Can you identify other differential diagnoses that might be considered in this situation and define those diagnoses?

Discussion Questions:

You are a Psychiatric Mental Health Nurse Practitioner employed in an outpatient psychiatric clinic. Today you are being asked to see a 13-year-old female accompanied by her parents. She was referred by her primary care provider for possible eating disorder. In the past 6 months, she has become obsessed with counting calories, tracking her weight, and skipping meals to avoid gaining weight. She has lost 10% of her body weight and is refusing to go to school, even though she is a straight A student and involved in several extracurricular activities.

What will be your initial approach to assessment of this patient and her parents?
What are the developmental considerations related to this 13-year-old?
Can you identify other differential diagnoses that might be considered in this situation and define those diagnoses?
Describe the management plan for this patient, required referrals, and follow-up for this child and her family. What would be your most immediate concerns?
What will be issues that need to be considered in the future for this child and family?

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