title: Diagnostic crossover from obesity to atypical anorexia nervosa - a case report.
abstract: A 15-year-old, female, formerly obese adolescent was referred to our day care clinic due to self-induced massive weight loss and depressive symptoms. Intense treatment, additional dialectical behavioral therapy and psychopharmacological treatment prevented further weight loss and improved her affective state. Due to remaining anorexic symptoms such as body image distortion, outpatient psychotherapeutic treatment is continued. This case report indicates the importance of further research on diagnostic crossover from obesity to atypical anorexia nervosa.
authors.affiliation: Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Charité - Universitätsmedizin Berlin, Germany. heike.wolter@charite.de
authors.forename: Heike
authors.initials: H
authors.lastname: Wolter
authors.forename: Nora
authors.initials: N
authors.lastname: Schneider
authors.forename: Ernst
authors.initials: E
authors.lastname: Pfeiffer
authors.forename: Ulrike
authors.initials: U
authors.lastname: Lehmkuhl
mesh_terms: D000293:Adolescent; D000568:Amenorrhea / Q000209:etiology; D000856:Anorexia Nervosa / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D018687:Antidepressive Agents, Second-Generation / Q000627:therapeutic use; D001521:Behavior Therapy; D001828:Body Image; D015283:Citalopram / Q000627:therapeutic use; D003863:Depression / Q000188:drug therapy; D005260:Female; D006801:Humans; D009765:Obesity / Q000175:diagnosis* / Q000523:psychology; D011613:Psychotherapy; D015431:Weight Loss
chemical_list: D018687:Antidepressive Agents, Second-Generation; D015283:Citalopram