How are eating disorders assessed in youth?

• A. Rely only on parental report of eating habits.
• B. Diagnosis is made solely on height and weight.
• C. Exclude clinician's evaluation if not severe.
• D. Screen for weight concerns, body image, binge/purge behaviors; use DSM-5-TR criteria; medical evaluation; involve nutritionist.

Answer: (C)

A comprehensive, multidimensional assessment is essential when evaluating eating disorders in youth. This means going beyond what a single person reports or a single measure like height or weight. Start with screening for weight concerns and body image, and systematically inquire about disordered eating behaviors such as bingeing, purging, or restrictive patterns. If red flags emerge, apply the DSM-5-TR criteria to inform diagnosis, but don’t rely on criteria alone. A medical evaluation is crucial to assess physical health, growth, and any complications, and involving a nutritionist helps address dietary intake and plan appropriate intervention. Clinician input is valuable even when symptoms appear mild, to monitor risk, identify coexisting conditions, and guide treatment. In short, effective assessment uses multiple information sources, formal diagnostic criteria, medical evaluation, and nutrition expertise rather than relying on a single perspective or delaying clinician involvement.