Diagnosis of Eating Disorders

Clinical History. The initial diagnostic evaluation includes an interview with the patient, and the parents in the case of adolescents. The interview consists of a complete review of the patient history, current symptoms, family history, and other relevant aspects, such as the presence of depression, anxiety, problems with dug taking or certain personality traits. Due to the suspicion of an Eating Disorder, a physical examination is performed, in which measurements are made of weight, height, Body Mass Index (BMI), blood pressure and heart rate. With a complete history and the initial physical examination, the diagnosis of an Eating Disorder may be established.

Blood analysis and electrocardiogram. In the event of a diagnosis or suspicion of an Eating Disorder, a full blood analysis and electrocardiogram are requested to assess any possible medical complications.

Densitometry. Bone densitometry is requested in the case of an Eating Disorder of more than one year of onset, not having menstruated during the last six months in girls, and a significant loss of weight in boys.

Psychiatric Disorder. The presence of psychiatric comorbidity is also assessed along with other disorders, as well as the presence of risk behaviour.

Hospital admission. It is very important to determine if there are conditions that may require hospital admission.