OBJECTIVE: This paper illustrates the importance of conducting an initial and ongoing psychiatric assessment of patients with
chronic fatigue syndrome in order to diagnose dieting
disorders. The diagnostic issues and management problems of
three case vignettes, two with anorexia nervosa and one with
bulimia nervosa, are described.
METHOD: The treatment
response of dieting disordered patients is generally prolonged
after a previous diagnosis of chronic fatigue syndrome has
been made and the patient and family favour a disease
RESULTS: Several management problems arise and
family members may also be reluctant to accept a dieting
CONCLUSIONS: Early detection of dieting
disorders by adequate screening and assessment is necessary so
that a significant reduction in morbidity may occur.
Griffiths RA, Beumont PJ, Moore GM, Touyz SW