The first requirement in treating a client with Anorexia, is to restore their health. It is imperative that they receive a medical from their GP. This is important because if they have a BMI (Body Mass Index) of 17 or below, they cannot start treatment due to the effect the weight loss has on the brain.
This is done through weight gain and improved eating habits, however often anorexics will refuse treatment as the make-up of the eating disorder is about control and the clients control over their eating and body perception.
For some, weight gain will have to be forced, through hospitalization and/or tubule feeding. Once the starvation process is reversed, psychotherapy can begin in order to address the psychological issues behind the eating disorder.
If there has been some serious health damage they may either need to be admitted to a general ward for physical symptoms or to a psychiatric unit and any future therapy is completed in conjunction with a nutritionist and medical doctor.
These four core features enable us to better differentiate between a normal, healthy personality from one that is not:
• Extreme and distorted thinking patterns including disturbances in self-image
• Problematic emotional response patterns including an inappropriateness range of emotion
• Impulse control problems such as over-spending, drinking, sex, gambling
• Significant interpersonal problems including an inability to have a successful interpersonal relationship
The four core features common to all personality disorders and before a diagnosis is made, a person must demonstrate significant and enduring difficulties in at least two of these four areas above.
Besides the four core features associated with the general diagnostic category of personality disorders, there are 10 specific personality disorders identified and each is defined by a unique set of criteria reflecting observable characteristics associated with that disorder. The DSM-IV-TR identifies and...