Mona is a 19-year-old Asian womanreferred to you by her family physician for significant weight loss.Mona is a student of performing arts, studying theater and dance. She tells you that she has always struggled with keeping her weight down. Having studied dance and acting since she was 5-years-old, Mona has had concerns about her weight for much of her adolescent and young adult life. Her mother was a professional ballet dancer, and Mona always dreamed of being as beautiful and elegant as her mother. Her father would look at her mother which such love and admiration. She longed for her father's approval. She describes her mother as very supportive of her aspirations, and to this day, "is my best friend".Mona's mother taught her at an early age to restrict her food intake and to remain petite and thin. She loves her mother, yet believes her constant reminder to be thin contributed to the intense preoccupation she currently has with her weight and body image. She also remembers being repeatedly told by her dance teachers to cut down on her meal portions.Mona tearfully reports declining social invitations with friends."All through grade school and high school, I avoided any parties or activities where food was involved, for fear that I would eat too much. My friends all told me I was skinny, but I didn't believe them.Mona still believes she needs to lose some weight, and that she is a bit chubby. Mona is 5 feet 2 inches tall and weighs 90 lbs. Mona tells you, "sometimes, I would lose control and go on day-long binges. I'd eat boxes of cookies, a whole cake, a gallon of ice cream and anything else I could find around the house". Feelings of shame and terror would overcome her, and she would then force herself to throw up.Mona says this didn't happen too often in the past, but within the last 6-months, has been occurring several times a week. She admits to dropping 8 lbs in the last 2 months, and that her menstrual cycle is irregular. Her doctor is very worried about her, though Mona does not seem to realize the severity of her situation.

1. Using the DSM-5 criteria, what is your diagnostic assessment of Mona?What is the evidence that supports your diagnostic assessment? Please be specific and link diagnostic criterion with details from vignette.In your evaluation of Mona, whatsocial, environmental, familial, gender-related andcultural factors contribute to your assessment and evaluation? Be sure to address unique population issues with her dancing.
2. In consideration of the above assessment and evaluation, whatimmediate interventions are indicated? Consider level of care. How is coordination of care important in working with Mona?Once stabilized, what evidence-based individual, family and group treatment modalitiesmight be effective with Mona and why?