Based off the information that was indicated in this case study, the client, Andrea Simpson, should be diagnosed with Binge Eating Disorder (BED).
I. Diagnosis
(F50.8) Binge Eating Disorder (BED)
II. Differential Diagnosis
Bulimia Nervosa and Binge-eating disorder have similar criteria and could be easily confused. However, there is no purging or frequent exercising in the binge-eating disorder, that is where the two differ. Another difference between these disorders is that each disorder has its own set of treatments and there is a higher improvement rate in binge-eating disorder compared to bulimia nervosa.
III. Clinical Assessment of Assigned Diagnosis
A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the follow.
1. Eating in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than what most people would eat in a similar period of time under similar circumstances.
Andrea would eat
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Are there any ethical considerations? For example, are there concerns related to offering medication versus talk therapy? Cultural considerations in the presentation of symptoms, or which treatment options you select?
There are a few ethical considerations when it comes to binge-eating disorders. The therapist needs to be aware of any hidden biases that may surface during the session. We need to be aware of not suggesting ideas like dieting plans because that is not the best method for those dealing with binge-eating disorders.
I worry about offering medication to these patients because of their addictive personalities and their abilities of losing control. I would hate for this medication to be something that they cling to for assistance rather than using their own coping skills. I think that the medication may help the disorder become dormant for a certain period, but it will not help the patient recover fully. With that said, I believe that talk therapy is the best