Kirra is being referred due to concerns regarding her mood and weight. Kirra has always been thin…

Kirra is being referred due to concerns regarding her mood and weight. Kirra
has always been thin, but her current BMI is 18. Kirra reports that her weight loss had begun
when life stressors had made her feel fairly sad some months before and she had lost her
appetite. She had since found that she felt better if she didn’t eat and had avoided doing so
even when she felt hungry. There are no underlying medical problems. Kirra is an intelligent
teenager who lives with her mother, younger brother, and stepfather and sees her father
every second weekend as she has done since she was three years old. She has a close
relationship with all three caregivers and her parents’ divorce was fairly amicable with all the
adults on friendly terms. Kirra has revealed that recently her father, who remains single, had
begun to drink heavily on access visits which made her quite sad and she felt a great sense of
loss. Kirra has been hiding her lack of eating from her caregivers.
Outside of her family, Kirra does not have many close friends and reports often feeling lonely.
Kirra has lost interest in previously enjoyed activities (i.e., painting, drawing), and is also
considering withdrawing from her studies as she no longer enjoys the degree (Bachelor of
Fine Arts). Kirra is reluctant to speak to a counsellor, but agrees that her mood and weight
are affecting her well-being. Kirra can be hesitant to talk about her difficulties, particularly
her father’s drinking.Kirra is being referred due to concerns regarding her mood and weight. Kirra
has always been thin, but her current BMI is 18. Kirra reports that her weight loss had begun
when life stressors had made her feel fairly sad some months before and she had lost her
appetite. She had since found that she felt better if she didn’t eat and had avoided doing so
even when she felt hungry. There are no underlying medical problems. Kirra is an intelligent
teenager who lives with her mother, younger brother, and stepfather and sees her father
every second weekend as she has done since she was three years old. She has a close
relationship with all three caregivers and her parents’ divorce was fairly amicable with all the
adults on friendly terms. Kirra has revealed that recently her father, who remains single, had
begun to drink heavily on access visits which made her quite sad and she felt a great sense of
loss. Kirra has been hiding her lack of eating from her caregivers.
Outside of her family, Kirra does not have many close friends and reports often feeling lonely.
Kirra has lost interest in previously enjoyed activities (i.e., painting, drawing), and is also
considering withdrawing from her studies as she no longer enjoys the degree (Bachelor of
Fine Arts). Kirra is reluctant to speak to a counsellor, but agrees that her mood and weight
are affecting her well-being. Kirra can be hesitant to talk about her difficulties, particularly
her father’s drinking.