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AAMFT


California Association of Marriage and Family Therapists (CAMFT)

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Eating Disorders DSM-IV-TR

Reprinted with permission from the Diagnostic and Statistical
Manual of Mental Disorders, Fourth Edition, Text Revision.
Copyright © 2000 American Psychiatric Association.

Do not copy or print without written permission from APA.

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Diagnostic criteria for 307.51 Bulimia Nervosa

  1. 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)
  2. 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.
  3. The binge eating and inappropriate compensatory behaviors both occur, on average, at least twice a week for 3 months.
  4. Self-evaluation is unduly influenced by body shape and weight.
  5. The disturbance does not occur exclusively during episodes of Anorexia Nervosa.

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 personas 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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Joanna Poppink, MFT, licensed marriage and family therapist,
in California and Oregon private psychotherapist
specializing in eating disorder recovery,
10573 West Pico Bl. #20, Los Angeles, CA 90064
joanna@poppink.com (310) 474-4165

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