An eating disorder characterized by episodes of binge eating followed by compensatory behaviors such as purging.
Medical records that document your diagnosis of bulimia nervosa under DSM-5 criteria are a starting point. Records showing your measured weight compared to your expected minimum weight help establish the thresholds at the 30%, 60%, and 100% levels. Lab results, physician notes, and nutrition assessments can all reflect how far your weight has fallen below that expected minimum.
For the higher rating levels, hospital admission records are particularly relevant. Records showing how many times you were hospitalized and whether you required parenteral nutrition or tube feeding directly address the 100% criteria.
Documentation of incapacitating episodes — meaning periods when your symptoms prevented you from carrying out normal activities — matters at every level above 0%. Treatment notes, emergency or urgent care visits, and records from mental health providers can show how often those episodes occur and how long they last.
Statements from you, family members, or others who observe your daily life can describe how episodes affect your ability to work, attend school, or manage routine tasks, and can help connect the frequency and duration of episodes to what the rating criteria require.
Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.
