Differentiate this from bulimia nervosa

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Condense: While EY's primary diagnosis is anorexia nervosa, it is important to differentiate this from bulimia nervosa, which involves binge eating followed by compensatory behaviors such as purging. EY's presentation lacks these specific behaviors. Bulimia nervosa involves recurrent binge eating with a lack of control, followed by compensatory behaviors like vomiting, laxative use, fasting, or excessive exercise to prevent weight gain. Individuals are often preoccupied with body shape and are usually normal or overweight, unlike those with anorexia nervosa, who are typically underweight (Jain & Yilanli, 2023). EY, a 14-year-old diagnosed with anorexia nervosa, shows classic signs such as anxiety about food and body image, restrictive eating, and noticeable thinness from intentional weight loss. Though she acknowledges her disorder, she downplays its severity, and her judgment is impaired as she persists with restrictive behaviors despite knowing the risks. She has no episodes of binge eating or compensatory purging, which excludes a diagnosis of bulimia nervosa. EY's diagnosis can be distinguished by key factors associated with anorexia nervosa and bulimia nervosa. Her underweight status aligns more closely with anorexia nervosa, as bulimia typically involves individuals of normal or above-normal weight.

Reference no: EM133873439

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