A 21-year-old female has not been eating adequately for the last 6 months and has lost approximately 15 kg in weight. She claims that all food and tap water are contaminated with cyanide and thus has been taking food supplements and bottled water only. On examination, her BMI is 15 and she has not had her menstrual periods for almost 3 months.
2. A 20-year-old male spends the majority of his time at home eating greasy fast food, playing on the computer, and sleeping all day. He does not seem to engage in any physical activities despite constant encouragement from his family, citing that he is ‘too lazy’. On examination, his BMI is 34 and abdominal stretch marks are noted.
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3. A 28-year-old female is brought to hospital by her family as she has lost a considerable amount of weight in 4 weeks. She describes having no appetite or energy, and has lost interest in looking after herself. This seems to have started following her divorce, and she feels guilty about the break up of her marriage all the time. Her BMI is 19.
4. A 19-year-old female is brought to hospital as she collapsed at work. She reports that she is in the midst of a ‘strict dieting regimen’ as she feels that she is too fat. For the last 8 months, she General adult psychiatry 39 has been eating a small portion of salad a day, working out 5 days a week, and taking appetite suppressants. She has not had a menstrual cycle in 3 months. On examination, she is weak, anaemic, and her BMI is 16.
5. A 21-year-old female is complaining of feeling bad about herself because she feels that everyone around her is looking down on her. As a means of releasing her stress, she goes through periods of frantically eating three boxes of cereals and eight bars of chocolates in one go. Following this, she feels even worse and ends up making herself sick. Her BMI is 25 and her history is significant for polysubstance and alcohol use
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