Elise receives weekly psychotherapy for her bulimia nervosa. After several months of therapy, she declares to her therapist, "I've stopped vomiting after eating. I'm not moderating my food intake and am going to the gym 2 hours each day." Why might her therapist be concerned with this report?
A. She is no longer purging after eating and thus may have developed anorexia.
B. She has not been in therapy long enough to have gotten better.
C. She has replaced vomiting with another purge behavior.
D. She has not yet started medication that is required to treat the disorder.
Answer: C
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