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Psychological Diagnostic Tests and Methods Assessment
Most experts in the field of eating disorders agree that the best assessment (and treatment) is one that is multidisciplinary in nature. Initial assessment of Anorexia Nervosa should always include an assessment of height and weight and calculation of Body Mass Index and comparison with norms for gender and age, available on the Center for Disease Control (CDC) website. Assessment should be performed by clinicians with experience and expertise in eating disorders. Initial assessment may involve a semi-structured clinical interview such as the the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). This is a series of questions designed to assess DSM-IV criteria. It is important when conducting an assessment of Anorexia Nervosa that collateral information from family members, friends, and/or spouses be included whenever possible because individuals with Anorexia Nervosa will typically minimize the severity of their symptoms and often are resistant to treatment.
The following laboratory tests should be performed; Urinalysis, Complete Metabolic Profile, Serum magnesium, and Thyroid Screen (T3, T4, TSH). A nutritional assessment should also be conducted in order to assess the calories consumed, and nutritional inadequacies, and immediate dietary needs.
Article by Lindsey Ricciardi, Ph.D
|Lindsey Ricciardi, Ph.D., is a licensed clinical psychologist specializing in eating disorders and obesity. She is the Behavioral Services Director of MindBody Bariatrics and the Clinical Director for Center for Change, both in Las Vegas, NV. She has recently co-authored a book, Obesity Surgery: Stories of Altered Lives, with Marta Meana, Ph.D.|
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