Arianne Broadnax

CNS 762 DG- Carter

Assignment 4.1 Wellness Assessment and Treatment
February 7, 2016
1. Stages of Change:
Alisha- Preparation Stage. Evidence of this stage can be perceived in her
comments of, I know I need to change, I really consider myself addicted to food
and it consumes and controls my entire life. It is clear to note Alishas evaluation
of the problem and expresses an awareness and understanding of the impact food
addiction has on her life through evaluating eating habit since childhood and use of
food as a substitute for social relationships. Some beginning impairments in her
academics (missing psychology class). Alisha has clearly been thinking about
change. Alishas visit to the physician clearly demonstrates movement toward or
into the action stage as she expresses her desires to change her eating habits and
assess what her weight loss needs to be.
Jennifer- Pre-contemplation Stage (Resignation). Jennifer acknowledges her
addiction to food however her mindset is clearly conveyed in her statements, Food
cant hurt me, food wont cheat on me, food wont leave me. Jennifer also
commented, Food is the answer to everything in my life. Clearly Jennifers friends
and family recognize her eating habits as a problem however little desire was
evident in Jennifer wanting to change. When family confronted her about the
problem having her to weigh herself in front of everyone, she remained in denial
commenting, Thats a lie, that scale is a fraud. Jennifers resignation about
changing is clear.
2.& 3. Wellness Model Conceptualization Strengths/Weakness
Alisha- It is clear to see Alisha has deficits within the physical self, related to areas
of nutrition and exercise. Physical deficits could be potentially contributory to lower
ratings in other areas of the self, such as creative (work, thinking & emotions),
social (friendships) and coping self (self-worth, stress management and realistic
beliefs). Obviously Alisha has a supportive relationship with her mother in terms of
love from her family. It was difficult for me to identify other strengths for Alisha due
to limited information. I would like to know more about particular areas in order to
ascertain more strengths. I want to know more about coping areas such as
incorporation of leisure. Evaluations of the creative elements such as positive humor
and essential elements such as spirituality and how they influence wellness for
Alisha also need to be assessed. Formal assessments may be able to provide more
information in this area.

4. Personal Wellness Plan

Alisha- Identifying physical self as an area to work on as well as social for Alisha

Wellness Plan: Physical Self Nutrition & Social Self-Friendship

Alisha reports that she would like to work on developing healthier eating habits and
portion control. She indicates challenges with this due to living with her mother and
home cooked meals are rare and convenience foods are made available. Alisha also
reports that when she has access to cooked meals she is consumed by larger
portions and often has difficulty making healthy selections/choices. Alisha also
talked about challenges she had with making and maintaining friendships and her
desires to increase relationships in hopes that it counteract how she uses food as a
replacement for relationships. Alisha was helped to complete a wellness plan to
work on nutrition through beginning changes such as food choices replacing food
with healthier choices. Alisha will be supported through a referral to a nutritionist to
alter eating habits and work with her on portions. Eliciting support from Alishas
mother to work on selection of healthier food choices in the home for Alisha to
select. Alisha identified that she engages in mostly sedentary activities such as
watching TV, playing on her cell phone. She desires to meet new friends and
considering this is an area she desires to work on she agrees to join a teen support
group for eating addiction that incorporates a walking group with other same age
peers to not only address her physical needs for exercise but also potentially begin
to form relationships by making friends. Alisha will record her participation in her
weekly activity log. Alisha will also follow up with her physician for regular weigh in
and check up to monitor her health.