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The majority of bulimics binge in secret and resort to self-induced vomiting or purging. A typical binge averages 4,000 calories, lasts an hour, and occurs twice a day.
Diagnostic criteria include recurrent episodes of binge-eating; awareness that the eating pattern is abnormal and fear of being unable to stop voluntarily; and depressed mood and self-deprecating thoughts after binging.
If you answer yes to one or more of these questions, then you should:
- Do you feel out of control when you’re eating?
- Do you think about food all the time?
- Do you eat in secret?
- Do you eat until you feel sick?
- Do you eat to escape from worries or to comfort yourself?
- Do you feel disgusted or ashamed after eating?
- Do you feel powerless to stop eating, even though you want to?
A binge is usually described as an event where:
- eating until feeling uncomfortably full.
- eating large quantities of food when not even hungry.
- eating noticeably faster than is considered normal.
- eating alone due to embarrassment of over eating.
- feelings of disgust, depression, or guilt after a binge.
On average, binge eating takes place twice weekly, and has done so for 6 months.
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