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Clinical Crossroads Update
March 24/31, 1999

A 24-Year-Old Woman With Anorexia Nervosa, 1 Year Later

Author Affiliations

From the Division of General Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

JAMA. 1999;281(12):1126. doi:10.1001/jama.281.12.1126

At Psychiatry Grand Rounds in January 1998, Katherine Halmi, MD, discussed the prognosis and treatment of Ms K, a 24-year-old graduate student with severe anorexia nervosa.1 Despite intensive psychotherapy, medical therapy, and treatment for depression with multiple medications during the 7 years of her illness, Ms K was maintaining her weight at about 74 lb (33 kg), 64% of the lowest acceptable weight for her age, sex, and height. The patient had recently moved to Boston and was working with her care providers to address issues of control and poor self-esteem.