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DSM-5 diagnostic criteria for anorexia nervosa

Diagnostic criteria
Restriction of energy intake relative to requirements, leading to a significantly low body weight (defined as a weight that is less than minimally normal or, for children and adolescents, less than that minimally expected) in the context of age, sex, developmental trajectory, and physical health
Intense fear of gaining weight or of becoming fat, or persistent behavior interfering with weight gain, even though at a significantly low weight
Disturbance in the way in which one's body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or persistent lack of recognition of the seriousness of the current low body weight
Type
During the last 3 months, the individual has engaged in recurrent episodes of binge eating or purging behavior (self-induced vomiting or the misuse of laxatives, diuretics, or enemas)
During the last 3 months, the individual has not engaged in recurrent episodes of binge eating or purging behavior; weight loss is accomplished primarily through dieting, fasting, and/or excessive exercise
Current BMI (or BMI percentile for children and adolescents)
≥ 17
16-16.99
15-15.99
< 15
Remission
After full criteria for anorexia nervosa were previously met, criterion A (low body weight) has not been met for a sustained period, but either criterion B (intense fear of gaining weight or becoming fat or behavior interfering with weight gain) or criterion C (disturbances in self-perception of weight and shape) is still met
After full criteria for anorexia nervosa were previously met, none of the criteria have been met for a sustained period of time
Diagnostic criteria not met
Reference
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR™). APA. 2022.
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