Case Lab · Type E · Boundary

F50

A normal weight, but something is wrong

A 22-year-old, whose weight has remained within the normal range for her height throughout, describes recurrent episodes over the past six months, several times a week, of eating a very large amount of food within a short period with a feeling that she cannot stop once she starts. She then induces vomiting immediately afterward, specifically, she says, 'so I don't gain weight from it.' She reports intense shame after each episode but has continued the pattern.