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Obsessive compulsive disorder as a cause of atypical eating disorder: a case report
Author(s) -
Garcia Frederico Duarte,
HouyDurand Emmanuelle,
Thibaut Florence,
Dechelotte Pierre
Publication year - 2009
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.961
Subject(s) - eating disorders , psychology , body dysmorphic disorder , psychiatry , obsessive compulsive , clinical psychology , medicine , psychotherapist
Abstract Objective To describe a case of an atypical eating disorder with a diagnosis of obsessive‐compulsive disorder and discuss the phenomenological and neurobiological aspects links between the disorders. Case a 20‐year‐old Caucasian woman presented with obsessive‐compulsive disorder followed by altered eating habits with major weight loss and amenorrhea. The medical workup, treatment and outcome are described. Using cognitive‐behavioural therapy, clomipramine and enteral nutrition, weight gain and disappearance of restrictive and obsessive‐compulsive behaviours were obtained. Conclusion Available evidence in the literature suggests a continuum in eating disorder and obsessive compulsive disorder. Our case illustrates that an obsessive‐compulsive disorder may precede or precipitate the development of an eating disorder and highlights the importance of a precise differential diagnosis in eating disorders clinics. Copyright © 2009 John Wiley & Sons, Ltd and Eating Disorders Association.