Which description BEST represents someone with bulimia nervosa?
A) A woman concerned about putting on a few extra pounds decides to replace her usual junk food snacks with fruit and begins a new high-intensity exercise program.
B) A woman carefully monitors everything she eats. She always skips breakfast and restricts meals to less than 200 calories. She avoids social situations where food is likely to be served.
C) A woman regularly tells herself that she is going to eat a small healthy meal but then commonly finds herself eating an entire pizza, a carton of ice cream, and a box of doughnuts at one sitting. She immediately feels shame and guilt and then forces herself to throw it all up.
D) During periods of peak stress, a woman repeatedly finds herself devouring any sweets she can find: brownies, donuts, ice cream, and so on. She consumes thousands of calories in one sitting and immediately experiences guilt.