A 24-year-old woman is being seen by her primary care practi…
A 24-year-old woman is being seen by her primary care practitioner for a routine check-up. Although her body mass index is normal, she indicates on a screening form that she is unhappy about her weight. Upon further exploration during intake with the nurse, she reports feeling that she has lost control over episodes of excessive eating that occur over a period of about an hour happening several times a week. As a result, she engages in rigorous exercise for up to several hours at a time daily. This has resulted in being too tired for work the next day, as well as minor muscular injuries. She denies the following compensatory behaviors: self-induced vomiting; misuse of laxatives, diuretics or other medications; and fasting. Which one of the following is the most likely diagnosis?