Thursday, June 16, 2016


A 23 year old woman with a history of diabetes, hypertension, chronic pain, phobias, major depressive disorder, and alcohol dependence is brought in by her sister who is worried about an eating disorder. Her sister says the patient will eat unusually large amounts of food from time to time. The patient says she "just can't help it" and will eat rapidly until uncomfortably full, even when she is not hungry. The sister says the patient often eats alone because she feels ashamed and guilty. This has been happening once or twice a week for many months. Nevertheless, the patient denies purging, fasting, or excessive exercise.

Challenge: What is the most accurate diagnosis?


Anonymous said...

binge eating disorder?

RaH said...

this diagnosis is new in the DSM 5 and was just known as eating disorder not otherwise specified in the DSM 4.

DSM 5 and ICD 10 have this listed as a binge eating disorder. both have very similar criteria for diagnosis.
shame, eating attacks, eating past satiety, and the lack of purging, large amounts of food and short time period for ingestion etc...

Craig Chen said...

yes - you are both right...this is pretty new as it was not taught to me when I was in medical school

This is binge eating disorder which is a separate diagnosis than anorexia nervosa and bulimia.

Source: UpToDate.