|Element of definition||Clinical interview question|
|A1. Excessive exercise that the person feels driven to perform in response to an obsession or according to rules that must be applied rigidly.||
Do you have to exercise over and over again and can’t resist doing so?|
For clarification (if needed): Do you feel bad if you cannot exercise as you usually do? Is there a fixed exercising routine that you have to follow?
|A2. The exercise is aimed at preventing some dreaded consequence or at preventing or reducing distress, often based on distorted beliefs about exercise||Why do you have to exercise? What would happen if you did not exercise?|
|B. The compulsive exercise is time-consuming (takes more than 1 hour a day), significantly interferes with the person’s daily routine, occupational functioning or social relationships or is continued despite medical injury, illness, or lack of enjoyment.||
How much time do you spend exercising?|
What effect does your exercise behavior have on your life?
Do you continue exercising when sick or injured?
Does your exercise behavior bother you a lot?
|C. At some point during the course of the disorder the person has recognized that the compulsive exercising is excessive or unreasonable.||Do you exercise more than you should or that makes sense?|