Response to peer 2 Discussion: Working with challenging patients

Question: Response to peer 2 discussion with at least one original peer-reviewed article within the last 5 years. It can be 2 to 3 paragraphs. N.B. Avoid making your posts article reviews. I am not looking for a summary of an article. I am looking for new ideas to a topic from peer-reviewed articles. If you rehash and reiterate something that was already stated in a post or something basic that we all already know, then you will not gain points. Do not state whether you agree or not. I am not interested in your opinions; I would rather you write something interesting. You are not writing social media and opinion pieces. Your posts should be free of bias and opinion. Avoid adjectives like "crucial" and "critical" etc. because in APA, those words must be defined, and because they seem opinionated and biased. Merely state findings and facts. Avoid exaggerated comments to your peers like "that was excellent." Just thank them and write your contribution. If your posts are just repeats of nothing new and filling up white space, then you will not gain points. I do not like fluff. This is graduate level class, so I expect graduate level writing and work. If you want credibility and want to be taken seriously in the professional world, especially when there are whole groups of people who doubt the roles of NPs, then you the proof is in the quality in which you present, write, and practice. On that note, in academic and professional circles, if APA is incorrect or sloppy, then you may be lose credibility immediately, and you may lose your audience before you even start. I am trying to prevent that. Peer 2 Discussion Working with challenging patients Eating disorders (ED), including anorexia nervosa, bulimia nervosa, and binge eating disorder, pose ongoing challenges in treatment due to difficulties in treating the precipitating factors and comorbidities. Anorexia nervosa is characterized by restrictive eating patterns, an intense fear of gaining weight, and a distorted body image, while bulimia nervosa involves recurrent episodes of binge eating followed by compensatory behaviors. Binge eating disorder entails consuming large quantities of food within a short period. Research into the etiology of ED is limited, with evidence varying widely depending on the ED in question. For example, anorexia nervosa has a strong genetic correlation with anxiety disorders and high levels of neuroticism, while binge eating spectrum disorders are genetically linked to alcohol use and obesity. In addition, environmental influences in early childhood, such as cultural expectations of body image and insecure attachment patterns contributed to the likely hood of developing an ED (Treasure et al., 2020). Udo and Grilo’s (2018) review on the Epidemiologic Survey on Alcohol and Related Conditions found that out of 223 respondents with an ED, almost half reported serious difficulties with getting along with others and completing their daily responsibilities. Individuals diagnosed with ED are more likely to suffer with feelings of inadequacy, worthlessness and loneliness while wrestling with the compulsions driving their behavior (Grech et al., 2023; Lyons et al., 2019). As a result, they will be more prone to social isolation, familial issues, and disruptions in academic and professional pursuits. The treatment of ED can be challenging with individuals being 70% more likely to have psychiatric comorbidities, either resulting from the ED or as part of the underlying cause. The most common comorbidities include mood, anxiety, neurodevelopmental, substance use, and personality disorders. Furthermore, in severe cases, clinicians may find themselves as part of an interdisciplinary team, simultaneously treating the cardiovascular, endocrine, and metabolic disturbances caused by starvation and malnutrition. It is estimated that 40% of individuals dealing with an ED will not fully recover (Lyons et al., 2019; Treasure et al., 2020). The nuances caused by the interplay of genetic, environmental, psychiatric and medical factors, make EDs one of the more challenging disorders to manage. References Grech, P., Azzopardi, A., & Borg, S. (2023). An account of loneliness while living with an eating disorder. Journal of Psychiatric and Mental Health Nursing, 31(2), 127–132. https://doi(dot)org/10.1111/jpm.12967 Links to an external site. Lyons, G., McAndrew, S., & Warne, T. (2019). Disappearing in a female world: Men's experiences of having an eating disorder (ed) and how it impacts their lives. Issues in Mental Health Nursing, 40(7), 557–566. https://doi(dot)org/10.1080/01612840.2019.1576815 Links to an external site. Treasure, J., Duarte, T., & Schmidt, U. (2020). Eating disorders. The Lancet, 395(10227), 899–911. https://doi(dot)org/10.1016/s0140-6736(20)30059-3 Links to an external site. Udo, T., & Grilo, C. M. (2018). Prevalence and correlates of dsm-5–defined eating disorders in a nationally representative sample of u.s. adults. Biological Psychiatry, 84(5), 345–354. https://doi(dot)org/10.1016/j.biopsych.2018.03.014 Links to an external site.