Joanna is one of the top athletes at the school. She plays volleyball, football and futsal. She always goes to practice at school, and each evening she also goes running for an hour. On the weekends, she plays a sport with her brothers for 2-3 hours per day. She eats regular meals, but sometimes, if she eats a meal and then goes to play a sport, she feels nauseous and throws up. Sometimes, if she has eaten a big meal, but needs to go to practice soon after, she makes herself vomit, so she doesn’t feel uncomfortable with a full stomach during the game. Joanna wants to make sure she maintains a good body weight and weighs herself every second day. She is also very preoccupied by how much and what she eats. Every few months she goes to the doctor and dentist for regular check-ups. Both the doctor and dentist were worried about Joanna and spoke to her mother. The doctor was worried, because Joanna had not had a menstrual cycle in 5 months. Her dentist was also worried, because he had noticed that the enamel on her teeth was thin and that she had some swelling in her mouth. Her mother spoke to Joanna about this, but Joanna said to her mother, not to worry, lots of athletes don’t have menstrual cycles when they are training hard. She also said she would try and brush her teeth more in order to protect her teeth enamel. Her mother is still worried.
1) What physical signs of an eating disorder is Joanna developing? Well, Joanna is developing two eating disorders; Bulimia and Anorexia Nervosa. Some signs that can indicate this for us is the fact that she not only tends to over-exercise but she also forces herself to vomit so she doesn't feel uncomfortable during her activities. The physical signs that she is developing are swelling of the mouth, teeth enamel loss, extreme thinness (anorexia).
2) What emotional/mental/behavioral signs of an eating disorder is Joanna developing? Aside from physical characteristics Joanna is also developing emotional signs that indicate potential eating disorders. These are: preoccupation with body weight, intense fear of becoming fat, and difficulty expressing feelings, such as when she spoke to her mother.
3) What eating disorder do you think she has? Due to the indications given in the previous questions I have concluded that Joanna has Bulimia and may develop Anorexia Nervosa if she continues these eating patterns.
4) What other signs of the eating disorder (not mentioned in the story) could you look out for? Well, you could look for self esteem, meaning does she value herself, also her ability to socialize, does she socially isolate herself. These types of indicators can also be signs if a potential eating disorder.
5) What can Joanna’s mother do to get help? Well, to start off Joanna's mother could begin by being in contact with both a nutritionist and a pyshcologist in order to find a health lifestyle, mindset, and eating habit for Joanna. Then she could probably attend an anonymous group to talk about the way Joanna feels. And last she could also support Joanna by encouraging her to stay healthy and not to take part n bulimic actions, with all these thing in mind it is truly possible for Joanna's mom to help her in her fight against eating disorders.