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DSM-5 Diagnostic Core
- Bulimia requires recurrent binge eating plus compensatory behaviors and distorted self-evaluation related to weight or shape.
- The DSM-5 threshold is at least once weekly for three months to qualify for diagnosis.
McDonald's Example And OCD Comparison
- Dr. Nygorgen gives a vivid example of binge eating: sitting in a car at McDonald's and eating six Big Macs.
- He compares purging rituals to OCD-like behaviors that relieve anxiety after binges.
Typical Body Weight Profile
- People with bulimia are often normal-weight or overweight, not typically obese, and may restrict between binges.
- They avoid high-calorie foods to prevent triggering binges, so obesity and bulimia rarely overlap.