A 22-year-old female was admitted voluntarily to the inpatient unit following a need to 'get help with her eating habits.' Reportedly, the client admits to eating a large amount of food and feeling ‘disgusted' afterward, which triggers self-induced vomiting. She has done this multiple times and reports it has 'gotten out of control.' She says she is always worried about her appearance 'not being good enough.' She denies using any laxatives or diuretics; however, her mother reports she found two empty boxes of laxatives in her apartment. 

On exam, the client is alert and completely oriented. She is cooperative during the exam and has an anxious and worried affect. She has a slender appearance and a current body mass index (BMI) of 20. Scars were observed on both index fingers. She says physically, her only complaint is daily heartburn and occasional dizziness during exercise.