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Bulimia Nervosa Diagnostic criteria for 307.51 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 definately 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.
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. | Symptoms of Bulimia Nervosa: - Secrecy surrounding eating and the time period after eating
- Odd eating behaviors, such as avoidance of eating with others; unpredictable and sudden dietary likes and dislikes; skipping of meals
- Eating unusually large amounts of food, with no apparent change in weight.
- Excessive, rigid exercise regimen
- Complex lifestyle schedules or rituals to make time for binge-and-purge sessions.
- Poor body image
- Preoccupation with body weight and weight loss.
- Discolored or callused finger joints or backs of the hands.
- Tooth and mouth problems.
- Stomach pain and intestinal irregularities, such as constipation and diarrhea.
Irregular or nonexistent menstrual periods (in females).
| Health and Emotional Risks of Bulimia Nervosa: - An imbalance in electrolytes
- Inflammation of the esophagus, salivary glands, and jaw
- Problems with teeth, gums, and lips
- Chronic irregular bowel movements due to abusive laxatives
- Feelings of shame and guilt
- Depression
- Low self-esteem
- Damaged family and social relationships
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