Note: I will write the exact wording in bold for each separate criteria. Below it I will write explanations if needed. The explanations are my words, not the books.
The DSM 5 criteria for Anorexia
A. Restrictive of energy intake relative to requirements, leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health. Significantly low weight is defined as a weight that is less than minimally normal or, for children and adolescents, less than minimally expected.
A. What this means is there is no longer a set percentage for the low body weight. It is not solely based on BMI charts. Ages, gender, ans physical development and build can be taken into account. What is low for 25 year old with a height of 5'3 may not be low for a 10 year old with a height of 5'3. A 12 year old who has not started puberty is not expected to weigh the same as a 12 year old of the same height who has started puberty. This criteria now allows these things to be taken into account. It is up to researchers and doctors to decide if the individuals weight is low enough to qualify.
B. Intense fear of gaining weight or of becoming fat, or persistent behavior that interferes with weight gain, even though at a significantly low weight.
C. Disturbance in the way in which one's body weight or shape is experienced, undue influence of body weight on self-evaluation, or persistent lack of recognition of the seriousness of the current low body weight.
C. Undue influence of body weight on self-evaluation means associating worth or beauty of one's self based on the number on the scale.
TYPES
Restricting type: During the last three 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.
Restricting type means the individual has not binged and/or purged more than once in the three months prior to diagnosis (binging is defined as eating more in a specific time period than an average person would eat in the time period. i.e. 2000 cals in one hour). If the individual has binged more than once in the past three months but has not purged, in any form, more than once, this subtype does not apply. If the individual has purged more than once in the past three months but has not binged, this subtype does not apply. Use of laxatives due to recommendation by doctor or for product intended purposes does not count. Some doctors and researches may still assign this subtype to an individual who purges but does not binge, or vice versa, if they see fit.
Binge-eating/purging type: During the last three months, the individual has engaged in recurrent episodes of binge eating or purging behavior (i.e., self-induced vomiting or misuse of laxatives, diuretics, or enemas).
Binge-eating/purging type means the individual has binged and/or purged more than once in the three months prior to diagnosis. This binging may occur without the purging and the purging may occur without the binging. If the individual has not binged in the previous three month period but the individual has purged in any way, the individual may be classified with this subtype. If the individual has binged more than once in the past three months but has not purged after the binge or at any other time more than once, this subtype may still apply. Again, laxatives recommended by a doctor or used for legitimate and product intended purposes do not count as purging.
In partial remission: After full criteria of anorexia nervosa were previously met, Criteria A has not been met for a sustained period of time, but Criteria B or C is still met.
In partial remission means the individuals weight is normal as has been for some time, but the individual still has a fear of gaining weight, participates in behaviors that interfere with weight gain, or still evaluates his or her self negatively because of their weight or sees their body incorrectly or negatively due to weight.
Full remission: After full criteria for anorexia nervosa were previously met, none of the criteria have been met for a sustained period of time.
Full remission: The individuals body weight is normal, he or she is no longer afraid of becoming fat or participating in behaviors in attempt to get back to low weight, and his or her self-evaluation is no longer based on the number on the scale.
(Note: Doctors and researchers may interpret criteria slightly different for their needs or because of an individuals specific situation. This is not to be used for self-diagnosis. To be diagnosed with a disorder you must see a doctor. It is best to see a psychologist who specializes in that disorder or that disorders category and who frequently tests and evaluates individuals for that disorder. The doctor in the E.R. or the family doctor is not the best for diagnosing mental disorders.)
The DSM 5 criteria for Anorexia
A. Restrictive of energy intake relative to requirements, leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health. Significantly low weight is defined as a weight that is less than minimally normal or, for children and adolescents, less than minimally expected.
A. What this means is there is no longer a set percentage for the low body weight. It is not solely based on BMI charts. Ages, gender, ans physical development and build can be taken into account. What is low for 25 year old with a height of 5'3 may not be low for a 10 year old with a height of 5'3. A 12 year old who has not started puberty is not expected to weigh the same as a 12 year old of the same height who has started puberty. This criteria now allows these things to be taken into account. It is up to researchers and doctors to decide if the individuals weight is low enough to qualify.
B. Intense fear of gaining weight or of becoming fat, or persistent behavior that interferes with weight gain, even though at a significantly low weight.
C. Disturbance in the way in which one's body weight or shape is experienced, undue influence of body weight on self-evaluation, or persistent lack of recognition of the seriousness of the current low body weight.
C. Undue influence of body weight on self-evaluation means associating worth or beauty of one's self based on the number on the scale.
TYPES
Restricting type: During the last three 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.
Restricting type means the individual has not binged and/or purged more than once in the three months prior to diagnosis (binging is defined as eating more in a specific time period than an average person would eat in the time period. i.e. 2000 cals in one hour). If the individual has binged more than once in the past three months but has not purged, in any form, more than once, this subtype does not apply. If the individual has purged more than once in the past three months but has not binged, this subtype does not apply. Use of laxatives due to recommendation by doctor or for product intended purposes does not count. Some doctors and researches may still assign this subtype to an individual who purges but does not binge, or vice versa, if they see fit.
Binge-eating/purging type: During the last three months, the individual has engaged in recurrent episodes of binge eating or purging behavior (i.e., self-induced vomiting or misuse of laxatives, diuretics, or enemas).
Binge-eating/purging type means the individual has binged and/or purged more than once in the three months prior to diagnosis. This binging may occur without the purging and the purging may occur without the binging. If the individual has not binged in the previous three month period but the individual has purged in any way, the individual may be classified with this subtype. If the individual has binged more than once in the past three months but has not purged after the binge or at any other time more than once, this subtype may still apply. Again, laxatives recommended by a doctor or used for legitimate and product intended purposes do not count as purging.
In partial remission: After full criteria of anorexia nervosa were previously met, Criteria A has not been met for a sustained period of time, but Criteria B or C is still met.
In partial remission means the individuals weight is normal as has been for some time, but the individual still has a fear of gaining weight, participates in behaviors that interfere with weight gain, or still evaluates his or her self negatively because of their weight or sees their body incorrectly or negatively due to weight.
Full remission: After full criteria for anorexia nervosa were previously met, none of the criteria have been met for a sustained period of time.
Full remission: The individuals body weight is normal, he or she is no longer afraid of becoming fat or participating in behaviors in attempt to get back to low weight, and his or her self-evaluation is no longer based on the number on the scale.
(Note: Doctors and researchers may interpret criteria slightly different for their needs or because of an individuals specific situation. This is not to be used for self-diagnosis. To be diagnosed with a disorder you must see a doctor. It is best to see a psychologist who specializes in that disorder or that disorders category and who frequently tests and evaluates individuals for that disorder. The doctor in the E.R. or the family doctor is not the best for diagnosing mental disorders.)
