The answer of the fill in the blank is option D) have an extremely distorted body image.
Annie, has been diagnosed with anorexia. Clarence can expect that Annie will have an extremely distorted body image.
Anorexia is a eating disorder which is characterized by restrict one's diet in the fear of gaining weight. People with Anorexia view themselves as obese and try to restrict their diets as much as possible to become in their own vision 'learner'.
Young teenage girls and even models have been diagnosed with Anorexia with the most sever cases usually ending with malnutrition and death.