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DIAGNOSTIC CRITERIA FOR BULIMIA NERVOSA
- A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of
the following.
(1) Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food
that is definitely larger than most people would eat during a similar period of time and
under similar circumstances.
(2) A sense of lack of control over eating during the episode (e.g., a feeling that one cannot
stop eating or control what or how much one is eating).
- B. Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as
self-induced vomiting; misuse of laxatives, diuretics, enemas, or other medications; fasting;
or excessive exercise.
- C. The binge eating and inappropriate compensatory behaviors both occur, on average, at
least twice a week for 3 months.
- D. Self-evaluation is unduly influenced by body shape and weight.
- E. The disturbance does not occur exclusively during episodes of Anorexia Nervosa.
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Specify type:
Purging Type: During the current episode of Bulimia Nervosa, the person has regularly
engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas.
Nonpurging Type: During the current episode of Bulimia Nervosa, the person has used other
inappropriate compensatory behaviors, such as fasting or excessive exercise, but has not
regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas.
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