Treatment of anorexia nervosa in a young adult patient with diabetes mellitus.
The case history and clinical course of a young adult patient who had diabetes mellitus and developed anorexia nervosa is described. This patient was referred for long-term inpatient treatment after short-term treatment efforts had failed. Inpatient treatment utilizing behavior modification, psychodynamic therapy, and family interventions in a long-term therapeutic milieu is discussed. This case is also contrasted with previous accounts of diabetic adolescents who developed anorexia; however, it is noted that no other reports exist of cases of anorexia developing in adult insulin-dependent diabetic patients. The necessity of integrating a variety of therapeutic techniques in such cases is discussed.
D000328:Adult; D000856:Anorexia Nervosa / Q000150:complications / Q000523:psychology / Q000628:therapy*; D001521:Behavior Therapy; D001835:Body Weight; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D004435:Eating; D005196:Family Therapy; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D008499:Medical Records; D011615:Psychotherapy, Group; D012043:Regression, Psychology