Belle St. Patrick is five feet seven inches tall and weighs ninety pounds. She makes every

attempt to avoid eating very much or else she moves the food on her plate around,
especially if people are watching her. She has always been very active in high school
athletic sports and is captain of the girls’ swim team. However, since Belle turned
sixteen, she has become intensely fearful of gaining weight. She has begun a regimen of
eating minimal amounts of food as well as exercising excessively to prevent herself from
gaining weight. Belle often wears many layers of bulky clothing because her parents
constantly complain about how thin she is. Which diagnosis would you consider the most
appropriate?



a) Bulimia nervosa, purging type
b) Bulimia nervosa, non-purging type
c) Anorexia nervosa, restricting type
d) Anorexia nervosa, binge eating/purging type


c)

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