Reference no: EM133525983

Case: Harrison, a high school student, age 16 is referred by a medical doctor.  The doctor suggests that an unhealthy family dynamic may have resulted in Harrison developing an ulcer and then not following medical treatment even though it would likely relieve his ulcer symptoms. 

Harrison's parents say that he seems unhappy and that athletics has taken over his life.  Harrison angrily says he is the victim and the problem is his parent's constant worry about him.  He insists that his mother is controlling and that his father goes along when his mother is "getting crazy."  His father describes pride in Harrison's athletic prowess and commitment to wrestling but is concerned that Harrison eats excessively after dieting for days in an attempt to make his wrestling weight.  After sessions of eating Harrison often engages in strenuous exercise and takes pills, he purchases at a health food store to manage his weight.  Harrison insists that he follows the label instructions on the diet supplements.  Harrison is not underweight and family members deny any evidence of throwing up to keep his weight down.  Recently Harrison has been skipping school to work out which has affected his grades. 

1. Is there a possible diagnosis here? What would it be?
2. What other information should you collect?
3. Are there any screenings you would want to use to assist you?
4. What would be your approach with treatment for Harrison?