What characterizes the awareness level of individuals with bulimia nervosa regarding their behavior?

Individuals with bulimia nervosa typically possess a certain level of awareness regarding the abnormal nature of their eating behaviors. They may recognize that their patterns of binge eating followed by compensatory behaviors, such as purging or excessive exercise, are not typical and could be harmful. This awareness often comes with feelings of shame, guilt, or distress, as they acknowledge the negative implications of their actions on both their physical health and psychological well-being. This awareness can lead them to seek help or treatment, although they may struggle with the full acknowledgment of the severity of their disorder.

In contrast, options that suggest denial or lack of awareness of their behaviors do not align with common characteristics of individuals affected by bulimia nervosa. While some may minimize the severity of their symptoms, many do have an understanding that their behaviors are problematic. The aspect of feeling proud of their eating habits is also inconsistent with the experiences typically reported by those with bulimia, who often feel conflicted and embarrassed about their eating patterns rather than proud.