The disorders discussed in this chapter comprise a diverse group of problems, appearing on Axes I and II the of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV).1 They require different diagnostic and management strategies and represent differing degrees of prevalence in the typical family medicine practice. What they share is the degree to which they demand extraordinary efforts from the family physician to maintain a productive doctor-patient relationship. Patients with any of the disorders discussed in this chapter require careful attention to history and a sophisticated understanding of communication styles and interpersonal needs. Caring for patients and their families with any of these disorders can be demanding but also rewarding. Providing medical care in such cases involves helping the patient to develop more mature coping abilities and sometimes results in the physician’s maturation as well. Care of these patients provides the family physician with opportunities to practice the highest art of medicine.
KeywordsAnorexia Nervosa Borderline Personality Disorder Eating Disorder Personality Disorder Binge Eating
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