Case Report
Volume 3 Issue 4 - 2021
Anorexia Nervosa and Family Relations: A Case Report
Tang Chia-Chen1, Wei Ching-Wen2* and Chen Chang3
1Department of Psychiatry, Far Eastern Memorial Hospital, New Taipei City, Taiwan
2Adjunct Assistant Professor, Department of Surgery, Cheng-Hsin General Hospital, Taipei and School of Yuanpei University of Medical Technology, Hsinchu, Taiwan
3Resident, Department of Psychiatry, Far Eastern Memorial Hospital, New Taipei City, Taiwan
*Corresponding Author: Wei Ching-Wen, Adjunct Assistant Professor, Department of Surgery, Cheng-Hsin General Hospital, Taipei and School of Yuanpei University of Medical Technology, Hsinchu, Taiwan.
Received: January 12, 2021; Published: March 09, 2021


In clinical practice, when a patient exhibits idiopathic vomiting, a differential diagnosis can be performed to check for gastrointestinal diseases. After making in-depth inquiries about the patient’s medical history and conducting physical assessments, a major mental disorder may instead be identified. This case report presents a 20-year-old female who spent her adolescent years being verbally abused by her peers for being plump. She then developed feelings of dejection and engaged in self-harm and was subsequently diagnosed with anxiety and given medications to regulate her behaviors. A year ago, her mother’s passing and her father’s remarriage had such a great impact on her that she started attempting to lose weight through improper methods. Two weeks ago, she exhibited idiopathic vomiting after her meals and was forced to seek treatment by her family. Based on in-depth inquiries, physical assessments, mental state examinations, and psychological tests, the patient was found to have an obsessive fear of gaining weight and was diagnosed with anorexia nervosa. The medical team’s main treatment approach included several measures such as cognitive behavioral therapy, nutritional therapy, family therapy, and drug therapy, which led to improvements in the patient’s cognitive dysfunction and abnormal mental/physical behaviors. She was discharged after her body weight steadily returned to 34 kg. The patient was also tracked post-discharge to check her and her family members’ compliance with cognitive behavioral therapy exercises. For patients who exhibit repetitive idiopathic vomiting patterns, if their clinical symptoms do not line up with those of internal medicine diseases, then a differential diagnosis of anorexia nervosa should be conducted to enable timely treatments.


Keywords: Anorexia Nervosa; Cognitive Behavioral Therapy; Family Relations


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Citation: Wei Ching-Wen., et al. “Anorexia Nervosa and Family Relations: A Case Report”. EC Nursing and Healthcare 3.3 (2021): 10-17.

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