An adolescent male with features of EDNOS and obsessive-compulsive disorder.
OBJECTIVE
The current article describes the case of a 13-year-old boy with mixed diagnostic features suggestive of Eating Disorder Not Otherwise Specified (EDNOS) and obsessive-compulsive disorder.


METHODS
A multimodal assessment approach was used to unravel the symptoms in this case. Initial presentation of the case had predominant features of EDNOS, however, obsessive-compulsive disorder features appeared to better explain disordered eating characteristics as the case progressed. In particular, the presence of intrusive images hindered his ability to consume food.


RESULTS
A variety of psychological approaches, including components of family and cognitive-behavioral strategies had a slight impact on symptoms. Medication seemed to have a more substantial effect.


CONCLUSIONS
This rather unique case, which contained features of EDNOS and obsessive compulsive disorder, illustrates the need for an ongoing multimodal assessment and interdisciplinary treatment approach.
Yanover
T
T
Department of Psychology, University of South Florida, Tampa, FL 33620, USA.
Thompson
J K
JK
Straub
D M
DM
D000293:Adolescent; D015992:Body Mass Index; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D015897:Comorbidity; D003887:Desensitization, Psychologic; D004493:Education; D005196:Family Therapy; D005247:Feeding Behavior / Q000523:psychology; D001068:Feeding and Eating Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D005473:Fluoxetine / Q000627:therapeutic use; D006801:Humans; D007092:Imagination; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D010555:Personality Inventory; D017367:Selective Serotonin Reuptake Inhibitors / Q000627:therapeutic use; D013177:Sports / Q000523:psychology; D015431:Weight Loss
D005473:Fluoxetine; D017367:Selective Serotonin Reuptake Inhibitors