- Evidence of binge-eating, including disappearance of large amounts of food in short periods of time or the existence of wrappers and containers indicating the consumption of large amounts of food.
- Evidence of purging behaviors, including frequent trips to the bathroom after meals, signs or smells of vomiting, presence of wrappers of laxatives or diuretics.
- Excessive, rigid exercise regimen to "burn off" calories despite illness, fatigue or ill weather conditions.
- Unusual swelling of the cheeks or jaw area.
- Calluses on the back of the hands and knuckles from self-induced vomiting.
- Discoloration or staining of the teeth.
- Creation of complex lifestyle schedules or rituals to accomodate binge-and-purge sessions.
- Withdrawal from friends and social activities.
- In general, undue obsession with weight loss, dieting, and food.
