Eating Disorder And Potential Co Occurring Alcohol Use Disorder

842 Words Nov 1st, 2016 4 Pages
Here follows a discussion of Lori’s situation, specifically her eating disorder and potential co-occurring alcohol-use disorder, along with some suggested treatment goals and service providers.

Lori has developed an eating disorder (ED), specifically bulimia nervosa (BN) as defined by the American Psychiatric Association (APA) (2013). For the last few months she has indulged in binge eating at least twice per day at home and with friends, with each episode followed by inappropriate compensatory behaviors to prevent weight gain. This frequency meets the criteria for severe or perhaps even extreme BN as it appears in the current Diagnostic and Statistical Manual of Mental Disorders (DSM-5) (APA, 2013). Her behavior is likely driven by low self-esteem that is often associated with BN; her “self-evaluation is unduly influenced by body shape and weight” (p. 345) and she feels unable to meet the perceived standards of attractiveness or intelligence she observes in her older sister. BN has a high rate of comorbidity with alcohol-use disorder (AUD), ranging from 33-47% (Slane, Klump, McGue, & Iacono, G., 2014). Although Lori’s alcohol use pattern does not yet meet the criteria for AUD (APA, 2013), her recent episode of alcohol intoxication (APA, 2013) and the discovery of her hidden vodka portends the likelihood of her becoming included in that statistic. Furthermore, Lori’s combination of low self-esteem, alcohol use, and strong desire to have a boyfriend are predictors that she…

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