(PDF) Unhealthy diet practice and symptoms of stress

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Running head: MENTAL HEALTH1[Unit and Assignment Title][Learner Name][COURSE NUMBER – NAME][Date][Professor Name]
Running head: MENTAL HEALTH2Unit and Assignment TitlePresenting Concerns: Case of KimiAn analysis of the case study suggests that Kimi presents symptoms related to unhealthyeating patterns that are manifested by her behaviour of binge eating, followed by purging, byvomiting. The most common symptoms that she exhibits include eating large amounts of food insohort time intervals, and her subsequent attempts to get rid of the consumed food. Allindividuals suffer stress due to a multitude of different factors that heighten their mental anxiety(Westerberg & Waitz, 2013). Stress faced by Kimi due to problems in her relationship with herhusband makes her act in a compulsive way and adapt poor eating habits. The symptoms fit withthe perspective of a mental health problem that focuses on rapid and out-of-control eating. It canbe categorized as a mental disorder due to the fact that it encompasses a plerhora of underlyingfactors such as, genetics, neurochemical changes, low self-esteem, and lack of confidence(Gianini, White & Masheb, 2013).Differential Diagnosis: Case of KimiThe DSM criteria for mental diagnosis was thoroughly viewed before diagnosing the hersymptoms as binge eating disorder. Intitally it was evaluated whether the symptoms occurred dueto direct impacts of any physiological condition or medical condition. This was followed bycategorizing it into psychotic disorder as it occurred due to general medical conditions, since itwas not induced due to action of psychoactive drugs. The DSM-5 criteira for eating disorderswere matched to her symptoms and evaluated (Hudson et al., 2012). Kimi showed similaritieswith the DSM features related to recurrent binge eating episodes, marked distress, absence ofinappropriate compensatory behaviour, and eating alone whe feeling depressed and being guiltyafterwards. Presence of these critieria helped in differential diagnosis of disorders.Evaluation of Assessment Results: Case of Kimi
Running head: MENTAL HEALTH3The SCOFF questionnaire will be used to assess the prevailing conditions. Questionsrelated to whether Kimi made herself sick while she felt uncomfortably full, if shew worriedabout losing control over her eating will be asked. She will also be questioned if she had lostmore than 1 stone weight in the past three months (Solmi et al., 2015). Further questions relatedto if she considers herself fat and what food items dominated her life will also be asked. Ananalysis of the results and her reports will help in screening binge eating disorder. The DSM-5Self-Rated Level 1 Cross-Cutting Symptom Measure—Adult will also be used for assessing thesymptoms presented by Kimi. It will facilitate in determining her mental health domain andidentify the probable prognosis and treatment of her condition (Clarke & Kuhl, 2014).DSM and ICD Diagnosis: Case of KimiAn analysis of the symptoms that are manifested by Kimi suggests that that she issuffering from binge eating disorder. The ICD and DSM codes for binge eating disorder are307.51 and F50.8 respectively. The diagnosis can be considered appropriate due to the fact thatthis disorder is commonly characterized by compulsive overeating and consumption of abnormalfood proportions due to lack of control. The episodes are generally exhibited twice a week. Adiscussion with Kimi provided the information that she regularly indulges in eating unhealthyfoods due to the stress and depression she faces, after her husband left her. The strongpsychological correlation of her depression with the eating habits and her dissatisfaction and lowself-esteem confirm the diagnosis.Medication Referral/Consultation: Case of KimiResearch evidences suggest that binge eating disorders should be managed by addressingboth physical and psychological sife effects. Dietary counseling and cognitive behaviouraltherapy will be most effective for treating this condition. More than 50% BED patients havedemonstrated complete remission from the abnormal eating on CBT administration. Further
Running head: MENTAL HEALTH4benefits are also related to its success in addressing psychiatric cormorbidites and self-imageissues. In addition, antidepressants, anti-obestiy medicines and anticonvulsants can also beadministered. Use of SSRI such as, fluvoxamine or fluoxetine will reduce her weight and bingeeating symptoms. Anticonvulsants like zonisamide and topiramate will suppress appetite.However major contradictions are related to the fact that these medications can lead to insomnia,nausea, fatigue, tremor and weight gain, as well.Presenting Concerns: Case of JulioMost common symptoms that are manifested by Julio include difficulty in rememberingrelevant information, problems in concentration on tasks, organizing events, and followinginstructions. The symptoms are a combination of several persistent problems that are associatedwith impulsive behaviour, without hyperactivity. The symptoms create significant impacts on theperson’s daily functioning and result in restlessness and impulsiveness. Poor skills in managingwork, problems in prioritizing, disorganisaiton and multitasking troubles fit with the perspectivethat it shows devition from normal mental states and makes it difficult for a person to paysustained attention.Differential Diagnosis: Case of JulioThe developmental trajectory and behavioural symptoms were reviewed for diagnosingthe mental condition. Julio was diagnosed on the basis of presence of some behaviours such asnot giving close attention to detailed information or making careless mistakes, trouble in keepingattention on activities, not listening to people when being spoken directly and failing to followappropriate instructions in the workplace (Willcutt, 2012). Similar reports were provided byJulio, in addition to his difficulty in organizing activities and getting easily distracted. This
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