Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content + Download Section PDF Listen ++ For further information, see CMDT Part 29-06: Bulimia Nervosa + Key Features Download Section PDF Listen +++ ++ Uncontrolled episodes of binge eating at least once weekly for 3 months Recurrent inappropriate compensatory behavior to prevent weight gain Self-induced vomiting Laxatives Diuretics Fasting Excessive exercise Excessive concern with body weight and body shape, with undue influence of weight on self-worth Occurs predominantly in young, white, middle- and upper-class women + Clinical Findings Download Section PDF Listen +++ ++ Consuming large quantities of easily ingested high-calorie foods, usually in secrecy, followed by vomiting, cathartics, or diuretics accompanied by feelings of guilt or depression Body weight fluctuates but generally within 20% of normal BMI Menstruation is usually preserved + Diagnosis Download Section PDF Listen +++ ++ History and identification of behavioral features Differential diagnosis Anorexia nervosa Depression Obsessive-compulsive disorder Personality disorder Substance abuse + Treatment Download Section PDF Listen +++ ++ Antidepressant medications such as fluoxetine and other selective serotonin reuptake inhibitors Psychotherapy (individual, group, family, and behavioral)