Part 1 200 word count:
Eating disorders and
obesity are viewed as some of the most difficult disorders to treat. OCDs are a
common disorder that often create social anxiety and disrupt a youth’s ability
to function within a social setting. This discussion will allow you to
critically think about these issues and identify how to provide treatment
strategies for these difficult diagnose.
Chose one of the
following for this discussion:
In your post:
State the diagnosis criteria for the diagnosis as listed in
Discuss the challenges presented while working with children or
adolescents with this disorder. Include at least one reference.
Present an intervention treatment plan. Include the theory base
you would use, length of treatment, and potential success of this treatment.
Include references to support your treatment plan.
Provide a brief self-reflection about how you feel about working
with the population you choose.
Part 2 : Response with 150-word count by including additional challenges in working with the population discussed or alternative interventions and why you would choose that intervention.
For the purpose of this discussion post, I have chosen to explore binge-eating disorder. The DSM-V (2022) identifies the traits of binge-eating disorder as:
Repeated incidents of binge eating. An incident of binge eating is categorized by both of the subsequent:
Eating, in a distinct time period a quantity of food that is unquestionably greater than what most individuals would eat in a similar time period under comparable conditions.
A sense of lack of control regarding eating during the incident.
The binge-eating incidents are connected with three (or more) of the following:Noticeable distress concerning binge eating is present.
Eating much more quickly than usual.
Eating until feeling awkwardly filled.
Eating big quantities of food when not feeling actually hungry.
Eating alone because of feeling ashamed by the amount one is consuming.
Feeling repulsed with oneself, unhappy, or very remorseful afterward.
The binge eating happens, on typical, as a minimum once a week for 3 months.
The binge eating is not related with the repeated use of unsuitable compensatory behavior as in bulimia nervosa and does not happen only during the development of bulimia nervosa or anorexia nervosa.
An estimate by Alfano and Beidel (2014) suggest that 3% of the population before the age of twenty will have suffered from binge-eating disorder. The recommended approaches for binge-eating disorder include interpersonal psychotherapy in a group setting, cognitive behavioral therapy (CBT), and dialectical behavior therapy (DBT) but these recommendations are for adults (as cited by Alfano & Beidel, 2014). While research has showed promise in using the same techniques with adolescents, there is not enough research or evidence to state it for factual (Alfano & Beidel, 2014). The lack of research is a challenge when working with the population of adolescents for binge-eating disorder.
The theory that I would use for adolescent with binge-eating disorder is systems theory. Ecological theory refers to considering the levels of environments of the individual, not just the individual, and how the environments can be related to the issue (Neal & Neal, 2013). With this approach, I can explore with the adolescent if there is a trigger in his/her/their environment for a binge-eating episode, also try to bring together the resources available in the adolescent’s environment to bring together more support through the recovery process. However, the best practice approach presents as cognitive behavioral therapy (CBT) and has been established to prove less reoccurrence of episodes and more satisfactory self-reports in follow-ups after twelve months of treatment (Grilo et al., 2011). The results of this study demonstrated that after twelve months of treatment, at check-ins, the majority of participants had been episode free for several months, reported rates of up to 60% were episode free (Grilo et al., 2011).
I chose this diagnosis based on my own struggles with binge-eating. My struggles are not diagnosis worthy but has been a poor coping technique of mine off and on for many years, starting at the age of ten when my parents divorced. I am able to apply better coping skills now and have not resulted to binge-eating for a number of years. I believe my understanding of the struggle, the shame, the guilt, and the drive would be beneficial when working with a population with this diagnosis.
Part 1 200 word count: