1 / 10100%
Running head: ANOREXIA - A BRAIN DISORDER?
?
Anorexia - A Brain Disorder?
Author's Name
Institutional Affiliation
ANOREXIA - A BRAIN DISORDER?
Cites five or more references, using at least two new scholarly resources that were not
provided in the course materials.
5 pages
Using theDSM-5diagnostic criteria and evidence-based scholarly articles, address the
following:
Describe the neurology of anorexia. Does the characterization of anorexia as a brain
disorder surprise you? What are your thoughts on the personal and/or cultural
implications of classifying anorexia (and other mental illnesses) in this way, as
opposed to a lifestyle choice or a matter of willpower? How might you support a family
(or client) who is resistant to this interpretation?
Describe and discuss changes in personality and social behavior that might be seen with
anorexia. How would you assess for these changes?
Provide an overview of the health consequences and medical complications of anorexia
Create a treatment plan for a client with anorexia using family-based therapy or other
evidence-based therapy.
Criteria for this paper:
Answer these questions succinctly but completely, integrating resources to provide
rationale for all decisions.
Use APA formatting for all components of your paper.
You may use narrative, bullets, or a table format for various sections of this discussion
assignment.
ANOREXIA - A BRAIN DISORDER?
Your paper should be approximately two to three pages long, not including the reference
page.
Use at least one nursing journal reference from CINAHL to support your rationale
ANOREXIA - A BRAIN DISORDER?
Introduction
Anorexia nervosa is a psychological and sometimes potentially life-threatening eating disorder.
Individuals with Anorexia disorder typically suffer from and severely low body weight relative
to their height and body type. The disorder is characterized by an abnormally extreme fear on
gaining weight. The individual suffering the disorder have a distorted perception of weight with
the majority of them placing a higher value on controlling their body weight and shape.
According to the National Association of Anorexia Nervosa and Associated Disorders (ANAD)
(2019) "At least 30 million people of all ages and genders suffer from an eating disorder in the
U.S. 1. Every 62 minutes, at least one person dies as a direct result from an eating disorder.
Eating disorders have the highest mortality rate of any mental illness. 13% of women over 50
engage in eating disorder behaviours." It is against this background that this paper looks into
the neurology, personal and social behaviour changes, and health consequences of Anorexia
nervosa.
Neurology of Anorexia nervosa
As mentioned earlier, Anorexia nervosa is a psychological condition caused by the emotional
challenges, distorted and unrealistic body perception/image and extreme fear of becoming
overweight or obese. Research has established that anorexia nervosa often begins during teenage
years and early adulthood. According to ANAD, anorexia nervosa is the third most common
chronic illness among teenagers, and it affects approximately 1 in every 100 women in the
United States. Individuals with anorexia nervosa often adopt potentially life-threatening
measures to retain their body image and shape. For instance, some may intentionally restrict
ANOREXIA - A BRAIN DISORDER?
their food intake while others may resort to excessive physical exercises in the effort as a result
of their extreme fear of becoming fat. Other may adopt drastic measure such as the use of
laxatives or intentional vomiting in order to cut down their weight. Additionally, it was
interesting to learn the majority of the individual with anorexia often don't want treatment
because their obsession with body image overrides g concerns about their well-being.
The characterization anorexia nervosa is quite surprising to me. Firstly, it was surprising to learn
that anorexia nervosa is relatively common in America. At first, I had thought anorexia nervosa
is just one of those rare disorders that probably affects a very insignificant portion of the
population. To my surprise, "0.9% of American women suffer from anorexia in their lifetime,
and 1 in 5 anorexia deaths is by suicide" (ANAD 2019).
In addition, the symptoms of the anorexia were somewhat weird to me. Being a relatively new
disorder to me, I was surprised to learn that the symptoms could sometimes be extreme to the
point of causing injury or even death. Some of the extreme symptoms of the disorder include
hypothermia, constipation, swollen hands and feet and menstruation problems. In the Western
cultures where thinness is often emphasized, many individuals, particularly teens, maybe at a
higher risk of anorexia (Lindstedt et al. 2017).
There are several strategies that families and caregivers can support individuals with anorexia.
Firstly, it is essential to talk to the individual about their perception of their body image to help
them gain a more realistic image. Secondly, it is necessary for the family members to provide
the individual with as much information about the disorder as possible. Reading widely about
anorexia helps to separate facts and myths about body weight, beauty, and nutrition. Moreover,
the family and the society, in general, should remove the potential stigma associated with being
fat or obese in order to help those at the risk of anorexia overcome negative perceptions (Sibeoni
ANOREXIA - A BRAIN DISORDER?
et al. 2017). Lastly, it is important to encourage them to seek professional help, especially when
they adopt life-threatening lifestyles.
Like the other mental disorders, anorexia affects an individual's thinking pattern, perception of
reality and sometimes, personality. A person with anorexia way at a risk of recurring conditions
such as mood and anxiety disorders, which may ultimately how he or she relates with others.
They are also at the risk of abusing substances such as marijuana, cocaine, and heroin etc. The
individual may develop suicidal thoughts and behaviours.
Research has established that people with anorexia are vulnerable to anxiety, depression, and
perfectionism and self-critical behaviour. These genetic vulnerabilities contribute to distorted
perceptions and unhealthy eating habits. According to Gulf Bend Center (2017), people with
anorexia bulimia tend to be competitive, and they compare their appearances against unrealistic
standards. All these vulnerabilities significantly affect how the individual thinks, perceives
others, and even how they relate with others.
The above-mentioned changes in behaviour and personality can be used to diagnose anorexia.
When the doctor suspects an individual suffers anorexia nervosa, he may carry out physical
exams lab tests, psychological evaluation and other studies to rule out other mental problems.
The mental health professional can employ the diagnostic criteria for anorexia nervosa in the
Diagnostic and Statistical Manual of Mental Disorders (DSM-5), developed and published by the
American Psychiatric Association (Sibeoni et al. 2017).
Health consequences and medical complications of anorexia
Anorexia nervosa has several complications that should be closely monitored because as
mentioned earlier, they could be life-threatening. According to Mayo Clinic (2019), anorexia can
ANOREXIA - A BRAIN DISORDER?
be fatal, and death may occur suddenly even when the individual is not severely underweight.
For instance, the adverse health effects of anorexia on the body can cause abnormal heart
rhythms as well as arrhythmias) or an imbalance of electrolytes. Some important minerals,
including sodium, calcium and potassium, are important in maintaining the balance of body
fluids.
Moreover, an individual with anorexia becomes severely malnourished, and this eventually
damages some internal organs. In extreme cases, the damage to internal body organs may not be
fully reversible. Anorexia is associated with other complications such as anaemia, kidney
disease, loss of muscle, osteoporosis, decreased testosterone in men and absence of a period in
women, gastrointestinal problems, and electrolyte abnormalities. It is also important to note that
anorexia can also cause mental health problems. These include depression and mood disorders,
obsessive-compulsive disorders, alcohol and substance abuse, and suicidal thoughts. As such, it
is important for anyone who exhibits symptoms of anorexia to seek professional medical help
before the compilations of the disorder put him or her at risk.
Treatment plan
According to Mayo Clinic (2019), the treatment of anorexia generally involves teamwork
approach. Essentially, teamwork treatment involves vastly-experienced physicians, doctors,
mental health professionals and dieticians. Psychotherapy has been found to be an effective
treatment approach for anorexia. Family-based therapy is an evidence-based treatment method
for young individuals with anorexia. Given that the individuals with anorexia are unable to make
good eating and nutrition choices due to their distorted perceptions, family-based therapy
mobilizes parents or guardians to help them with re-feeding as well as body weight restoration.
ANOREXIA - A BRAIN DISORDER?
Moreover, family-therapy can be coupled with individual therapy to help improve the
individual's condition effectively. Cognitive behavioural therapy (CBT) has shown to help
improve anorexia symptoms hence the need for healthcare providers to adopt in the treatment of
the condition. The main goal of CBT is to normalize the individual's eating patterns. In addition,
it helps to normalize behaviours to support the individual's weight gain and healthy lifestyle.
CBT also aims to positively transform the individual's distorted thoughts and beliefs by helping
him, or she sees things in a different and more realistic perspective. With improve the perception
of self and the world in general, the individual is able to maintain healthy eating habits.
Conclusion
In a nutshell, this paper has looked into the neurology, personal and social behaviour changes,
and health consequences of Anorexia nervosa. As mentioned earlier, Anorexia nervosa is a
psychological and sometimes potentially life-threatening eating disorder. Individuals with
Anorexia disorder typically suffer from and severely low body weight relative to their height and
body type. The disorder is characterized by an abnormally extreme fear of gaining weight. There
are several strategies that families and caregivers can support individuals with anorexia. Firstly,
it is important to talk to the individual about their perception of their body image in order to help
them gain a more realistic image. Secondly, it is necessary for the family members to provide
the individual with as much information about the disorder as possible. Reading widely about
anorexia helps to separate facts and myths about body weight, beauty, and nutrition. Family-
based therapy is an evidence-based treatment method for young individuals with anorexia.
Cognitive behavioural therapy (CBT) has shown to help improve anorexia symptoms hence the
need for healthcare providers to adopt in the treatment of the condition.
ANOREXIA - A BRAIN DISORDER?
ANOREXIA - A BRAIN DISORDER?
References
Gulf Bend Center (2017). Causes of Eating Disorders - Personality Traits and Missing Skills.
Retrieved from https://www.gulfbend.org/poc/view_doc.php?
type=doc&id=11750&cn=46
Lindstedt, K., Kjellin, L., & Gustafsson, S. A. (2017). Adolescents with full or subthreshold
anorexia nervosa in a naturalistic sample–characteristics and treatment outcome. Journal
of eating disorders, 5(1), 4.
Mayo Clinic (2019). Anorexia nervosa. Retrieved from https://www.mayoclinic.org/diseases-
conditions/anorexia-nervosa/diagnosis-treatment/drc-20353597
National Association of Anorexia Nervosa and Associated Disorders (ANAD) (2019). Eating
Disorder Statistics. Retrieved from https://anad.org/education-and-awareness/about-
eating-disorders/eating-disorders-statistics/
Sibeoni, J., Orri, M., Valentin, M., Podlipski, M. A., Colin, S., Pradere, J., & Revah-Levy, A.
(2017). Meta-synthesis of the views about the treatment of anorexia nervosa in
adolescents: Perspectives of adolescents, parents, and professionals. PloS one, 12(1).
Students also viewed