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DSM-IV 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 occur, on average, at least twice a week for three months.

D. Self-evaluation is unduly influenced by body shape and weight.

E. The disturbance does not occur exclusively during episodes of Anorexia Nervosa.

Type: Purging Type vs. Non-purging Type (exercise & fasting to compensate).

Related Criteria

DSM-IV Diagnostic Criteria for Agoraphobia

DSM-IV Diagnostic Criteria for Anorexia Nervosa

DSM-IV Diagnostic Criteria for Major Depressive Episode

DSM-IV Diagnostic Criteria for Alcohol Abuse

DSM-IV Diagnostic Criteria for Alcohol Dependence

DSM-IV Diagnostic Criteria for Panic Disorder With or Without Agoraphobia

DSM-IV Diagnostic Criteria for Panic Attack


  1. DSM-IV. American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC.

This material was taken from the DSM-IV. It is intended for educational purposes only.

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Created: March 7, 2005
Last Modified: 10/17/2010







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