The Diagnostic and Statistical Manual of Mental Disorders, Fourth edition, Text Revision (DSM-IV-TR) recognizes Bulimia Nervosa as an eating disorder. Individuals with this disorder experience frequent episodes of binge eating that lead to emotional distress because they feel out of control. This sense of loss of control causes them to have compensatory behavior patterns in order to prevent weight gain. These compensatory behavior patterns could include excessive exercising, periods of strict dieting and starvation, self induced vomiting, these individuals are also known to experience laxative abuse and diuretic abuse they are even known to use appetite suppressants and medication to speed up metabolism. DSM-IV-TR diagnostic criteria require episodes of binge eating that occur at least twice weekly for 3 months. People with bulimia nervosa are also dissatisfied with their body shape, weight, or both.
Bulimia is considered distinct from the only recently recognized syndrome of binge-eating disorder, here no regular or consistent compensatory behavior accompanies the bingeing episodes. The DSM-IV-TR recognizes 2 major variants of bulimia nervosa, as follows: purging and non-purging Many reports suggest that people with bulimia often have a history of anorexia nervosa. Some reports have suggested this association in as many as 60% of cases. While people with uncomplicated binge-eating disorder tend to be obese, people with bulimia nervosa are typically of normal weight. The natural history of eating disorders is such that individuals may pass through several diagnoses over time, meeting criteria for anorexia nervosa, bulimia nervosa, and binge-eating disorder at various points (Uwaifo & Daly, 2005)
Bulimia too like anorexia is related to deep psychological issues and a feeling of lack of control. Therefore sufferers attempt to gain control over their lives through their destructive eating habits. In order to do this they may hoard food. When they...