Dsm-Iv Criteria for Anorexia Nervosa

Anorexia Nervosa DSM-IV Criteria for Anorexia Nervosa A) Refusal to maintain embody fishinginess at or above a minimally normal weight for age and height. Weight loss spark advance to maintenance of body weight less than 85% of that expected or failure to make weight gain during period of growth steer to body weight less than 85% of that expected. B) Intense fear of gaining weight or becoming fat even though under -weight. C) mental disorder in the way ones body weight or shape is experienced undue influence of body weight on self -evaluation or denial of the seriousness of the current low body weight. DSM-IV) The Diagnostic and Statistical Manual contains 3 immerseing disorders Anorexia Nervosa Bulimia Nervosa and take in Disorder Not Otherwise Specified. Although Anorexia Nervosa (AN) volition be the focus of this trace it is worth noting the 3 disorders are very similar and in detail Eating Disorder Not Otherwise Specified is the name condition to the disorder when onl y 1 criterion for AN is missing for example if a unhurrieds weight loss is stable in the normal range scorn significant weight loss or if a patient still menstruates.Bulimia Nervosa is when the patient excessively over- fertilises and purges except does not experience significant weight loss. (Franco 2012) Main Symptoms The main symptom is extreme thinness that has no aesculapian cause and usually a pre-occupation with food. AN seems resembling a visible ailment when in fact it is a psychological one. Heart-rhythm disturbances digestive abnormalities bone engrossment loss anemia and hormonal and electrolyte imbalances are the most common physical symptoms and in severe cases organ failure can lead to death.The patient will very rarely pre move to the Doctor for treatment entirely due to denial of having a problem be an intrinsic better of the illness. Young patients will frequently be taken to the Doctor by a concerned parent with the usual symptoms being a abrupt with drawal from family or friends and a lack of interest in erstwhile enjoyed activities as well as significant weight loss. (Phillips 2010)Bulimia and AN go pile in hand with m whatever overlapping symptoms such as distract thinking. Up to 50% of patients with AN develop bulimia and a smaller piece of patients who are initially bulimic develop AN. (Franco) AN sufferers make up an extremely garble perception of themselves. Where early(a)s whitethorn see a once beautiful adolescent lady wasting away the patient may perceive that she is succeeding at looking after herself and has enormous self -control that others lack. (Watters 2010) Men or boys who have AN tend to have other psychological problems while women and girls are more than apt(predicate) to be perfectionist and displeased with their bodies. Dryden-Edwards 2012) Bio-Psycho-Social Factors AN is the most obvious physically but attempting to treat just the biological symptoms will have micro great term effect. Studie s suggest social factors are what cause AN and indeed AN is minuscular cognise in non-industrialised countries that do not subscribe to a Hollywood ideal of beauty which is easy to see is unattainable by the median(a) person due to the unrealness of it. Not even the celebrities look like their on-screen personas in real life thanks to photo shopping and professional theme artists.Its right to see Australian teen magazines are part their tar fit audience develop a healthy body two-bagger by having something called a reality check alert. If the magazine is sent a celeb picture that has already been re-touched they will print a little disclaimer next to it reminding their readers its not natural. A healthy body motion-picture show is the first step to preventing AN and Bulimia. Edward Shorter a medical historian working(a) today be duplicityves that illnesses like AN are a culturally agreed-upon expression of upcountry distress.Richard Gordon writes in Eating Disorders-Anatom y of a Social Epidemic Individuals with pre-existent mood or anxiety disorders or a whole host of under-lying psychopathologies or developmental vulnerabilities histories of sexual abuse or familial concerns with weight control may be pre-disposed to adopting such culturally sanctioned behaviours as modes of managing unbearable levels of distress. (Watters 2010) This means that social factors are probably the most fundamental aspect of why this particular illness developed but the aptness to develop a culturally specific disorder came from psychological issues.This does not make the illness any less real or be of medical compassionate just that practitioners need to develop a care plan based on a holistic approach and blot that the starvation is secondary to psychological issues. The quotes are not meant to downplay the component part body image has in the illness but there may be more at stake than poor body image that the sufferer has poorly defined incurings of inadequa cy that find a culturally recognised home in AN. AN has the highest incidence of suicide than any other mental illness and sufferers are 32 more times likely than average to commit suicide. Butterfly Foundation) Past Treatment Anorexia-type symptoms began presenting to doctors in adolescent girls during the 1850s at the height of the Hysteria epidemic. At first it was a strange manifestation of the well -known womens illness (well known at the time-it has disappeared from the medical canon today) but by 1860 it was becoming common for young women to starve themselves. In 1873 the model for AN that we would recognise today became well known but with the name Hysterical Anorexia.Treatment was usually hospitalisation with Doctors reporting being perplexed that their patients did not seem to want to get well. Treatments in the 1970s tended to conform to the medical model with enforced hospitalisation and force feeding. (Watters 2010) directlys Treatment Today individual and family coun selling is just as important as nutrition pedagogics. Many sufferers display perfectionist tendancies so cognitive Behavioral Therapy seems to be the most effective treatment in dowry sufferers ascertain their irrational thought patterns.The average patient suffers from AN for 7 historic period and while 5% of the population may have AN at any time the illness has a 15%-20% mortality rate (Butterfly Foundation) which makes it the highest mortality rate of any mental illness so early spotting and treatment is essential for a positive prognosis. Significant Behaviours One of the hardest behaviours for family and friends of sufferers to understand or come to terms with is the patients preoccupation with food but refusal to eat it.The sufferer shows signs of being compulsive when it comes to food working out how many calories each portion of food contains and devising a diet and slavishly sticking to it and punishing themselves if they eat too much for example an unintended piece of birthday cake. AN sufferers are often addicted to exercise and will exercise up to 6 hours a day. AN sufferes necessarily have to lie to family and friends somewhat their behaviour and this can create another level of hit on the patient as they are often high achievers and good girls and in fact sufferers redominately come from the middle and upper socio-economic classes and more often than not have high levels of academic success. (Dryden-Edwards 2012) Personal Qualities and Professional Skills As a case worker one needs to be watchful to work with family and friends of your client in a way that you may feel conflicts with confidentiality issues. The important thing is keeping your client alive while help her find a psychiatrist or psychologist who can help her get to the bottom of the underlying issues.A lot of patience will be need on a personal level and if you feel the impulse to apprehension your client and shake her and cry why wont you eat dammit perhaps a little r esearch wont go astray. The otherside to that is not to become too emotionally involved. Hopefully her family and friends are a strong support but otherwise find out about support groups for your client but beware the pro-ana groups that are trying to travel an illness that claims many beautiful young people and turn it into a lifestyle choice. 1225 words References and Bibliography Mum Please Help Phillips Karen Webster Irina MD.Clearview Books 2010. Crazy like us- The Globalization of the American Psyche Watters Ethan. Free Press 2010 Case Studies in Abnormal Psychology Oltmanns Thomas F. Neale John M. Davison Gerald C. John Wiley & Sons 2003 Anorexia Nervosa Dryden Edwards Roxanne MD httpwww. medicinet. com Retrieved 10/11/2012 Eating Disorders Franco Kathleen N. http www. clevelandclinicmeded. com Retrieved 10/11/2012 DSM-IV Diagnostic Criteria for Anorexia Nervosa Taken from DSM-IV http www. medicalcriteria. com Created 3/7/2005 Retrieved 10/11/2012 www. butterfly foundation. com Site dedicated to education about Anorexia