Morgan, a 25-year-old aspiring musician, decides to seek therapy due to growing concerns about disordered eating that has been impacting various aspects of life. Morgan meticulously counts calories, adheres to a rigid diet plan, and engages in intense exercise routines to maintain a low body weight. As the therapeutic sessions progress, it is revealed that Morgan's restrictive eating patterns are not solely driven by the pursuit of thinness. In addition to the meticulous control over food intake, morgan experiences episodes of intense food cravings that lead to periods of compulsive overeating. These episodes are followed by overwhelming feelings of guilt and shame, compelling Morgan to resume strict dietary habits. Exploring Morgan's background reveals a history of fluctuating moods and persistent feelings of sadness that extend beyond concerns about body image. Morgan describes a pervasive sense of emptiness and a distorted self-perception that intensifies during depressive episodes. Previously enjoyable activities, including music, lose their luster, contributing to a deepening sense of despair. Sleep disturbances and chronic fatigue further compound Morgan's distress, making it increasingly challenging to maintain the facade of control over food intake and body weight.
1. Based on the information provided, what is your provisional diagnosis of the patient/client’s condition? Justify your answer.
2. What other information is necessary to confirm the suggested diagnosis? Are there any other disorders or medical conditions that should be ruled out?
3. Are there any factors in the patient’s history that might contribute to the development of the disorder? Please identify the factor(s) and explain how they influenced the condition.
4. What treatment approaches or interventions could be effective for the diagnosed disorder(s)?
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