SOLVED1067

Kelly is a 28-year-old married white female whose chief complaint is, “I can’t stop eating.” She loves foods rich in carbohydrates, such as sugar and flour, and claims that once she starts eating refined foods, she cannot stop (i.e., she loses the ability to control the size of her food portions). Her belief is that once she takes a bite of something that is sugary, “the bite takes me and I’m off to the races.” She admits to eating when she is not hungry and reports that she eats quickly, “stuffing it into my face.”Kelly has struggled with food since she was 9 years old. Kelly was always “overweight as a child”; she is presently 5 feet 6 inches tall and weighs 200 pounds. She constantly obsesses about food, planning each day what she will eat and where she will obtain food. Often (at least 4 days a week) she will buy large quantities of ice cream and cake from the store, binge, and then sleep. When she wakes up, she feels depressed, guilty, and full of self-loathing. She often has crying jags because she feels so bad. When questioned, she denied any regular purging, but said that she resorted
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