As a social worker in a medical clinic, you are called to evaluate a 15-year-old girl who admits to persistent eating of paper products. The problem has persisted for some 6 months, and has led to substantial weight loss and some level of poor nutrition. The preferred paper for ingestion is tissue paper, either toilet roll paper or facial tissues. The parents first noted the problem when tissue products continually disappeared in the home. In further discussion with them, they note that their daughter has also been avoiding regular meals, tending to pick at her food, and leaving the table early. There has also been some evidence of her ingesting other nonfood materials, such as clay, mineral oil, and sand, and obvious evidence of her consuming an inordinate amount of ice chips. The patient is reluctant to talk about any of this, just saying things such as “I don’t know” and “maybe” and “I guess” to most any inquiry, and/or growing silent. The MOST LIKELY tentative diagnosis would be:

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The Association of Social Work Boards Masters Exam, formerly known as the ASWB Intermediate exam, is a licensure examination designed by the Association of Social Work Boards (ASWB). The ASWB exams measure skills and knowledge in social work-specific content areas, such as human development and behavior, social and economic justice, and intervention processes.  Each ASWB exam consists of 170 multiple choice questions, including 150 scored questions and 20 questions used for data collection regarding the effectiveness of the exam. The 10 sections of the ASWB Masters Exam include: Human... Show more

As a social worker in a medical clinic, you are called to evaluate a 15-year-old girl who admits to persistent eating of paper products. The problem has persisted for some 6 months, and has led to substantial weight loss and some level of poor nutrition. The preferred paper for ingestion is tissue paper, either toilet roll paper or facial tissues. The parents first noted the problem when tissue products continually disappeared in the home. In further discussion with them, they note that their daughter has also been avoiding regular meals, tending to pick at her food, and leaving the table early. There has also been some evidence of her ingesting other nonfood materials, such as clay, mineral oil, and sand, and obvious evidence of her consuming an inordinate amount of ice chips. The patient is reluctant to talk about any of this, just saying things such as “I don’t know” and “maybe” and “I guess” to most any inquiry, and/or growing silent. The MOST LIKELY tentative diagnosis would be: