other inappropriate compensatory behaviors, such as fasting, excessive exercise, but has
not regularly engaged in self–induced vomiting or the misuse of laxatives, diuretics, or
enemas. Eating Disorder Not Otherwise Specified
1. For females, all of the criteria for Anorexia Nervosa are met except that the individual
has regular menses.
2. All of the criteria for Anorexia Nervosa are met except that, despite significant weight
loss, the individual’s current weight is in the normal range.
3. All of the criteria for Bulimia Nervosa are met except that the binge eating and inappro
priate compensatory mechanisms occur at a frequency of less than twice a week or for
a duration of less than 3 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.
Binge Eating Disorder
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 (for example, within any 2–hour period), an amount
of food that is definitely larger than most people would eat in a similar period of time
under similar circumstances
2. A sense of lack of control over eating during the episode (for example, a feeling that
one cannot stop eating or control what or how much one is eating)
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 feeling embarrassed by how much one is eating
5. Feeling disgusted with oneself, depressed, or very guilty afterwards
C. Marked distress regarding binge eating is present.
D. The binge eating occurs, on average, at least once a week for three months.
E. The binge eating is not associated with the recurrent use of inappropriate compensa
tory behavior (for example, purging) and does not occur exclusively during the course
Anorexia Nervosa, Bulimia Nervosa, or Avoidant/Restrictive Food Intake Disorder.
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