A 26-Year-Old Woman Comes to the Office Due to Recent

question 182

Multiple Choice

A 26-year-old woman comes to the office due to recent weight gain.  She has eaten more than usual over the last 5 months, has gained 3.2 kg (7 lb) , and feels guilty and depressed about it.  Further questioning reveals that she consumes a large pizza and two large bags of chips in one sitting several times a week.  Afterward, the patient feels ashamed about being unable to control her intake and fasts to make up for it.  She is very distressed about being unable to lose weight despite exercising 2-3 hours a day.  Vital signs are within normal limits.  BMI is 23.7 kg/m².  Despite being told that her BMI is normal, the patient insists that she is overweight.  Which of the following is the most likely diagnosis?

• A)Adjustment disorder with depressed mood
• B)Anorexia nervosa
• C)Binge-eating disorder
• D)Body dysmorphic disorder
• E)Bulimia nervosa
• F)Normal behavior

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