Egodystonic refers to thoughts and behaviors (e.g., dreams, impulses, compulsions, desires, etc.) that are in conflict, or dissonant, with the needs and goals of the ego, or further, in conflict with a person's ideal self-image. Source.  Patients with Bulimia nervosa, Binge Eating Disorder and often patients with EDNOS are ashamed of and usually repulsed by the symptoms of their illness. These feelings compel them to secrecy in an effort to keep their disordered eating and purging behaviors hidden from others.

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