The Complexity of Eating Disorder Recovery in the Digital Age

The Complexity of Eating Disorder Recovery in the Digital Age

Full DSM-5 Diagnosis

Name of the Disorder ICD-10CM CODE Specifiers Severity Z code
Borderline Personality Disorder F60.3  

  • Emotional Instability
  • Suicidal thoughts
  • Transient paranoid symptoms
  • Panic attacks
  • Insomnia
  • Impulsive behaviors
Severe Z13.3
Bulimia Nervosa F50.2
  • Overweight
  • Binge eating
  • Use of laxatives
  • Purging
  • Fatigued
  • Depression
  • Irritability
  • Low self-esteem
  • Mood swings
Severe Z03.2


From the DSM- 5 diagnoses, Emma is having a combination of two disorders; BPD and eating disorders which frequently occur together. Emma has had Bulimia Nervosa since she admitted to frequent use of laxatives and has been purging. She has been monitoring her weight through a special diet.  However, she lost her friends, trusts no one, and has been isolating herself from her family and peers, besides developing a disturbing body image. From DSM-5 diagnosis criteria, Emma also presents signs of Borderline Personality Disorder (Khalsa et al., 2017). She has wildly fluctuating emotions (emotionally unstable), experiences dissociations that are sometimes severe, has capricious and unstable patterns in relationships. She also experiences unstable self-image, suicidal ideations, hallucinations, irritability and anger, and impulsive behavior like exercise substance abuse.

The interprofessional approach will be effective in treating Emma for several reasons. First, the interprofessional approach will help in reducing healthcare costs and inefficiencies. It helps in preventing medical errors while delivering better outcomes to the patient and improve the patient experience. All these help in reducing healthcare costs. Furthermore, the interprofessional approach will help Emma start treatment immediately. Specific professionals that would be effective for treating Emma include a psychiatric nurse and a psychiatrist. The psychiatrist will assess Emma’s situation and together with the psychiatric nurse administer the right treatment and medications for her (Wampod et al., 2017). There is also a therapist who will find effective therapeutic ways to reduce Emma’s conditions.

I will use Emma’s family to ensure that she receives constant care, love, and understanding to help her clinically and make her attend the counseling sessions regarding the same. I will advise her family to talk to her regarding how she feels, how she imagines, how she evolves throughout, and what is her vision about life and the stress she goes through. These should be discussed and handled properly and encouragingly to get to help through the recovery process.

In my treatment plan, I will use Cognitive Behavior Therapy and Interpersonal Therapy. CBT is an effective method that will help Emma change the way she thinks about herself. It will give her the skills needed to disrupt the harmful patterns caused by BPD and Bulimia (Wampod et al., 2017). Interpersonal therapy will help her recognized and work on her behavioral problems as well as monitor her eating habits. Diversity and culture significantly affect people living with eating disorders. For instance, when it comes to gender there are certain expectations of being an ideal woman. Emma constantly faced criticism from her co-workers for being overweight. Her main goal is to make herself thin.























Khalsa, S. S., Portnoff, L. C., McCurdy-McKinnon, D., & Feusner, J. D. (2017). What happens after treatment? A systematic review of relapse, remission, and recovery in anorexia nervosa. Journal of eating disorders5(1), 1-12.

Wampold, B. E., Flückiger, C., Del Re, A. C., Yulish, N. E., Frost, N. D., Pace, B. T., … & Hilsenroth, M. J. (2017). In pursuit of truth: A critical examination of meta-analyses of cognitive behavior therapy. Psychotherapy Research27(1), 14-32.



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