Catherine reports binge eating and self-induced vomiting in order to avoid gaining weight

Catherine reports binge eating and self-induced vomiting in order to avoid gaining weight. “I just eat,” she tells you. “I feel better when I am eating. The more I eat the better I feel until I can’t eat any more and then I feel terrible and guilty, I guess, so I throw up.” She tells you she often eats a dozen donuts in an afternoon and downs these with chocolate milk. “Or I will just buy a tub of Kentucky Fried Chicken and eat it all afternoon with a couple of cokes, you know, and then by evening I feel terrible and I get rid of it all.” When you ask she admits that in the last few weeks she has been doing this more often. “oh, say about 6 times a week. That’s why I decided to come in here. I mean it has gotten to about once a day. I just feel better when I eat, but I can see this is not so good.” What chapter do you turn to? ____________________. What diagnosis do you think this might be? Write out the full diagnosis including severity.