About eight months ago,14-year-old Shelley went on a drastic weight-loss diet that caused her to drop from 110 to 80 pounds.Although she is now dangerously underweight and under-nourished,she continues to think she looks fat.Her frustrated father recently forced her to eat a peanut butter sandwich,but Shelley immediately went to the bathroom and threw it all up.Shelley most clearly suffers from

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Shelley exhibits characteristics of anorexia nervosa, including a drastic weight-loss diet, dangerously low weight, and a distorted body image that causes her to see herself as fat. Her refusal to eat and subsequent purging behavior also suggest anorexia nervosa rather than bulimia nervosa, which typically involves cycles of binge-eating and purging. Fugue state and dissociative disorder do not fit the symptoms described.

About Eight Months Ago,14-Year-Old Shelley Went on a Drastic Weight-Loss