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A diagnostic assessment includes the person's current circumstances, biographical history, current symptoms, and family history. The assessment also includes a mental state examination , which is an assessment of the person's current mood and thought content, focusing on views on weight and patterns of eating.
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The DSM-V further identifies two subtypes of anorexia nervosa. In the binge-eating/purging type, the individual regularly engaged in binge eating or purging behavior in at least the past three months, which involves self-induced vomiting or the misuse of laxatives, diuretics, or enemas during the current episode of anorexia. In the restricting type, the individual has severely restricted food intake and/or excessively exercised for at least the past three months but does not regularly engage in the behaviors seen in the binge-eating type.