Differential consideration
Bulimia nervosa
F50.2Eating & Feeding
Why consider it
compensatory behaviours present - reclassify
Criteria and features to review
- A. Recurrent binge eating episodes (eating large amount in discrete period + sense of lack of control)
- B. Recurrent inappropriate compensatory behaviours to prevent weight gain (purging, fasting, excessive exercise)
- C. Binges and compensatory behaviours occur ≥1×/week for ≥3 months
- D. Self-evaluation unduly influenced by body shape and weight
Questions to clarify
- Which documented criteria and exclusions are met for each possibility?
- What timeline, course, and functional change best distinguishes the alternatives?
- Are substance, medication, medical, developmental, and contextual explanations adequately assessed?