Question
After reviewing the Wanda & Yasmine case study, how would you as a counselor respond to the following prompts: Provide a diagnosis for each case,
After reviewing the Wanda & Yasmine case study, how would you as a counselor respond to the following prompts:
- Provide a diagnosis for each case, provide the proper DSM5 code
- Describe and provide evidence for the diagnosis
Wanda Hoffman was a 24-year-old white woman who presented with a chief complaint: "I have problems throwing up." These problems began in early adolescence when she began dieting despite a normal BMI. At age 18, she went away to college and began to overeat in the context of new academic and social demands. A 10-pound weight gain led her to routinely skip breakfast. She often skipped lunch as well, but then famished, would overeat in the late afternoon and evening. She felt out of control. Worried her habits would lead to weight gain; she saw self-induced vomiting as a way of controlling her fears. She appeared well nourished. Her BMI was 23.
Yasmine Isherwood a 55-year-old married woman had been in psychiatric treatment for 6 months for an episode of major depression.
She began to complain of weight gain, so the psychiatrist clarified her eating history. Her BMI was 23.3, which is considered normal. Ms. Isherwood had recurrent, distressing episodes of uncontrollable eating of large amounts of food. She reported that the episodes occurred two or three times per week. She ate rapidly and alone, until uncomfortably full. She reported exercising for an hour almost every day but denied being "addicted" to it. She did report that in her late 20s, she had become a competitive runner. At that time, she had often run 10-kilometer races and averaged about 36 miles a week. She reached her lowest weight ever of 113. She felt "vital and in control." A foot injury eventually forced her to shift to swimming, biking, and the elliptical machine.
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