Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, and EDNOS (Eating Disorder Not Otherwise Specified)
A. Refusal to maintain body weight at or above a minimally normal weight for
age and height (e.g., weight loss leading to mainteneance of body weight less
than 85% of that expected, or failure to make expected weight gain during a
period of growth, leading to body weight less than 85% of that expected.)
B. Intense fear of gaining weight or becoming fat, even though underweight.
C. Disturbance in the way in which one's body weight or shape is experienced,
undue influence of body weight or shape on self-evaluation, or denial of the
seriousness of the current low body weight.
D. In postmenarcheal females, amenorrhea, i.e., absence of at least three
consecutive menstrual cycles.
A. Recurrent episodes of binge eating. An episode of binge eating is characterized by
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
amount of time and under similar circumstances.
(2) a sense of lack of self 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, compensating 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 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.
A. Recurrent episodes of binge eating. See Diagnostic Criteria for Bulimia
Nervosa A, (1) and (2) for the binge characterizations.
B. The binge-eating episodes are associated with three (or more) of the following:
(1) eating much more rapidly than normal
(2) eating until feeling uncomfortably full
(3) eating large amounts of food when not feeling physically hungry
(4) eating alone because of being embarrased by how much one is eating
(5) feeling disgusted with oneself, depressed, or very guilty after overeating
C. Marked distress regarding binge eating is present
D. The binge eating occurs, on average, at least two days a week for six months
E. The binge eating is not associated with the regular use of inappropriate
compensatory behaviors (e.g., purging, fasting, excessive exercise) and does
not occur exclusively during the course of Anorexia Nervosa or Bulimia
Nervosa.
The Eating Disorder Not Otherwise Specified category is for disorders of eating that do not meet the criteria for any specific Eating Disorder. Examples include:
1. For females, all criteria for Anorexia Nervosa are met except that the individual
has regular menses.
2. All of the criteria of Anorexia Nervosa are met except that, despite significant
weight loss, the individual's current weight is within the normal range.
3. All of the criteria for Bulimia Nervosa are met except that the binge eating and
inappropriate compensatory mechanisms occur at a frequency of less than twice a
week or for a duration of less than three months.
4. The regular use of inappropriate compensatory behavior by an individual of normal
body weight after eating small amounts of food (e.g., self-induced vomiting after
the consumption of two cookies.
5. Repeatedly chewing and spitting out, but not swallowing, large amounts of food.
6. Binge-eating disorder: recurrent episodes of binge eating in the absence of the regular
use of inappropriate compensatory behaviors characteristic of Bulimia Nervosa.
back to the main page
Into the hospital with I.V.'s in your arm.
Stuck in bed all day, too weak to move.
Unconcious on the bathroom floor.
Six feet under.
What Eating Disorders can get you...
Death. Loneliness. Depression
IS IT REALLY WORTH IT?