Sommer is a 22-year-old college senior who comes to the campus clinic complaining of exercise intolerance, dizziness and fatigue. She has a history of anorexia and bulimia, which she says are resolved following treatment when she was a teenager. Today she is diagnosed with mononucleosis, but it is found that she is underweight and exercises excessively each day, even despite her current illness. She becomes visibly upset when told about the exercise restrictions for mono and the physician refers her to the campus crisis center to be evaluated further. Can you help Sommer?

Eating disorders