TABLE 1.

Specific Screening Questions to Identify the Child, Adolescent, or Young Adult With an Eating Disorder

What is the most you ever weighed? How tall were you then? When was that?
What is the least you ever weighed in the past year? How tall were you then? When was that?
What do you think you ought to weigh?
Exercise: how much, how often, level of intensity? How stressed are you if you miss a workout?
Current dietary practices: ask for specifics—amounts, food groups, fluids, restrictions?
 • 24-h diet history?
 • Calorie counting, fat gram counting? Taboo foods (foods you avoid)?
 • Any binge eating? Frequency, amount, triggers?
 • Purging history?
 • Use of diuretics, laxatives, diet pills, ipecac? Ask about elimination pattern, constipation, diarrhea.
 • Any vomiting? Frequency, how long after meals?
Any previous therapy? What kind and how long? What was and was not helpful?
Family history: obesity, eating disorders, depression, other mental illness, substance abuse by parents or other family members?
Menstrual history: age at menarche? Regularity of cycles? Last menstrual period?
Use of cigarettes, drugs, alcohol? Sexual history? History of physical or sexual abuse?
Review of symptoms:
 • Dizziness, syncope, weakness, fatigue?
 • Pallor, easy bruising or bleeding?
 • Cold intolerance?
 • Hair loss, lanugo, dry skin?
 • Vomiting, diarrhea, constipation?
 • Fullness, bloating, abdominal pain, epigastric burning?
 • Muscle cramps, joint paints, palpitations, chest pain?
 • Menstrual irregularities?
 • Symptoms of hyperthyroidism, diabetes, malignancy, infection, inflammatory bowel disease?