Exhibit concern about their weight and make attempts to control weight by diet, vomiting or laxative and diuretic abuse.
Eating pattern may alternate between binges and fasts
Most are secretive about binges and vomiting
Food consumed during a binge has a high caloric content
Majority of individuals are within a normal weight some may be slightly underweight or overweight
Depressive moods and self-deprecating thoughts following a binge
Abnormal weight loss of 25% of more with no know medical illness accounting for the loss.
Reduction in food intake, denial of hunger and decrease in consumption of high carbohydrate and fat-containing foods.
Prolonged exercising despite fatigue and weakness.
Intense fear of gaining weight.
Peculiar patterns of handling food.
Amenorrhea in women.
Some exhibit bulimic episodes of binge-eating followed by vomiting and/or laxative and diuretic abuse.