SUBJECTIVE/STATUS: The client presented as well groomed and hygiene within normal limits. The client joined the group in a positive mood aeb smiling and as she stated “I feel happy because I tiered up to tier 3.” The client was able to identify the stressors in her life, which are her mother and her brothers who they are always teasing her and criticizing her. The client shared there were negative thoughts distracting me about my body shape and being overweight. The client stated “this is what made me to think about purging again.” The client shared “I think my main issues are with my mother when she gets very angry, she says things that are out of line and that will hurt my feelings and make me depressed.” The client also shared that she noticed that every time the mother criticizes her, she says bad things about her body which triggers purging.
