Behavioral Definitions

1. Rapid consumption of large quantities of food in a short time followed by self-induced vomiting and/or the use of laxatives due to the fear of weight gain.

2. Extreme weight loss (and amenorrhea in females) with refusal to maintain a minimal healthy weight due to very limited ingestion of food and high frequency of secretive, self-induced vomiting, inappropriate use of laxatives, and/or excessive strenuous exercise.

3. Child is overly influenced by media and cultural perceptions about physical attractiveness, success, and male and female roles.

4. Child places overemphasis on outer physical qualities above inner, personal character and strengths.

5. Child's focus is on excessive dieting and exercise as a means to physical attractiveness, happiness, and success.

6. Child's distorted and unrealistic perceptions about food, body image, weight, and body size contribute to dysfunctional eating habits and exercise regime.

7. Child experiences low self-esteem, feelings of inadequacy, lack of control, depression, anxiety, anger, and/or loneliness.

8. Child's eating habits and the resulting damaging physical, psychological, and social effects become the focus of the family's concern.

9. Fear, anxiety, and family trauma result from an inability to alter the child's self-destructive behavior.

10. Volatile family environment and stressful, highly demanding family relationships.

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