Also, the episode of bulimia does not have to be done in one place. As an example, the individual can start when they are at a restaurant and finish when they get home (American Psychiatric Association, 2000). Bulimia also has two subtypes: Purging, in which the individual induces vomiting after eating or the non-purging type. In purging, the individual misuses laxatives, diuretics, or enemas in their most current episode. In the non-purging type, the individual misuses laxatives, diuretics or enemas but they do not purge afterward (American Psychiatric Association, 2000).
In contrast, Binge-Eating Disorder (BED) has recurrent eating binges but they do not purge afterwards (Nevid, Rathus and Greene, 2005). BED is usually occurring in obese individuals and is often associated with long-term attempts to lose weight; they also experience depression. In BN, the individual is usually thin and vomiting to stop from getting fat.
I believe that EDNOS is more often diagnosed because there can be gray areas when dealing with eating disorders and because there needs to be a history of certain types of behavior. Generally, the counselor must do an interview with the individual and they must be able to give the counselor this history. Also, when there are specific factors that look like BN or Anorexia, but all the criteria is not met, ENOS can be the better diagnosis. As an example, an individual may have all the characteristics of AN but they still have a normal weight (American Psychiatric Association, 2000). This also may be a "safer" diagnosis critically when the clinician does not have enough medical history.
Mr. A has come to counseling because he enjoys dressing as a woman. He has his own wardrobe and makeup and he belongs to a networking group in his area. Also, Mr. A may be experiencing depression so the clinician should talk to him more about this depression to determine whether it is clinical or