**Core Concept**
Bulimia nervosa is a complex eating disorder characterized by recurrent episodes of binge eating, followed by compensatory behaviors such as self-induced vomiting, laxative abuse, or excessive exercise. This condition is often associated with psychological factors, including low self-esteem and body image distortion.

**Why the Correct Answer is Right**
Bulimia nervosa is typically marked by episodes of binge eating, which is not limited by the amount of food consumed, and is accompanied by feelings of lack of control. The compensatory behaviors that follow binge eating are aimed at preventing weight gain, which can lead to electrolyte imbalances, dental erosion, and esophageal damage. The psychological aspects of bulimia nervosa are critical in its diagnosis and treatment.

**Why Each Wrong Option is Incorrect**
**Option A:** Individuals with bulimia nervosa often exhibit a distorted body image and an intense fear of gaining weight, which aligns with the diagnosis.
**Option B:** Binge eating and compensatory behaviors are hallmarks of bulimia nervosa, making this statement true.
**Option C:** Individuals with bulimia nervosa often experience feelings of guilt, shame, and self-criticism after binge eating, which is a characteristic feature of the disorder.

**Clinical Pearl / High-Yield Fact**
It's essential to note that bulimia nervosa can lead to significant morbidity, including electrolyte imbalances, esophageal damage, and dental erosion, making early diagnosis and treatment crucial.

**Correct Answer: D.**