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?