Soteldo Psychotherapy
Narcissistic Abuse Recovery Clinic

Attention Deficit & Learning Challenges
Treatment Plan


EATING DISORDER
TREATMENT
PLAN
SNOMED Terms
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Anorexia nervosa
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Bulimia nervosa
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Dependent personality disorder
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Eating disorder
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H/O: anorexia nervosa
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No diagnosis on Axis I
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Person with feared complaint, no diagnosis made
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Personal history of eating disorder
Goals
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Restore normal eating patterns, body weight, balanced fluid and electrolytes, and a realistic perception of body size.
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Terminate the pattern of binge eating and purging behavior with a return to normal eating of enough nutritious foods to maintain a healthy weight.
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Develop healthy cognitive patterns and beliefs about self that lead to alleviation and help prevent the relapse of the eating disorder.
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Develop healthy interpersonal relationships that lead to alleviation and help prevent the relapse of the eating disorder.
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Develop alternate coping strategies (e.g., feeling identification, problem-solving, assertiveness) to address emotional issues that could lead to relapse of the eating disorder.
Behavioral Definitions
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Refusal to maintain body weight at or above a minimally normal weight for age and height - less than 85% of that expected.
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Intense fear of gaining weight or becoming fat, even though underweight.
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Recurrent episodes of binge eating (i.e., rapid consumption of large quantities of high-carbohydrate food).
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Recurrent inappropriate compensatory behavior to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, enemas, or other medications; fasting; or excessive exercise.
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Extreme weight loss (and amenorrhea in females) with refusal to maintain a minimal healthy weight.
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Undue influence of body weight or shape in self-evaluation.
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Persistent preoccupation with body image related to grossly inaccurate assessment of self as overweight.
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Escalating fluid and electrolyte imbalance resulting from eating disorder.
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Strong denial of seeing self as emaciated even when severely under recommended weight
Diagnoses
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Anorexia Nervosa
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Bulimia Nervosa
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Eating Disorder NOS
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Dependent Personality Disorder
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Diagnosis Deferred
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No Diagnosis