Judy Jones
The case of Judy Jones: Using cognitive behavioral therapy for anorexics
Anorexia is one of the most difficult of all psychological disorders to treat and has the highest mortality rate of all mental illnesses. The rates of recovery from all eating disorders are alarmingly low: it is estimated that only 50% of ED patients will make a full recovery, 20-30% will continue to present significant subclinical symptoms, 20-30% will remain chronic and 10% will die (Fursland et al. 2012). "Up to 1-5% of women will suffer from a diagnosable ED in their lifetime" (Fursland et al. 2012). The case of Judy Jones is fairly typical: anorexia tends to have an earlier rate of onset than other eating disorders. Judy is female, middle-class and fairly close to her parents (as is evidenced by the referral through her pediatrician, indicating she is receiving regular medical care).
It should be noted that success rates are particularly abysmal for conventional therapies such as psychodynamic therapy and other therapies which probe the past to treat the patient. One of the few methods with a proven track record of treating this deadly disorder is cognitive behavioral therapy (CBT). CBT is present rather than past-focused and centers on changing behaviors and the patient's current thought processes regarding weight. This would be the suggested approach to take with Judy. It is vital that treatment begins as soon as possible, to minimize the risk of medical complications of the disorder, which would compromise both her health and also the psychological component of her treatment, as anorexics with very low weights (with BMIs under 14) typically must have a certain level of weight restored before any type of talk therapy can be effective.
Cognitive behavioral therapy for eating disorders is specifically designed to treat four critical components of such disorders: "perfectionism, core low self-esteem, mood intolerance, and interpersonal difficulties" (Fursland et al. 2012). During the sessions the therapist sets goals...
Diagnosis of Anorexia Nervosa: Judy Jones, aged 14, has lost 30 pounds in the past year to an extent that she now weighs a very unhealthy 85 pounds. The primary care doctor attending to Judy Jones has ruled out physical causes and given her a diagnosis of anorexia nervosa. As a result, Jones situation requires a proper analysis to understand the reason for her weight loss and its link to the
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