Attention Deficit & Learning Challenges
Treatment Plan 

SNOMED Terms

• Anorexia nervosa

• Bulimia nervosa

• Dependent personality disorder

• Eating disorder

• H/O: anorexia nervosa

• No diagnosis on Axis I

• Person with feared complaint, no diagnosis made

• Personal history of eating disorder

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Goals

• Restore normal eating patterns, body weight, balanced fluid and electrolytes, and a realistic perception of body size.

• Terminate the pattern of binge eating and purging behavior with a return to normal eating of enough nutritious foods to maintain a healthy weight.

• Develop healthy cognitive patterns and beliefs about self that lead to alleviation and help prevent the relapse of the eating disorder.

• Develop healthy interpersonal relationships that lead to alleviation and help prevent the relapse of the eating disorder.

• Develop alternate coping strategies (e.g., feeling identification, problem-solving, assertiveness) to address emotional issues that could lead to relapse of the eating disorder.

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Behavioral Definitions

• Refusal to maintain body weight at or above a minimally normal weight for age and height - less than 85% of that expected.

• Intense fear of gaining weight or becoming fat, even though underweight.

• Recurrent episodes of binge eating (i.e., rapid consumption of large quantities of high-carbohydrate food).

• 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.

• Extreme weight loss (and amenorrhea in females) with refusal to maintain a minimal healthy weight.

• Undue influence of body weight or shape in self-evaluation.

• Persistent preoccupation with body image related to grossly inaccurate assessment of self as overweight.

• Escalating fluid and electrolyte imbalance resulting from eating disorder.

• Strong denial of seeing self as emaciated even when severely under recommended weight

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Diagnoses

• Anorexia Nervosa

• Bulimia Nervosa

• Eating Disorder NOS

• Dependent Personality Disorder

• Diagnosis Deferred

• No Diagnosis

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