The patients frequently eat in a ritualistic way, for example restricting their food intake to a narrow range of foods which experience tells them are 'safe' because they will not lead to weight gain. There is often a compulsive need to count the daily caloric intake. One patient rejected prescribed vitamin tablets in case they contained 'calories'. The frequency of obsessive-compulsive disorder in anorexia nervosa was found to be 22 per cent in a clinical series. (24) In studies using structured clinical interviews the frequency ranges from 25 to 70 per cent.
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