Case Lab · Type B · Developing

F55

A firm belief in daily 'cleansing'

A 52-year-old has used over-the-counter laxatives daily for the past two years, well beyond recommended short-term use, holding a firm belief that this is necessary to 'keep clean' internally. He has been advised repeatedly by his pharmacist to stop but continues. He denies any binge eating, body-image concern, or attempt to control his weight through this behaviour, and describes his eating pattern as regular and unremarkable.