Psychiatric Technician Practice Exam

Which cognitive distortion might be present in a person diagnosed with anorexia nervosa?

1. "I must always eat healthy food"

2. "I can only be happy at a certain size"

3. "I should not feel hunger at all"

4. "I cannot gain weight under any circumstance"

The correct answer is: "I can only be happy at a certain size"

The statement "I can only be happy at a certain size" reflects a cognitive distortion commonly associated with anorexia nervosa, emphasizing the connection between self-worth and weight. Individuals with this eating disorder often have an exaggerated belief that happiness and personal value are directly tied to achieving and maintaining a specific body size or shape. This thought process can result in extreme dieting, body dissatisfaction, and a relentless pursuit of an ideal that is not only unrealistic but also unhealthy. This cognitive distortion demonstrates a black-and-white thinking pattern, where the individual believes that if they do not meet this specific size, they will be unable to attain happiness. Such beliefs can severely impact their mental health and physical well-being, reinforcing disordered eating behaviors. Understanding this distortion is vital for interventions aimed at challenging these harmful beliefs and promoting a healthier body image and relationship with food.