November 1st, 2010, Brianna age 13, was referred to my office by Dr. Holmes, due to extreme   carcass of weights change, insomnia, and irregular menstrual cycles.   Dr. Holmes also reports she has  stated she has had feelings of depression.   Dr. Holmes suspects Brianna may be suffering from Bulimia Nervosa.  In my meeting with Brianna we discussed her home.   She stated she  animateds with her   motility Amie and her  catchs  swain Jason.   Brianna states that she has an ok relationship with her  fuss and does not like her mothers boyfriend.   Brianna has two Brothers who  embody with their fathers.   She sees her younger brother e very other weekend and on holi age.   She informed me that her youngest brother was removed from their home  close 2 years ago, due to reports of abuse from her mothers boyfriend and she misses him very much.   Brianna has never met her older brother  however has  verbalise to him on the phone and on the computer a  fewer times.   Brianna has never had co   ntact with her father and feels rejected by him.   Brianna reports that she does not  applaud school.   Brianna has one close friend they enjoy  version and  temporary removal out watching movies.   Brianna tells me she has a Grandma that she is very close to.   Brianna admits to feeling depressed and  lonesome most of the time.   She is the happiest when hanging out with her friend.

   We started to talk  rough  provender Brianna got very  tighten and quiet, Brianna says she does not like to eat in front of  people and rarely eats lunch at school.   After  lecture for a while Brianna admitted to eating  grown quantities of food and throwing    up to  fit rid of it and going days without !   eating anything.   She stated that she feels out of control of her eating and sees it as a problem.   When I asked Brianna how she felt about how her body she  say she was fat, ugly and  needfully to lose weight and she hates her curly hair.  I needed to get answers to a few questions I had about Bulimia Nervosa.    utilise critical thinking I asked myself the fallowing questions. The first...If you  insufficiency to get a full essay, order it on our website: 
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