No I didn't type that wrong, the last sentence doesn't make sense. I wrote a response but I sounded stupid. So, in lieu of a clever comeback, here is what Opal (my treatment program) wrote in my discharge papers:
"Opal's recommendation for Camilla is to seek RESIDENTIAL care for her eating disorder including care from a dietitian, therapist, psychiatric provider, and medical provider. . . She is still experiencing: eating disordered behaviors including restriction with her intake and over exercising. Beliefs that maintain the eating disordered behaviors include:
Her mood is dysthymic and anxious generally. Her urges to engage in eating disorder behaviors are observed during PHP (partial hospitalization program) wherein meal completion was frequently a challenge.
- That it is not a problem requiring intensive treatment
- External locus of motivation (i.e. participating in treatment for others, not for herself)
- Beliefs that she is not worth the financial cost of recovery.
- Recommendations for further interventions include: trauma, body image, and self-esteem work.
DSM IV-TR Diagnosis at discharge:
RESIDENTIAL CARE WAS RECOMMENDED BUT DECLINED BY CLIENT (due to financial stressors)"
- Axis 1: 307 Anorexia Nervosa, restricting type; 296.32 Major Depressive Disorder, Recurrent, SEVERE, 300.1 Panic Disorder with agoraphobia.
- Axis III: low heart rate (37 bpm), orthostatic hypotension, joint pains, amenorrhea, Hx of low white blood cell count
- Axis IV: Family and FINANCIAL stressors
I already feel like this isn't a "real" problem. But I know I need help. And I know I can't afford it on my own. I'm trying. Give me a break, mean e-mailer. I'm sorry if I offend you. I really am. Rest assured I already hate myself. This is supposed to be my happy, upbeat blog. So now that I've addressd mean-emailer, it will be.