Miss E came to therapy for weight loss wanting to lose 2 ½ stone. She is 29 and came out of a failed relationship 6 months ago. She is now ready to look for another partner but is scared as her previous partner of 6 years was very controlling and almost seemed to want her to stay overweight. She had struggled with her weight since she was 12 or 13 and her parents badgered her about being unattractive and eating too much. She has tried many diets but always seems to put weight back on again after a while. She is going on an all girls holiday in 3 months and hopes to have lost weight by then.
In this essay I shall be using the case study of Miss E, assessing her issues and devising a treatment plan specifically for her. I shall also be including any contraindications and finally go on to conclude my essay.
Miss E is a 29 year old female whose goal is to lose 2 ½ stone in weight. She has come out of a failed relationship 6 months ago, and revealed that her former partner was very controlling and appeared to want her to remain overweight. The client admits to struggling with weight problems from around the age of 12 or 13, and remembers her parents badgering her for eating too much and being unattractive. Miss E has tried various diets and invariably has always put the weight back on. She is going on an all girls holiday in 3 months and hopes to have lost the weight before then. Miss E also feels ready to look for a new relationship. ......’If we are made to feel fat and ugly as children, we may accept this as our identity and so ensure that we remain within that given identity – so sustaining that image’. Chrysalis module 6 notes As a therapist it is important to understand the reasoning behind a client wanting to lose weight. Initially a client wanting to lose weight can be a straight forward request, as most people at some point in their lives put on a degree of weight. Depending on a person’s history, medical background, lifestyle and general make-up, a person may need to lose several stone or only a few pounds. Someone who needs to lose quite a few stone will probably scoff at another person who only needs to lose a few pounds but ultimately it is down to how the individual feels and what they are comfortable with. Some people of course are not overweight and only see themselves as overweight as a result of peer pressure, a vindictive and nagging spouse or simply from being aware of the media and its promotion on us all to be thin. Negative influences from key adults throughout a person’s life will frame their subconscious mind, affecting their belief system and more often than not become self esteem destroying. After all if we are told something for long enough, then we will begin to believe it. It is the job of the therapist to assess the reality of the client reaching their weight loss goal, and the time limit in which they wish to achieve it in, the therapist should actively advise the client with realistic goals and a time scale which would be safe and achievable for the client, anything less could be damaging. There may be some clients which do present with weight loss issues, but in fact may be masking other deeper issues that need to be resolved. If this is the case, through the right questioning, it should soon become apparent to the therapist. In order to facilitate the client to communicate and open up to the therapist, a rapport needs to be built up in order for the client to feel that they are in a safe environment where they can open up and give as much information as possible to the therapist. Using the correct style of questioning will be essential to obtain the information from the client so they can give a broad and clear picture of the issues that surround them. There are many different forms of questioning as stated in Chrysalis course notes. These include closed questioning, open questioning, reflective questioning, probing, leading, multiple questions and...
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