DR DALEY: Ms K is a 24-year-old, single graduate
student with a 7-year history of anorexia nervosa. She attends a professional
graduate program and lives in Boston with her boyfriend whom she describes
as very supportive. Her medical insurance is through a commercial indemnity
Ms K developed anorexia nervosa about 7 years ago when she matriculated
college. She is 5 ft 5 in (162.5 cm) tall. Her highest body weight has been
115 lb (52 kg) and her lowest body weight has been 67 lb (30 kg). Her current
weight is about 75 lb (34 kg) and she has recently determined not to let her
weight drop below 73 lb (33 kg). She weighs herself about every 2 weeks. She
does not use laxatives or induce vomiting. She has a history of exercising
(biking) to reduce her weight, but has not done so recently. She has never
been told she has any electrolyte disturbances. She has been amenorrheic for
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