Maladaptive Behavior
Valerie Hannah
Dr. Beyer
Maladaptive Behavior and Psychopathology/FP6005 A03
Background
Please outline the major symptoms of this disorder. According to the Diagnostic Statistical Manual IV Text Revision the main symptom of Bulimia Nervosa are binge eating and inappropriate compensatory methods to prevent weight gain. In addition, the self- evaluation of individuals with Bulimia Nervosa is excessively influenced by body shape and weight. To qualify for the diagnosis, binge eating and the inappropriate compensatory behaviors must occur, on average, at least twice a week for 3 months (Criterion C). A binge is defined as eating in a discrete period of time an amount of food that is definitely larger than most individuals would eat under similar circumstances (Criterion A1). The clinician should consider the context in which the eating occurred what would be regarded as excessive consumption at a typical meal might be considered normal during a celebration or holiday meal. A discrete period of time refers to a limited period, usually less than 2 hours. A single period of binge eating need not be restricted to one setting. For example, an individual may begin with a binge in a restaurant and then continue it on returning home. Continual snacking on small amounts of food throughout the day would not be considered a binge (DSM IV TR, 2000, p. 589).
Briefly outline the client’s background (age, race, occupations, etc.). Nancy is married, Caucasian woman approximately 41 years old. She is separated from husband and son at the time of the interview. She works at a restaurant as a waitress.
Please describe any factors in the client’s background that might predispose him or her to this disorder. Nancy’s mother suffered from anorexia nervosa. Nancy is certain that since her mother had an eating disorder herself it contributed to her disorder.
Observations
Please describe any symptoms that you have observed that support the diagnosis. You can include direct
Dr. Beyer
Maladaptive Behavior and Psychopathology/FP6005 A03
Background
Please outline the major symptoms of this disorder. According to the Diagnostic Statistical Manual IV Text Revision the main symptom of Bulimia Nervosa are binge eating and inappropriate compensatory methods to prevent weight gain. In addition, the self- evaluation of individuals with Bulimia Nervosa is excessively influenced by body shape and weight. To qualify for the diagnosis, binge eating and the inappropriate compensatory behaviors must occur, on average, at least twice a week for 3 months (Criterion C). A binge is defined as eating in a discrete period of time an amount of food that is definitely larger than most individuals would eat under similar circumstances (Criterion A1). The clinician should consider the context in which the eating occurred what would be regarded as excessive consumption at a typical meal might be considered normal during a celebration or holiday meal. A discrete period of time refers to a limited period, usually less than 2 hours. A single period of binge eating need not be restricted to one setting. For example, an individual may begin with a binge in a restaurant and then continue it on returning home. Continual snacking on small amounts of food throughout the day would not be considered a binge (DSM IV TR, 2000, p. 589).
Briefly outline the client’s background (age, race, occupations, etc.). Nancy is married, Caucasian woman approximately 41 years old. She is separated from husband and son at the time of the interview. She works at a restaurant as a waitress.
Please describe any factors in the client’s background that might predispose him or her to this disorder. Nancy’s mother suffered from anorexia nervosa. Nancy is certain that since her mother had an eating disorder herself it contributed to her disorder.
Observations
Please describe any symptoms that you have observed that support the diagnosis. You can include direct