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Recurrent episodes of binge eating. An episode of binge eating is
characterized by both of the following:
- 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
- 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)
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.
The binge eating and inappropriate compensatory behaviors both
occur, on average, at least twice a week for 3 months.
Self-evaluation is unduly influenced by body shape and weight.
The disturbance does not occur exclusively during episodes of
Anorexia Nervosa.
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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