“Using the case study at the end of the module assess the client's issues and describe your treatment plan. What ethical issues might arise?

Topics: Obesity, Nutrition, Self-esteem Pages: 5 (1959 words) Published: October 12, 2013

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 long-term relationship 6 months ago, and revealed that her former partner was very controlling and appeared to want her to remain overweight. Miss E has always struggled with her weight since she was a teenager (from the age of 12 or 13), and her parents constantly pestered her about being unattractive and eating too much. 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. Throughout my essay and based on the case study provided, I will intends to look at Miss E's issues and I shall be describing what course of treatment i believe could be beneficial for her. I will also mention ethical issues as they arise before concluding.

Obesity is a major contributory cause of death in the UK, around one in every 11 deaths in the UK is now linked to carrying excess fat. Of all the deaths in the UK that were linked to excess weight, about 66 per cent were down to obesity, and 33 per cent to being overweight. Being overweight or obese leaves people at high risk of heart disease, diabetes, high blood pressure and osteoarthritis. It also makes them much more likely to develop several types of cancer. The difference between being overweight and obese lies in a person's Body Mass Index. The body mass index (BMI) is your weight in kilograms divided by your height in metres squared. if your BMI is between 25 and 29, you would be considered overweight if your BMI is between 30 and 40, you would be considered obese if your BMI is over 40, you would be considered very obese (known as ‘morbidly obese’). A lot of people insist they need to loose weight, whether they're overweight or not. The truth is, very few people are happy with the shape and size of their bodies, regardless of whether or not they need to loose weight. To enable further understanding of Miss E's current situation i will need to gather additional information starting by her weight and height as well as her history about how she is relating to food from the childhood to now, her eating habit and her life style within any social environment, her belief system with regard to food. It is evident that Miss E wants to loose weight, but i am suspected that Miss E has deeper issues than this. Many peoples suffering from weight issues are related to emotional problems that can be acted out through their relationship with food. Binge eating can be one way to reduce anxiety frustration fears and unresolved issues.

Before assessing the case of Miss E, it is important to look at any relevant information about her life that could be used to formulate a successful treatment plan. Miss E has been overeating since she was 12 or 13 and also she had been struggling with it but was unsuccessful as she gained her old weight after every diets. It's not unusual for people to get into a cycle of dieting, overeating, feeling guilty and dieting again. This is known as 'yoyo dieting' and makes weight loss difficult to sustain. This means that she has a tendency to sabotage all effort gained. For Miss E, eating has become a habit and habits are ruled by the subconscious which is a very strong force and will usually win when in conflict with the conscious mind. Miss E's parents badgered her of being unattractive and this became her self-image and develop low self-esteem and lack of confidence, this feeling was later reinforced by the behaviour of her ex-partner who wanted her to remain overweight. Hadley and Staudacher (Chap 4, pages 60- 62, Chrysalis notes from module 6 pages 6-7) suggested that there are five common causes for overeating. It will be vital to isolate the reason(s) for Miss E overeating in order to help her through the process of hypnosis. Miss E’s hidden agenda that she is unattractive and not...
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