MH is a 37 year old woman who is 5’3†and 210 pounds, giving hera BMI of 37. She has been overweight since childhood, however shebegan binge eating about 10 years ago after a failed relationship.She binges at least twice a week by cooking dinner for three,eating all of the food and then having two servings of ice creamand cookies, all in about 30 minutes. She has never used laxativesor purging after her binges. She has tried dieting in the past butnow says she has given up. She has no history of substance abuseand is in good health. MH is divorced and has a 15-year-old son,who is normal weight. When he was younger, she confined her bingesto the weekends; now that he is off with friends more, her binginghas increased. Her divorce was initiated by her husband, partiallybecause of her weight issues. She is a radio announcer and came infor treatment after applying for a job at a cable TV station andrealizing that her appearance is what prevented her from beingconsidered. What is the best diagnosis for MH? (Give the reasonsfor your choice.) What treatment would you recommend?
