Tuesday, August 16, 2011

criteria for diagnosis

these are the criteria's ppl most meet to b diagnosed what do u guys think"

Eating Disorder Diagnostic Criteria from DSM IV-TR
307.1 Anorexia Nervosa

* Refusal to maintain body weight at or above a minimally normal weight for age and
height, for example, weight loss leading to maintenance of body weight less than 85%
of that expected or failure to make expected weight gain during period of growth,
leading to body weight less than 85% of that expected.
* Intense fear of gaining weight or becoming fat, even though underweight.
* Disturbance in the way 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.
* In postmenarcheal females, amenorrhea, i.e., the absence of at least 3 consecutive
menstrual cycles. A woman having periods only while on hormone medication (e.g.
estrogen) still qualifies as having amenorrhea.


Restricting Type: During the current episode of Anorexia Nervosa, the person has not
regularly engaged in binge-eating or purging behavior (self-induced vomiting or misuse
of laxatives, diuretics, or enemas).

Binge Eating/Purging Type: During the current episode of Anorexia Nervosa, the
person has regularly engaged in binge-eating or purging behavior.

307.51 Bulimia Nervosa

* Recurrent episodes of binge eating characterized by both
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, (such as a feeling that
one cannot stop eating or control what or how much one is eating).
* Recurrent inappropriate compensatory behavior to prevent weight gain, such as selfinduced
vomiting, misuse of laxatives, diuretics, enemas, or other medications, fasting,
or excessive exercise.
* The binge eating and inappropriate compensatory behavior both occur, on average, at
least twice a week for 3 months.
* Self evaluation is unduly influenced by body shape and weight.
* The disturbance does not occur exclusively during episodes of Anorexia Nervosa.

Purging Type: During the current episode of Bulimia Nervosa, the person has regularly
engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas.

Nonpurging Type: During the current episode of Bulimia Nervosa, the person has used
other inappropriate compensatory behavior but has not regularly engaged in selfinduced
vomiting or misused laxatives, diuretics, or enemas.

307.50 Eating Disorder Not Otherwise Specified

1. For female patients, all of the criteria for Anorexia Nervosa are met except that the
patient has regular menses.
2. All of the criteria for Anorexia Nervosa are met except that, despite significant
weight loss, the patient's current weight is in the normal range.
3. All of the criteria for Bulimia Nervosa are met except that the binge eating and
inappropriate compensatory mechanisms occur less than twice a week or for less than 3
4. The patient has normal body weight and regularly uses inappropriate compensatory
behavior after eating small amounts of food (e.g., self-induced vomiting after
consuming two cookies).
5. The patient engages in repeatedly chewing and spitting out, but not swallowing,
large amounts of food.
6. Binge-eating disorder: recurrent episodes of binge eating in the absence if regular
inappropriate compensatory behavior characteristic of Bulimia Nervos


  1. At least they are taking the period part out of the anorexia diagnosis at some point.

    They need to be much more clear and offer more information on EDNOS.

    Bulimia shouldn't have to involve large binges/binge eating. Then again I am biased on that one because I'm bulimic with anorexic tendencies and don't have huge binges over the RDA often or binge eat often lol. I'm just the type of person to purge everything I eat but not underweight to have the diagnosis the other way around.

    At least there is atypical anorexia and bulimia I guess, but I have many opinions on the criteria for diagnosis for eating disorders. Not all are good. The perks of wanting to study medicine lol.

  2. It sounds sick, but I can't wait until I meet all the criteria for anorexia. Would bingeing and then over-exercising be considered a bulimic behavior? It seems like purging somewhat, because it gets rid of the calories. I hope everything is going well for you. <3

  3. Im defiantly EDNOS, if eel that people dont take any of the other eating disorders as seriously as anorexia as they cant see the damage as easily. This fuels the strive to reach an unhealthy weight as most girls who want help feel they will be laughed as they are not anorexic

  4. I think the criteria for all three of the those is outdated. :/

    You busy Sunday? This looks totally awesome!! It's in Cherry Hill:

  5. This is what my sister does for a living, and she has struggled with these things herself. It's all alien to me because I have this sick love affair with food and it overrides wanting to be thin. And puking it up or chewing it and spitting it out would just totally kill the enjoyment for me.

  6. EDNOS pretty much fits almost all of the people in our community here. Take me for example - the constant guilt, days of restricting and fasting, occasional laxative use out of guilt, crying over seeing the number on the scale, sometimes exercising as punishment, cutting out food groups and making rules - but I am no where near clinically underweight and keep yo-yo-ing all the time. Somehow we will overcome it, but it does seem hard when you don't fit the criteria of some specific problem and can't even talk to people about how you feel and your secret behaviors.

  7. Yeppp. My eating patterns are pretty damn messed up! I'd be EDNOS.