Bulimia Nervosa

Warning Signs of Bulimia Nervosa

  • binge eating or eating large amounts of food, more than what most people would eat under similar circumstances
  • loss of control during these eating episodes
  • self-induced vomiting
  • misuse of laxatives, diuretics, enemas, or other medications
  • fasting
  • excessive exercise
  • severe self-scrutiny of one's weight or shape

Treatment of Bulimia Nervosa

Initial assessment involves a comprehensive medical and psychiatric evaluation with appropriate laboratory tests as indicated. Medications have been found effective for bulimia and can be initiated. One type of psychotherapy, cognitive behavioral therapy, results in an 80% reduction in bulimic symptoms after 20 weeks and has a 60% remission rate after one year and can be carried out in individual or group settings over 20 sessions on the average. Psychotherapy sessions can also be oriented toward social anxiety or obsessive compulsive disorder, depending on the individual.