- (sepiacoloredsky) wrote in ed_ucate,

DSM criteria and whatnot

I usually binge and follow up with inappropriate compensatory behaviors twice or more a week, and this can go on for more than three months. So I'd be a textbook bulimic. But then I might have a month where I'm just binging and not compensating, followed by a few months of fasting, restricting, and excessive exercise, with little to no binging. Then I'm back to my schedule of b/p at least twice a week. But this might last less than three months, and I'm soon in a binge-only mode again. Then I'd be in restrict-only mode. Then I'd b/p twice a week again, and this could go on for half a year before things start switching up, and so on and so on.

My former therapist diagnosed me with EDNOS, saying that someone needs to be consistently b/p'ing at least twice a week with no interruptions by other behaviors in order to be bulimic, even if I fit the criteria perfectly for certain stretches of time.

Though she can't actually diagnose me, my nutritionist thinks I should be considered bulimic. She says that even though the binge-only and restrict-only phases don't fit the exact DSM criteria, the same mindset is behind those behaviors (eat, gain weight, compensate).

My current therapist/psychologist diagnosed me with bulimia, as he agrees with what my nutritionist has said. He also added that it's ridiculous to follow the DSM to a tee, as it's common for people with eating disorders to suddenly start taking up different behaviors every once in a while and then go back to their usual ones.

How strict do you think people should be with following the DSM criteria when diagnosing eating disorders?

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