Hyperphagia and Down Syndrome: A Case Report of Excessive Appetite and Behavioral Management
A 14-year-old boy with Down syndrome developed severe hyperphagia between ages 10-12, with BMI increasing significantly despite adequate nutrition, accompanied by compulsive eating patterns and food-related behavioral aggression. Treatment involved evidence-based behavioral interventions including token economy systems, structured meal scheduling, coping skills training, and communication supports to address eating behaviors.