Bulimia Nervosa and Antisocial Personality Disorder Essay

Major Psychiatric Disorder(s): F50.2 Bulimia Nervosa

Michael is thirty-two years old, and he has significant problems with his weight because this man has gained approximately thirty extra pounds during the last six months. Moreover, the young man does not do any physical exercises and consumes unhealthy meals. Michael prefers fast food, food soaked with oil (e.g., chips, French fries, burgers, etc.). Therefore, his food is not nutritious and not rationed properly (American Psychiatric Association, 2014). He also drinks alcohol and does not consider it a problem because his family members do it as well. Also, the patient always feels tired and is not ready for doing physical work, which might be influenced by his poor diet.

Developmental Disorder(s): No diagnosis

Michael was punished for being restless in his childhood, which means that he had an active lifestyle. Moreover, he feels that he is the voice of reason in his family. The patient does not hear voices and does not have any visual hallucinations.

Personality Disorder(s): F60.2 Antisocial Personality Disorder

The patient does not have any desire to go out and entertain himself. His best friend was murdered, which worsened his mood for an extended period. Today, Michael is always in depression, does not want to meet any people or get acquainted with somebody. Moreover, patient’s grandfather died because of a brain aneurysm. All these factors together could have influenced patient’s emotional and physical condition, as he avoids being in public and doing sports.

Medical Disorder(s): Migraine

The patient said that his head is constantly aching, but the man avoids going to his doctor because he does not want to hear bad news about his health and does not want to cope with extra problems.

Client Strengths:

1. The client has no suicidal thoughts, which means that he is a strong willed person because many other patients with almost the same problems think about committing suicide.
2. The client is very concerned about his family’s health. He takes good care of his grandmother and always worries about other family members’ health conditions.
3. The client was caught doing drugs in college, but he got rid of this addiction later and is not dependent on it anymore.
4. The client does not have any hallucinations that could have been caused by multiple stresses, which he was destined to face due to his grandfather’s and close friend’s departure.
5. The client feels that he remains the voice of reason in his family, which might be beneficial for his competence in making wise decisions.
6. The client is a Christian. Perhaps, his faith is very strong, and he will cope with his disabilities and depression with the help of God.
7. Although Michael is at risk of losing his job, he still works, continues to support his family, and makes his own living.
8. The client is very sensitive and takes every unfortunate event very close to his heart, which means that he is a good friend and a reliable person.
9. The client supports his siblings with money and will never leave his family members in an awkward situation.

Comments/Differential Diagnosis

It is evident that the client has significant problems with his diet and might have obesity in the nearest future if he does not change his daily meals. I considered a diagnosis of Unspecified Insomnia Disorder because Michael does not have a healthy night rest (American Psychiatric Association, 2014). Perhaps, this issue was caused by his poor diet that has an adverse impact on human’s nervous and immune systems. Moreover, I thought that there was a possibility of Attention-Deficit/Hyperactivity Disorder diagnosis because the client was caught for being restless in school and was very active in college.

Reference

American Psychiatric Association. (2014). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). Washington, DC: American Psychiatric Publishing.