Recommendations: Provide a multiaxial diagnosis depending on the DSM-IV-TR criteria to get the case analyze presented listed below. Use the formatting that follows the truth study and present a multiaxial diagnosis. Give a brief explanation for your decision on the different axes in 1-3 content in the individual boxes. You should provide information for each with the five axes. The analysis codes ought to be included with the diagnostic labeling for Axis I and Axis II.
Charlene (a pseudonym) is an African American female from an impoverished native family in New Orleans. At the age of 20, your woman was first confessed to the inpatient internal remedies unit of a public medical center for evaluation of fat loss. She was 5'2'' high and weighed 79 pounds (25 percent below her minimal body weight). Her past medical history was significant only for hyperthyroidism. Her medical workup was essentially within normal limitations, including her thyroid function. During the medical evaluation, it absolutely was discovered that the person was not consuming. She was forced fed by conduit for the duration of her medical workup and then transferred to psychiatric providers after twenty two days. Her desire to shed pounds was the most significant feature of her preliminary psychiatric evaluation. She sensed fat, proclaiming that her ideal excess weight was 96 lbs; your woman acknowledged, nevertheless , that she'd likely desire to lose additional weight after getting that objective in order to вЂfeel satisfied'. Your woman denied craving food and rejected any great alcohol or perhaps drug abuse. At the time of evaluation, there was clearly no evidence of thought disorder except for the delusion that her sis, who had died two years previously of pneumonia and rhabdomyolosis (likely supplementary to alcohol dependence), was on a trip and would returning. The patient made an appearance mildly frustrated and stressed; her sleeping, memory, and concentration had been within usual limits. There was no taking once life ideation and she rejected any great physical or perhaps sexual abuse.
AXIS I Anorexic Nervosa...