Explain additional cultural influences that your colleague should consider when addressing the specific eating disorder they identified.
Colleague 1: Tiffany
RE: Discussion – Week
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.
F50.59 Other specified feeding or eating disorder. Specified by Atypical Anorexia Nervosa and Purging disorder.
F33.3 Major depressive disorder with psychotic features
Z60.0 Phase of life problem
Z72.9 Problem related to lifestyle
Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis.
I chose specified feeding and eating disorder because I don’t believe that Emma could meet all the criteria or Anorexia, Bulimia or Binge eating disorders.
I believe that she met the criteria for Anorexia, however she is overweight so she did not meet all the criteria for this diagnosis.
For Bulimia nervosa, while she was purging and using laxatives she did not meet the binging aspect of this disorder.
So using specified feeding or eating disorder I was able to capture her symptoms better. I choose Atypical Anorexia because she is overweight and purging disorder because she claims she is not binging at this time.
For my Z codes Phase of life problem and Problem related to lifestyle. I felt like these fit best. While she did have some issues with her sister, that was not the focus of her treatment. The focus of her treatment was the fact that she was stressed about going back to school. She also has a significant history of drug use and is currently in recovery. Her issues with eating at this time have led her to experience further complications in her life.
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.
Since the “reported relapse rates range between nine and fifty two percent” (Khalsa et al., 2017) with eating disorders especially Anorexia it’s so important that we work together as a team to treat our clients. Some of the people I would work with would be the clients general practitioner. The GP would be monitoring all aspects of the client’s health. Further I would involve a nutritionist so that the client can learn new healthy habits when making food choices. If necessary a psychiatrist to prescribe medications related to their mental health. I would also recommend some type of group therapy. This would be beneficial for the client to learn from others and not feel so alone with this struggle.
Explain how you would use the client’s family to support recovery. Include specific behavioral examples.
The family is also very important in the treatment process. They are the ones who are going to see the client more and have access to habits and information that we will not. If we involve them in the treatment process we are able to give them access to the tools needed to help support and guide their loved one. They can help the client build those healthy habits and help develop the boundaries that are needed.
Select and explain an evidence-based, focused treatment approach that you might use in your part of the overall treatment plan.
I was surprised to learn that there is not a lot of research for some of the treatments that are out there. Of course prevention is the best course of action and when possible treatment should not occur against the clients wishes.
One of the treatments that I found was called Re-Feeding. “The aim of re-feeding is healthy weight restoration in the least invasive way. Wherever possible, re-feeding is done orally and at home if safe. The child needs clear expectations about what they need to manage. Dietetic input can be very helpful but is not necessary” (Lewis