At lunch,Vincent,a patient in therapy,eats exactly 23 almonds,which he chews exactly 23 times each.This is a symptom of anorexia nervosa related to:

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Vincent's behavior of eating a specific number of almonds and chewing them a specific number of times is indicative of obsessive-compulsive disorder (OCD), which often involves repetitive and ritualistic behaviors.

At Lunch,Vincent,a Patient in Therapy,eats Exactly 23 Almonds,which He Chews