Therapeutic traps in management of diabulimia in acute setting: A case report

ObjectiveThis case report deals with challenges faced in medical and psychological treatments of a patient with diabulimia.MethodMedical investigations, clinical measures – MMPI (Minnesota Multiphasic Personality Inventory), EDE-Q (Eating Disorder Examination Questionnaire), HAM-A (Hamilton Anxiety Rating Scale), HAM-D (The Hamilton Rating Scale for Depression), Y-BOCS (Yale-Brown Obsessive Compulsive Scale) as well as psychological tests such as TASIT (The Awareness of Social Inference Test), RME (Reading the Mind in the Eyes Test), TAS-20 (Toronto Alexithymia Scale), Stroop Colour and Word Test, TMT A and TMT B (Trail Making Test) have been used to identify the problems that the patient confronts.ConclusionManaging diabulimia can be very challenging, especially if some of their symptoms cannot be explained medically solely. In this case the main problem experienced by the patient was nausea and vomiting. The cause of her symptoms was identified after extensive medical and psychological investigations.