Reference
Guide | Reference

79  Anorexia Pattern Prototype

79.1 Summary

  • A pattern of restrictive eating with weight/shape concern and significant nutritional or functional risk.

79.2 Prototype Features

  • Persistent restriction of intake.
  • Fear of weight gain or distorted body image.
  • Weight loss or medical compromise.

79.3 Threshold Guidance

  • Use when restriction is sustained and associated with medical or functional risk.

79.4 Expected Domain Profile

  • Eating and Feeding Regulation: moderate to high.
  • Compulsivity and Perseveration: variable.

79.5 Time-Course and Trajectory

  • Chronic with episodic worsening.

79.6 Differential and Red Flags

  • Medical causes of weight loss.
  • Food insecurity or limited access.
  • Anxiety-driven appetite suppression.

79.7 Specifiers (treatment-relevant, non-prescriptive)

  • Course/time pattern (chronic, fluctuating).
  • Contributors (stress, medical factors).
  • Risk modifiers (malnutrition, self-neglect).

79.8 Measurement Prompts

  • Weight and nutritional status tracking.
  • Brief eating behavior screen.

79.10 Documentation Snippet (1-2 lines)

  • “Restrictive intake with weight/shape concern and low weight; Eating/Feeding 4; chronic course.”