Reference
Guide | Reference

80  Bulimia Pattern Prototype

80.1 Summary

  • A pattern of recurrent binge episodes with compensatory behaviors and body image concern.

80.2 Prototype Features

  • Binge episodes with loss of control.
  • Compensatory behaviors (vomiting, laxatives, excessive exercise).
  • Body image or weight/shape preoccupation.

80.3 Threshold Guidance

  • Use when binge/compensatory cycles are recurrent and impairing.

80.4 Expected Domain Profile

  • Eating and Feeding Regulation: moderate to high.
  • Compulsivity and Perseveration: variable.

80.5 Time-Course and Trajectory

  • Episodic with stress-linked spikes.

80.6 Differential and Red Flags

  • Medical causes of vomiting or GI symptoms.
  • Substance effects.
  • Binge eating without compensation.

80.7 Specifiers (treatment-relevant, non-prescriptive)

  • Course/time pattern (episodic, fluctuating).
  • Contributors (stress, body image pressure).
  • Risk modifiers (electrolyte risk, self-harm risk).

80.8 Measurement Prompts

  • Binge frequency log.
  • Compensatory behavior tracking.

80.10 Documentation Snippet (1-2 lines)

  • “Recurrent binge episodes with compensatory behaviors and body image concern; Eating/Feeding 3; episodic course.”