What characteristic is often observed in clients with bulimia nervosa?

Clients with bulimia nervosa frequently exhibit the use of laxatives as part of their compensatory behaviors following episodes of binge eating. This behavior is driven by the fear of weight gain and the desire to eliminate the calories consumed during these binge episodes. Laxatives are often misused in an attempt to control weight, as individuals with bulimia may believe that they can offset the effects of their eating behaviors. This practice can lead to serious physical health issues and reflects the individual's struggle with their body image and eating habits. While other options may have relevance in various eating disorders, the use of laxatives is particularly characteristic of bulimia nervosa and aligns closely with the behaviors observed in this condition.