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The behaviours in bulimic episodes are consistent and surprisingly uniform. Schematically listed, these are: (1) restlessness and craving; (2) eating and feeling full; (3) nausea and vomiting; and/or (4) purging and/or a bowel movement;
and (5) an altered state of consciousness—alertness followed by drowsiness and/or sleep. Particular features of this sequence are exaggerated in different individuals and at different times in the same individual.