Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis.Explain why it is important to use an interprofessional approach in treatment. Identity specific professionals you would recommend for the team, and describe how you might best utilize or focus their services.Explain how you would use the client’s family to support recovery. Include specific behavioral examples.Select and explain an evidence-based, focused treatment approach that you might use in your part of the overall treatment plan.Explain how culture and diversity influence these disorders. Consider how gender, age, socioeconomic status, sexual orientation, and/or ethnicity/race affect the experience of living with an eating disorder. Note: You do not need to include an APA reference to the DSM-5 in your response. However, your response should clearly be informed by the DSM-5, demonstrating an understanding of the risks and benefits of treatment to the client. You do need to include an APA reference for the treatment approach and any other resources you use to support your response.*****Case of ShaniceWEEK 8 THE CARE OF SHANICEPosted on: Sunday, September 6, 2020 11:58:33 PM EDTThe Case of Shanice Intake Date: August 2019 DEMOGRAPHIC DATA: This was a voluntary intake for this 28-years-old single African American female. Shanice lives with a 24-years-old female roommate in New York City. She has a bachelor’s degree in Art History and is employed by a major New York museum. Shanice was born and raised in Virginia and moved to New York 4 years ago for employment. CHIEF COMPLAINT: “My roommate suggested I go to therapy. I do not agree. I can handle my life, but she threatened to move out and I cannot afford the apartment by myself.” HISTORY OF PRESENT ILLNESS: Shanice admitted to purging and frequent use of laxatives to try and keep her weight down. Shanice reported her weight was being monitored by a nutritionist and she had lab work done to be sure she remained healthy. Shanice reports that she was much heavier as a teenager and wants to make sure she doesn’t get like that again. Shanice reported that she has a very stressful job. She stated that approximately one month ago she started to have difficulty concentrating at work. She had several altercations with coworkers as well. Several weeks ago, Shanice reported that a coworker “said something nasty and I lost it.” Shanice reported that she was angry and “hit everything I knew I could—but that did not help.” Shanice also reported being under stress due to applying for her master’s degree in art history and difficulties with her boyfriend. Shanice complained of depression with insomnia and sleeping only a few hours per night, feeling confused, decreased concentration, irritability, anger, and frustration. She admitted to suicidal ideation. She complained of feeling paranoid over the past few weeks and believed the police were after her and that she heard them outside her door. This was another reason her roommate wanted her to seek treatment. Shanice reported she was emotionally abused as a child and suffered from post-traumatic stress disorder, but she denied a history of flashbacks or nightmares or any avoidance of the person who she says emotionally abused her. Shanice noted that at times over the past year she has very strange experiences of being overwhelmed with fear. At these times, she begins sweating, has chest pains and chills, and thinks she is going crazy. It concerns her terribly that these may happen at inappropriate times. Reluctantly, Shanice admitted to bingeing several times per month since she was 17-years-old. PAST PSYCHIATRIC HISTORY: Shanice denies any history of psychiatric problems in the past. Shanice admits to using alcohol periodically but rarely to excess. MEDICAL HISTORY: Shanice is allergic to penicillin and has a lactose intolerance. She wears glasses for reading. PSYCHOSOCIAL AND DEVELOPMENTAL HISTORY: Shanice’s parents were married when her mother was 19-years-old, and Shanice was born the following year. Two years later, Shanice’s sister was born. Shanice reports her mother stated Shanice’s personality changed; she became stubborn and difficult. Shanice’s mother said that Shanice began biting, having temper tantrums, and has been moody since then. Shanice states she “adores her father” because he was never the disciplinarian. When Shanice was 12-years-old, her parents separated for 2 weeks. Shanice reported her mother quit college after Shanice’s birth and returned to college after her sister’s birth. She said her father worked all the time, and there was a housekeeper who cared for the children. Shanice reports that when she was in high school, her maternal aunt, who was dying of cancer, came to live with the family and this was very stressful for the family. During those years, Shanice told the school counselor that her mother was abusive, and school officials visited the family. During the visit, Shanice had a temper tantrum and there was no further investigation. Shanice reports she was always an above-average student who rarely studied. She said she was always hyperactive and had difficulty sitting in school. Shanice stated that in college she had a 3.8 GPA and was on the Dean’s list. Shanice is currently applying for admission to graduate school and has taken some courses toward her master’s degree. Currently, Shanice is friendly with her roommate but does not have many other friends. “I don’t trust anybody.” Shanice states that when she lived in Connecticut during college, she had many friends. Shanice worked during summer vacation while in high school. She baby sat during college and worked as a graduate assistant. Since graduating from college, Shanice has been employed by a museum. Shanice reports she currently has financial problems due to living in New York. MENTAL STATUS EXAMINATION: Shanice presented as a slightly overweight, somewhat disheveled, African American female. She was relaxed but very restless during the interview. Her facial expression was mobile. Her affect during the initial interview was constricted and her mood dysphoric. Shanice’s speech was pressured, and she spoke in a loud voice. At times, her thinking was logical; and at other times, it was illogical. Shanice denied hallucinations but complained of hearing policemen outside her door sometimes. She denied homicidal ideation. She initially admitted to suicidal ideation but then denied it. Shanice was oriented to person, place, and time. Her fund of knowledge was excellent. Shanice was able to calculate serial sevens easily and accurately. Shanice repeated 7 digits forward and 3 in reverse. Her recent and remote memory was intact, and she recalled 3 items after five minutes. Shanice was able to give appropriate interpretations for 3 of 3 proverbs. Her social and personal judgment was appropriate. Shanice’s three wishes were: “To be skinny, to have a big house where I can take in all the stray cats, and for a million more wishes.” When asked how she sees herself in 5 years, Shanice replied, “Hopefully graduating from graduate school.” If Shanice could change something about herself, she would “make myself thin.” ******* Required Readings

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