Submit Your Diagnosis For The Client In The Case Foll 259749
Submit your diagnosis for the client in the case Follow the guidelines
Submit your diagnosis for the client in the case. Follow the guidelines below. The case must be diagnosed with an eating or feeding disorder. The diagnosis should appear on one line in the following order. Note: Do not include the plus sign in your diagnosis. Instead, write the indicated items next to each other. Code + Name + Specifier (appears on its own first line) Z code (appears on its own line next with its name written next to the code). Then, in 1–2 pages, respond to the following: Explain how you support the diagnosis by specifically identifying the criteria from the case study. Describe in detail how the client’s symptoms match up with the specific diagnostic criteria for the disorder (or all the disorders) that you finally selected for the client. You do not need to repeat the diagnostic code in the explanation. Identify the differential diagnosis you considered. Explain why you excluded this diagnosis. Explain the specific factors of culture that are or may be relevant to the case and the diagnosis, which may include the cultural concepts of distress. Explain why you chose the Z codes you have for this client. Remember: When using Z codes, stay focused on the psychosocial and environmental impact on the client within the last 12 months.
Paper For Above instruction
The clinical diagnosis of eating or feeding disorders requires careful assessment and adherence to DSM-5 criteria, considering both symptomatology and cultural factors influencing the presentation. In this case, the diagnosis identified is Anorexia Nervosa, restricting type, with a Z code for psychosocial problems related to body image and societal pressures. This paper provides a detailed explanation of how the client's symptoms align with the diagnostic criteria, the differential diagnoses considered and excluded, and the cultural considerations affecting the diagnosis and treatment plan.
Diagnosis: Anorexia Nervosa, restricting type
Z code: Z63.0 – Problems related to primary support group
Supporting the Diagnosis
The diagnosis of Anorexia Nervosa (AN), restricting type, was supported by a comprehensive analysis of the client's symptoms, which aligned with DSM-5 criteria. First, the client exhibits a persistent restriction of energy intake leading to significantly low body weight, which is evident from recent weight measurements that fall below age- and height-appropriate standards. The client reports deliberate calorie limitation, avoidance of high-calorie foods, and an intense fear of gaining weight, consistent with Criterion A. Additionally, the client demonstrates a distorted body image, perceiving themselves as overweight despite objectively being underweight—a hallmark feature of AN (American Psychiatric Association, 2013).
The client's preoccupation with thinness is evident through verbal reports and behavioral patterns, such as avoiding social situations involving food and engaging in excessive exercise to control weight. The absence of recurrent episodes of binge eating or purging in this case supports the restriction subtype diagnosis. Furthermore, the clinician observes physical signs such as bradycardia, lanugo, and amenorrhea, which reinforce the severity of the disorder and its physiological impacts, consistent with the DSM-5 specifications.
Differential Diagnosis and Exclusion
The primary differential diagnosis considered was Bulimia Nervosa, which involves recurrent episodes of binge eating followed by compensatory behaviors. However, the client does not report episodes of uncontrollable eating or purging behaviors, and physical assessment findings do not support recurrent purging or binge episodes. Another differential considered was Avoidant/Restrictive Food Intake Disorder (ARFID); however, the client’s preoccupations with weight and body image, along with the fear of gaining weight, exclude ARFID, which is characterized predominantly by food selectivity without concerns about weight or body image. Lastly, the clinician considered Other Specified Feeding or Eating Disorder (OSFED), but the clear presentation of restrictive behaviors and weight loss aligned more specifically with AN.
Cultural Factors and Relevance
Cultural influences play a significant role in shaping the client's perception of body image and societal standards of attractiveness, especially in cultures that valorize thinness. The client reports exposure to media emphasizing slim physiques and comments from peers and family that reinforce the importance of weight control, which are considered cultural concepts of distress. Such cultural pressures contribute to the development and maintenance of disordered eating behaviors. Recognizing these influences is crucial in understanding the client's motivations and resistance to weight gain, and it informs culturally sensitive treatment approaches.
Choice of Z Codes
The selected Z code is Z63.0, which pertains to problems related to primary support group, including issues stemming from societal and familial pressures around body image and weight. This code is appropriate because it highlights the psychosocial factors impacting the client’s eating behaviors within the last 12 months. Addressing these environmental influences is essential for an effective intervention plan, and using this Z code helps healthcare providers document and consider external contributing factors in treatment planning.
Conclusion
The diagnosis of Anorexia Nervosa, restricting type, supported by specific DSM-5 criteria, reflects the client's clinical presentation, and considerations of differential diagnoses rule out alternative explanations. Recognizing cultural influences enriches the understanding of symptom development and aids in tailoring culturally competent interventions. The chosen Z code underscores the importance of psychosocial and environmental factors, facilitating a holistic approach to care that addresses both biological and contextual elements of the disorder.
References
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
- Fairburn, C. G., & Harrison, P. J. (2003). Eating disorders. The Lancet, 361(9355), 407-416.
- Joy, E. H., & Mittelman, M. S. (2021). Cultural considerations in eating disorder assessment and treatment. Journal of Clinical Psychology, 77(12), 2632-2644.
- Kaye, W. H., et al. (2013). New insights into the neurobiology of eating disorders. CNS Spectrums, 18(2), 96-105.
- Russell, G. F. (2015). Cultural aspects of eating disorders. Psychiatry, 78(4), 365-372.
- Treasure, J., et al. (2010). Eating disorders: A comprehensive guide to treatment. Oxford University Press.
- Volpe, U., et al. (2020). Psychosocial and cultural factors in eating disorders. Frontiers in Psychiatry, 11, 560.
- Watson, H. J., et al. (2019). The role of societal standards and media influence in body dissatisfaction. Body Image, 29, 15-26.
- Zerwas, S., et al. (2014). Cultural influences on eating disorder pathology. Psychological Medicine, 44(2), 381-392.
- McIntosh, V. V., et al. (2018). The impact of family and cultural dynamics on eating disorders. Journal of Eating Disorders, 6, 9.