Citation

Rupa M, Girimaji S, Muthuswamy S, Jacob P, Ravi M. JIACAM 2013; 9(1): 13-18.

Copyright

(Copyright © 2013, Indian Association for Child and Adolescent Mental Health)

DOI

unavailable

PMID

unavailable

Abstract

Anorexia nervosa is a rare but severe psychiatric disorder in adolescence, with chronicity and death being the most feared consequences. Emotional Insight into one's problem is considered a key determinant of success in therapy. The following case study of a 14--year-old client, describes the process of therapy as it unfolded across 45 sessions. An eclectic therapeutic approach comprising cognitive behavioural therapy along with some psychodynamic principles and supportive techniques was adapted. A lack of emotional insight was hypothesized as the missing link between an intellectual understanding of her illness and recovery from it. Process, outcome, and active therapeutic ingredients in individual therapy are described.

Language: en

Keywords

adolescent; human; female; case report; depression; social support; suicide attempt; lithium; anorexia nervosa; disease severity; case study; Anorexia nervosa; obesity; article; distress syndrome; weight reduction; fluoxetine; sertraline; psychodynamics; cognitive therapy; starvation; olanzapine; escitalopram; Insight; compulsion; body weight disorder; obsessive compulsive disorder; thought disorder; emotionality; temperament; Beck Depression Inventory; disease duration; amenorrhea; outcome assessment; social belief; treatment duration; Resistance; health belief; diet therapy; therapy effect; Cognitive behaviour therapy; febrile convulsion; Yale Brown Obsessive Compulsive Scale