Diagnosis
The first step toward a diagnosis is to admit the existence of an eating disorder. Often, the patient needs to be compelled by a parent or others to see a doctor because the patient may deny and resist the problem. Some patients may even self-diagnose their condition as an allergy to carbohydrates, because after being on a restricted diet, eating carbohydrates can produce gastrointestinal problems, dizziness, weakness, and palpitations. This may lead such people to restrict carbohydrates even more severely.
It is often extremely difficult for parents as well as the patient to admit that a problem is present.
Screening Tests
Various questionnaires are available for assessing patients. The Eating Disorders Examination (EDE), which is an interview of the patient by the doctor, and the self-reported Eating Disorders Examination-Questionnaire (EDE-Q) are both considered valid tests for assessing eating disorder diagnosis and determining specific features of the individual’s condition (such as vomiting or laxative use).
Another test is called the SCOFF questionnaire, which can help identify patients who meet the full criteria for anorexia or bulimia nervosa. (It may not be as accurate in people who do not meet the full criteria.)
SCOFF Questionnaire
Do you make yourself Sick because you feel uncomfortably full?
Do you worry you have lost Control over how much you eat?
Have you recently lost more than One stone's worth of weight (14 pounds) in a 3-month period?
Do you believe yourself to be Fat when others say you are too thin?
Would you say that Food dominates your life?
Answering yes to two of these questions is a strong indicator of an eating disorder.
Measuring Body Mass Index
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Review Date: 02/18/2011
Reviewed By: David B. Merrill, MD, Assistant Clinical Professor of Psychiatry,
Department of Psychiatry, Columbia University Medical Center, New
York, NY. Also reviewed by Harvey Simon, MD, Editor-in-Chief,
Associate Professor of Medicine, Harvard Medical School; Physician,
Massachusetts General Hospital; and David Zieve, MD, MHA, Medical
Director, A.D.A.M., Inc.
A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)
