ACD EXAM 2 LEARNING OBJ & EXTRA
,ACD 2
ACD part 2 LOs
• Module 6:
o Name the DSM-V diagnostic criteria for: Anorexia Nervosa
[AN]/Bulimia Nervosa [BN]/Binge Eating Disorder [BED])
and Avoidant Restrictive Food Intake Disorder (ARFID), and
their subtypes [paraphrasing]
▪ AN: 1. Restriction of energy intake relative to requirements,
leading to a significantly low body weight in the context of
age, sex .. etc.
2. Intense fear of gaining weight or of becoming fat, or
persistent behavior that interferes with weight gain, even
though at a significantly low weight.
3. Disturbance in the way in which one’s body weight or
shape is experienced, undue influence of body weight or
shape on self-evaluation, or persistent lack of recognition
of the seriousness of the current low body weight.
Subtypes:
Restricting type: During the last 3 months, the individual
has not engaged in recurrent episodes of binge eating or
purging behavior (i.e., self-induced vomiting or the misuse
of laxatives, diuretics, or enemas). This subtype describes
presentations in which weight loss is accomplished
primarily through dieting, fasting, and/or excessive
exercise.
Binge-eating/purging type: During the last 3 months, the
individual has engaged in recurrent episodes of binge
eating or purging behavior (i.e., self-induced vomiting or
the misuse of laxatives, diuretics, or enemas).
▪ BN: Recurrent episodes of binge eating- an episode of binge
eating is characterized by both of the following:
• Eating, in a discrete period of time (e.g., within
any 2-hour period), an amount of food that is definitely
larger than what most individuals would eat in a similar
period of time under similar circumstances.
, ACD 2
• Recurrent inappropriate compensatory behaviors in
order to prevent weight gain, such as self-induced
vomiting; misuse of laxatives, diuretics, or other
medications; fasting; or excessive exercise.
• The binge eating and inappropriate compensatory
behaviors both occur, on average, at least once a week for
3 months.
• Self-evaluation is unduly influenced by body shape and
weight.
• The disturbance does not occur exclusively during
episodes of anorexia nervosa.
▪ BED: Recurrent episodes of binge eating. An episode of
binge eating is characterized by both of the following:
• Eating, in a discrete period of time (e.g., within any
2-hour period), an amount of food that is definitely larger
than what most people would eat in a similar period of
time under similar circumstances.
• A sense of lack of control over eating during the
episode (e.g., a feeling that one cannot stop eating or
control what one is eating).
• The binge-eating episodes are associated with three (or
more) of the following:
• Eating much more rapidly than normal.
• Eating until feeling uncomfortably full.
• Eating large amounts of food when not feeling
physically hungry.
• Eating alone because of feeling embarrassed by
how much one is eating.
• Feeling disgusted with oneself, depressed, or very
guilty afterward.
• Marked distress regarding binge eating is present.
• The binge eating occurs, on average, at least once a
week for 3 months.
• The binge eating is not associated with the recurrent use
of inappropriate compensatory behavior as in bulimia
,ACD 2
ACD part 2 LOs
• Module 6:
o Name the DSM-V diagnostic criteria for: Anorexia Nervosa
[AN]/Bulimia Nervosa [BN]/Binge Eating Disorder [BED])
and Avoidant Restrictive Food Intake Disorder (ARFID), and
their subtypes [paraphrasing]
▪ AN: 1. Restriction of energy intake relative to requirements,
leading to a significantly low body weight in the context of
age, sex .. etc.
2. Intense fear of gaining weight or of becoming fat, or
persistent behavior that interferes with weight gain, even
though at a significantly low weight.
3. Disturbance in the way in which one’s body weight or
shape is experienced, undue influence of body weight or
shape on self-evaluation, or persistent lack of recognition
of the seriousness of the current low body weight.
Subtypes:
Restricting type: During the last 3 months, the individual
has not engaged in recurrent episodes of binge eating or
purging behavior (i.e., self-induced vomiting or the misuse
of laxatives, diuretics, or enemas). This subtype describes
presentations in which weight loss is accomplished
primarily through dieting, fasting, and/or excessive
exercise.
Binge-eating/purging type: During the last 3 months, the
individual has engaged in recurrent episodes of binge
eating or purging behavior (i.e., self-induced vomiting or
the misuse of laxatives, diuretics, or enemas).
▪ BN: Recurrent episodes of binge eating- an episode of binge
eating is characterized by both of the following:
• Eating, in a discrete period of time (e.g., within
any 2-hour period), an amount of food that is definitely
larger than what most individuals would eat in a similar
period of time under similar circumstances.
, ACD 2
• Recurrent inappropriate compensatory behaviors in
order to prevent weight gain, such as self-induced
vomiting; misuse of laxatives, diuretics, or other
medications; fasting; or excessive exercise.
• The binge eating and inappropriate compensatory
behaviors both occur, on average, at least once a week for
3 months.
• Self-evaluation is unduly influenced by body shape and
weight.
• The disturbance does not occur exclusively during
episodes of anorexia nervosa.
▪ BED: Recurrent episodes of binge eating. An episode of
binge eating is characterized by both of the following:
• Eating, in a discrete period of time (e.g., within any
2-hour period), an amount of food that is definitely larger
than what most people would eat in a similar period of
time under similar circumstances.
• A sense of lack of control over eating during the
episode (e.g., a feeling that one cannot stop eating or
control what one is eating).
• The binge-eating episodes are associated with three (or
more) of the following:
• Eating much more rapidly than normal.
• Eating until feeling uncomfortably full.
• Eating large amounts of food when not feeling
physically hungry.
• Eating alone because of feeling embarrassed by
how much one is eating.
• Feeling disgusted with oneself, depressed, or very
guilty afterward.
• Marked distress regarding binge eating is present.
• The binge eating occurs, on average, at least once a
week for 3 months.
• The binge eating is not associated with the recurrent use
of inappropriate compensatory behavior as in bulimia
