The following assessment criteria for bulimia nervosa include all of the following except:
a) Recurrent, inappropriate compensatory methods used to prevent weight
gain
b) Both binge-eating and inappropriate compensatory methods must occur on
average at once a week or more for three months
c) The individual experiences a lack of control over eating during the episode
d) The individual is desperately fearful of gaining weight and/or
becoming fat
Blake Wilcox is a 28 year old young woman with a history of anorexia nervosa. She has
been in counseling off and on for the past 10 years. She returns to the counseling center
and confides to the social worker that for the past 3 months her fear of gaining weight has
returned but this time around she does not purge; that is, Blake does not self-induce
vomiting after eating. Instead, Blake has put herself on a strict regimen of dieting,
interspersed with fasting and excessive exercise. What type of anorexia does Blake have?
a) Anorexia nervosa in partial remission
b) Anorexia nervosa in full remission
c) Anorexia nervosa restricting type
d) Anorexia nervosa binge-eating purging type
Mavis Brown is a nineteen-year old African American woman who weighs ninety percent
of her expected normal weight (for her height and age) and has an intense fear of gaining
weight. Mavis places undue emphasis on her body weight and shape that strongly
influences her self-esteem. During a counseling session with you, Mavis admits that she
does not understand all the fuss people have been making over her weight. Mavis
diagnosis is most likely:
a) Eating disorder not otherwise specified (NOS)
b) Binge eating disorder
c) Bulimia nervosa, non-purging type
d) Anorexia nervosa, restrictive type
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