Abstract
Most female type 2 diabetes patients with concurrent binge-eating disorder also have problems with obesity, hyperlipidemia, and hyperglycemia, which lead to a diagnosis of metabolic syndrome. The coexistence of psychiatric disorders is common. Improvement of diabetic control is necessary, but difficult. Because such patients usually have deep psychological problems, treatment focused on the psychological aspects, such as accepting their painful feelings toward life or diabetes, is essential. The treatment course of such a case is herein presented. Sympathy for the grief of patients who do not have sufficient meaning in life to adhere their diabetes treatment regimen and the accompanying process of "mourning work" "grief work" to restore meaning to their life play an important role in the treatment of these patients.