# Calorie counting and the pursuit of perfection: a case of restrictive eating, laxative misuse, and depression in adolescence - URL: https://alisanburak.com/en/wcp-2026-posterler/ev0497 - Language: en - Last updated: not specified - Page title: Calorie counting and the pursuit of perfection: a case of restrictive eating, laxative misuse, and depression in adolescence | WCP 2026 Summary > An adolescent whose eating behavior progressed from binge eating to severe restriction over six years, and who was diagnosed under ICD-11 with other specified… This page was translated automatically from Turkish. [Read the original](https://alisanburak.com/wcp-2026-posterler/ev0497) This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it. EV0497 E-PosterEating DisordersCase Report # Calorie counting and the pursuit of perfection: a case of restrictive eating, laxative misuse, and depression in adolescence COUNTING CALORIES, CHASING PERFECTION: A CASE OF RESTRICTIVE EATING, LAXATIVE MISUSE AND DEPRESSION IN ADOLESCENCE Presenter: Sumi Kutariar Country: India An adolescent whose eating behavior progressed from binge eating to severe restriction over six years, and who was diagnosed under ICD-11 with other specified feeding or eating disorder, recurrent depressive disorder, and personality disorder with a borderline pattern, achieved regular eating and a healthy weight within one year through medical stabilization, dietetic support, CBT, and a reward-based behavioral approach. This case was presented to illustrate how eating disorders in adolescents can shift between binge eating, restriction, and purging. A 17-year-old girl admitted in August 2025 because of inadequate self-care and behaviors that could not be managed at home had a six-year history of an insidious, fluctuating course. Reported symptoms included six years of episodic overeating, markedly reduced eating over the preceding year, one year of school refusal, and excessive exercise and laxative misuse for 5 to 6 months. Her weight was 56 kg in March 2020, 50 kg in mid-2021, 33 kg in April 2025, 32 kg in July 2025, and 35 kg on admission. Her height was 152 cm, body mass index (BMI) 15.15 kg/m2, blood pressure 122/72 mmHg, and pulse 86 beats per minute; she had experienced amenorrhea for 4 months. Her history included two depressive episodes and an aborted suicide attempt between 2022 and 2023, as well as suicidal ideation in 2025. Assessment revealed an EDE-Q 6.0 global score of 5.7/6, with scores of 6/6 on each of the restraint, shape concern, and weight concern subscales; a BSQ-16 body shape concern score of 96; a Rosenberg Self-Esteem Scale score of 15 (low); YSR T-scores of 75 for internalizing problems, 68 for externalizing problems, and 73 for total problems; and an insight rating of 1/5. Mental status examination revealed preoccupation with weight and shape, fear of weight gain, self-worth tied to a low body weight (target weight: 25 kg), hopelessness, guilt, and suicidal ideation without a plan. ICD-11 diagnoses were 6B8Y other specified feeding or eating disorder, 6A71.1 recurrent depressive disorder, current episode moderate, and 6D10.1 moderate personality disorder with a borderline pattern. Anorexia nervosa with a binge-purge pattern, 6B80.0, was considered in the differential diagnosis. Treatment consisted of medical stabilization, a gradual increase in dietary intake, a reward-based behavioral approach (an evening walk contingent on adequate food and fluid intake), six weeks of CBT sessions (revisiting the target weight through Socratic questioning, reducing body checking, introducing regular small meals, relaxation, and self-monitoring), and follow-up every two weeks for one year. At the end of the first year, the patient was eating regularly, was at a healthy weight, was continuing her education, and was teaching English at a nongovernmental organization. Her BSQ-16 score decreased from 96 to 71, while her Rosenberg score fell from 15 to 12, with self-esteem remaining unchanged. The authors recommend obtaining a longitudinal history, screening for suicide risk, and maintaining a consistent commitment to CBT involving the family in adolescent eating disorders. [View the original poster](https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/2358) How to cite this study APA 7: Kutariar, S., Sevda, P., Munipati, D., Sagar, R., & Patra, B. N. (2026, September 23-26). Counting calories, chasing perfection: a case of restrictive eating, laxative misuse and depression in adolescence [E-poster]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden. https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/2358 Vancouver: Kutariar S, Sevda P, Munipati D, Sagar R, Patra BN. Counting calories, chasing perfection: a case of restrictive eating, laxative misuse and depression in adolescence [e-poster]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden. Available from: https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/2358 Author names and title formatting were generated automatically from the congress system; please check them against the original poster before use. ## On the same topic - [Ergen bir kız hastada anoreksiya nervoza için farkındalık temelli girişim: bir olgu sunumu](https://alisanburak.com/en/wcp-2026-posterler/ev0216) - [Ergenlerde yeme bozuklukları için genişletilmiş gerçeklik temelli müdahaleler: etkililik, kabul edilebilirlik, uyum ve güvenlilik üzerine bir kapsam derlemesi](https://alisanburak.com/en/wcp-2026-posterler/ev0227) - [Kadın paradigmasının ötesinde: ergen erkeklerde anoreksiya nervoza üzerine anlatısal derleme](https://alisanburak.com/en/wcp-2026-posterler/ev0247) - [Izole zihinsel yetiyitimi olan okul öncesi çocuklarda ARFID nasıl görünür? otizm spektrum bozukluğu ile karşılaştırma](https://alisanburak.com/en/wcp-2026-posterler/ev0284) - [Klasik İslam tıbbında köpek ve sığır açlığı: ICD-10 anoreksiya nervoza ve bulimiya nervoza ile karşılaştırmalı bir analiz](https://alisanburak.com/en/wcp-2026-posterler/ev0302) [All WCP 2026 summaries](https://alisanburak.com/en/wcp-2026-posterler) --- Kaynak / Source: https://alisanburak.com/en/wcp-2026-posterler/ev0497 İletişim / Contact: Bağdat Caddesi, Veli Güneysu Apt. 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