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Diagnostic Criteria

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Diagnostic Criteria and Symptoms Because bulimia nervosa is an eating disorder, it is important to first understand the true definition of an eating disorder: “a persistent disturbance of eating behavior and/or a behavior intended to control weight that impairs social function or physical health significantly, but is not caused by a medical or other psychiatric disorder” (Eckert, 2008). Specifically, according to the DSM-V, there are multiple diagnostic criteria that a patient affected with supposed bulimia nervosa needs to meet in order to ultimately be classified with this type of disorder (American Psychiatric Association, 2013). Bulimia nervosa is characterized through recurrent episodes of binge eating and carrying out inappropriate …show more content…
Binge eating encompasses eating a larger amount that one normally would, and having lack of self control over what and how much one is eating, while compensatory behaviors include self-induced vomiting, using laxatives, diuretics, fasting, and excessive exercise. Eating binges have been seen to be extremely powerful and intractable urges (Eckert, 2008). In order to be classified in this category, the patient needs to indulge in binge eating and these behaviors at least once a week for three weeks (American Psychiatric Association, 2013). However, the severity of the disorder is based on the frequency of these behaviors, and the level of severity is sometimes increased to reflect other symptoms and a degree of functional disability. Mild severity includes an average of 1-3 episodes of inappropriate behaviors per week, moderate 4-7, …show more content…
The attitudes of family members and friends surrounding bulimic patients may actually play a larger role in triggering the disorder (Craighead, Martinez, & Klump, 2013). Parental obesity creates a risk factor, comments about diet and eating habits, and exposure to negative attitudes about obesity can cause one to have confused views on weight and food. In addition, many patients potentially might suffer from the absence of skills to deal with self-esteem issues and eating problems. A negative family environment may increase anxiety and depression, which are symptoms found in some bulimic patients. Lastly, although childhood abuse is a risk factor for mental and psychological disorders in general, some researchers think it might be specifically linked to eating disorders (Craighead et al.,

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