Problem
Hannah is a 21-year-old female in her fourth year at a prestigious college. She has a past diagnosis of anxiety and is prescribed Effexor. She has been extra stressed this semester because she is trying to complete her senior honors thesis. She reports feeling extremely out of control regarding her classes and grades. Noticing that Hannah's weight has been ?uctuating from visit to visit, the psychologist inquires about Hannah's self-care techniques and stress management. When questioned further, Hannah admits that she consumes unusually large amounts of food several times a week, typically while alone in her room. Af'ten/vard, Hannah feels extremely guilty and lonely. She tries to make up for her eating by exercising for several hours the next day. She will also fast during the next few days to make up for her eating.
As a psychologist, what diagnosis and course of treatment would you recommend?