An 19 year old woman is worried that she is overweight and is seen in the GP surgery

An 19 year old woman is worried that she is overweight and is seen in the GP surgery. She has reduced her food intake and has been exercising for 2 hours each day for 18 months. She has amenorrhoea. She is in her first year of university and is struggling with her studies.

Her body mass index is 15.5 kg/m2 and her blood pressure is 90/60 mmHg.

Which specialist service should she initially be referred to?

  1. Acute medical services
  2. Dietician
  3. Eating disorder service
  4. Psychodynamic services
  5. University student counselling services

C. Eating disorder service

Explanation:

NICE guideline [NG69] Eating disorders: recognition and treatment.
https://www.nice.org.uk/guidance/ng69