An adolescent male with features of EDNOS and obsessive-compulsive disorder

The current article describes the case of a 13-year-old boy with mixed diagnostic features suggestive of Eating Disorder Not Otherwise Specified (EDNOS) and obsessive-compulsive disorder.

A multimodal assessment approach was used to unravel the symptoms in this case. Initial presentation of the case had predominant features of EDNOS, however, obsessive-compulsive disorder features appeared to better explain disordered eating characteristics as the case progressed. In particular, the presence of intrusive images hindered his ability to consume food.

A variety of psychological approaches, including components of family and cognitive-behavioral strategies had a slight impact on symptoms. Medication seemed to have a more substantial effect.

This rather unique case, which contained features of EDNOS and obsessive compulsive disorder, illustrates the need for an ongoing multimodal assessment and interdisciplinary treatment approach.