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
Type: Purging Type vs. Non-purging Type
(exercise & fasting to compensate).
DSM-IV. American Psychiatric
Association. (1994). Diagnostic and
Statistical Manual of Mental Disorders (4th
ed.). Washington, DC.
material was taken from the DSM-IV. It is
intended for educational purposes only.
Created: March 7, 2005