Bulimia nervosa types
Bulimia Nervosa | NAMI Michigan
Bulimia nervosa is a serious eating disorder marked by a destructive pattern of binge-eating and recurrent inappropriate compensatory behaviors to control one’s weight. It can occur together with other psychiatric disorders such as depression, obsessive-compulsive disorder, substance dependence, or self-injurious behavior. Bulimia nervosa is an invisible eating disorder, because patients are of normal weight or overweight. Binge eating is the rapid consumption of an unusually large amount of food in a short period of time. Unlike simple overeating, the hallmark feature of a binge is feeling out of control. This means that one cannot stop the urge to binge once it has begun or that one has difficulty ending the eating episode even when far past being full. “Inappropriate compensatory behavior” to control one’s weight may include purging behaviors (such as self-induced vomiting, abuse of laxatives, diuretics, or enemas) or non-purging behaviors (such as fasting or excessive exercise).
Some people who have placed strict restrictions on what and when it is OK to eat might feel like they have binged after only a small amount of food (like a cookie). Since this is not an objectively large amount of food by social comparison, it is called a subjective binge.
There are two types of bulimia nervosa. In the purging type, the person regularly engages in self-induced vomiting or the misuse of laxatives, diuretics, or enemas. In the nonpurging type, the individual uses fasting or excessive exercise to control weight, but does not regularly purge.
People with bulimia nervosa often feel a lack of control during their eating binges. Food is often eaten secretly and rapidly. A binge is usually ended by abdominal discomfort, social interruption, or running out of food. When the binge is over, the person with bulimia often feels guilty and purges to rid his or her body of the excess calories. To be diagnosed with bulimia nervosa, a person must have had, on average, a minimum of two binge-eating episodes a week for at least three months.
However any amount of binge eating and purging is unhealthy and is worthy of an evaluation.
The typical age of onset for bulimia nervosa is late adolescence or early adulthood, but onset can and does occur at any time throughout the lifespan. Bulimia nervosa typically begins in adolescence or early adulthood although it can strike at any age. Like anorexia nervosa, bulimia nervosa mainly affects females. Ten percent to 15 percent of affected individuals are male although this may be an underestimate. An estimated two percent to three percent of young women develop bulimia nervosa, compared with the one-half to one percent that is estimated to suffer from anorexia. Bulimia strikes across racial and ethnic groups and across the socioeconomic spectrum. Studies indicate that about 50 percent of those who have anorexia nervosa later develop bulimia nervosa.
How do people with bulimia control their weight?People with bulimia nervosa are overly concerned with body shape and weight.
They make repeated attempts to control their weight by fasting and dieting, vomiting, using drugs to stimulate bowel movements and urination, and exercising excessively. Weight fluctuations are common because of alternating binges and fasts. Unlike people with anorexia, people with bulimia are usually within a normal weight range. However, many heavy people who lose weight begin vomiting to maintain the weight loss. Laxatives are dangerous and ineffective weight control measures. Laxatives work in the part of the intestine after the food has already been absorbed. They do not help you shed calories, only water and valuable electrolytes (like potassium and sodium).
Constant concern about food and weight is a primary sign of bulimia. Common indicators of self-induced vomiting are the erosion of dental enamel (due to the acid in the vomit) and scarring on the backs of the hands (due to repeatedly pushing fingers down the throat to induce vomiting).
A small percentage of people with bulimia show swelling of the glands near the cheeks called parotid glands. People with bulimia may also experience irregular menstrual periods and a decrease in sexual interest. A depressed mood is also commonly observed as are frequent complaints of sore throats and abdominal pain. Despite these telltale signs, bulimia nervosa is difficult to catch early. Binge eating and purging are often done in secret and can be easily concealed by a normal-weight person who is ashamed of his or her behavior. Characteristically, these individuals have many rules about food — e.g. good foods, bad foods — and can be entrenched in these rules and particular thinking patterns. This preoccupation and these behaviors allow the person to shift their focus from painful feelings and reduce tension and anxiety perpetuating the need for these behaviors.
Are there any serious medical complications?Persons with bulimia — even those of normal weight — can severely damage their bodies by frequent binging and purging.
Electrolyte imbalance and dehydration can occur and may cause cardiac complications and, occasionally, sudden death. In rare instances, binge eating can cause the stomach to rupture, and purging can result in heart failure due to the loss of vital minerals like potassium.
Although the precise causes of bulimia nervosa are unknown, we do know that it is caused by a combination of genetic and environmental factors. Ongoing research is poised to identify specific genes that might influence risk for the development of bulimia nervosa. Scientists have studied the role of personality, genetics, environment, and biochemistry of people with these illnesses. There is some evidence that obesity in adolescence or familial tendency toward obesity predisposes an individual to the development of the disorder. Some individuals with bulimia report feeling a “kind of high” when they vomit. People with bulimia are often impulsive and may also abuse alcohol, drugs, and engage in self-injurious behavior.
Eating disorders like anorexia and bulimia tend to run in families, and girls are most susceptible. Recently, scientists have found certain neurotransmitters (serotonin and norepinephrine) to be altered in some persons with bulimia nervosa. We do not yet know whether these differences exist before bulimia develops or are a consequence of having the illness. Most likely, it is a combination of environmental and biological factors that contribute to the development and expression of this disorder. People with bulimia nervosa often say that binge eating and purging provide temporary relief from tension although after the binge and purge, negative feelings can be increased by the guilt and disgust over the behaviors they have engaged in.
Most people with bulimia can be treated through individual outpatient therapy because they aren’t in danger of starving themselves as are persons with anorexia nervosa.
However, if the binge purge cycle is out of control, admission to an eating disorders treatment program may help the individual interrupt their cycle to give them a head start on getting their symptoms under control.
Cognitive-behavioral therapy (CBT), either in a group setting or individual therapy session, the treatment of choice for bulimia nervosa can lead to complete abstinence from binge eating and purging in around 40% of patients. CBT focuses on self-monitoring of eating and purging behaviors as well as changing the distorted thinking patterns associated with the disorder. Cognitive-behavioral therapy is often combined with nutritional counseling. The only FDA approved medication for bulimia nervosa is fluoxetine (Prozac) showing 50-60% reduction in median binge eating and purging in the short term, although these behaviors often return when the drug is discontinued. It is good to remember that many psychiatric medications can impact weight and it is important to review with a doctor before starting any medication.
Do not stop taking medication without consulting a doctor for the risks and benefits.
Group therapy is especially effective for college-aged and young adult women because of the understanding of the group members. In group therapy they can talk with peers who have similar experiences. Additionally, support groups can be helpful as they can be attended for as long as necessary, have flexible schedules, and generally have no charge. Support groups, however, do not take the place of treatment. Sometimes a person with an eating disorder is unable to benefit from group therapy or support groups without the encouragement of a personal therapist.
Treatment plans should be adjusted to meet the needs of the individual concerned, but usually a comprehensive treatment plan involving a variety of experts and approaches is best. It is important to take an approach that involves developing support for the person with an eating disorder from the family environment or within the patient’s community environment (support groups or other socially supportive environments).
Prevention research is increasing as scientists study the known “risk factors” for these disorders. Given that bulimia and other eating disorders are multi-determined and affect young women, there is preliminary information on the role and extent such factors as self esteem, resilience, family interactions, peer pressure, the media and dieting might play in its development. Advocacy groups are also engaged in prevention through efforts such as removing damaging articles from teen magazines on dieting and the importance of being thin and destructive web-sites that promote anorexia nervosa (pro-ana) and bulimia nervosa (pro-mia) as a lifestyle rather than a debilitating disorder.
Purgin Type vs. Non-Purging Type
Bulimia nervosa includes cycles of binging and compensating behaviors. However, not all cases include purging. Learn the types and treatments of bulimia.
Bulimia is an eating disorder that involves a cycle of binging and compensating, driven by the desire to control body weight or shape and an extreme fear of gaining weight.
Bulimia is often associated with purging behaviors, like vomiting, as a way to compensate for food eaten. However, purging is not the only type of compensatory behavior involved with bulimia.
Although many cases of bulimia include purging, it’s not required for a formal diagnosis. In some cases, a person with bulimia may never purge, but might compensate in other ways, like through extreme exercise or fasting. To account for the different ways of compensating for a binge, there are two types of bulimia: purging and non-purging.
Overall, a diagnosis of bulimia nervosa involves key criteria, including:
- Eating large amounts of food in a short amount of time
- Feeling a lack of control surrounding the amount of food consumed
- Compensating for a large amount of food eaten.
Both purging and non-purging types of bulimia meet the criteria for a serious eating disorder but may have different signs, symptoms and health consequences.
Purging Type
Purging behaviors are common in bulimia, with self-inflicted vomiting seen as the most frequent purging behavior.
Purging behaviors are carried out to control body weight or shape, or to compensate for, or counteract, food eaten. The behaviors can include self-induced vomiting or misuse of laxatives, diuretics or enemas.
Usually, people with bulimia who purge feel a compulsive need to do so, and a sense of relief after purging. The purging type of bulimia can be very harmful to an individual’s health. The consequences of purging depend on the method of purging employed.
Purging behaviors are linked to concerning consequences, such as:
- Tooth decay and enamel erosion
- Problems with metabolism
- Broken capillaries from repeated vomiting
- Gastrointestinal problems
- Electrolyte imbalances related to chronic dehydration from purging
- Acid reflux
These effects can be long-lasting, and in serious cases of bulimia, may continue after purging behaviors have stopped.
Non-Purging Type
Non-purging type bulimia is sometimes confused or compared with binge eating disorder.
However, what makes these disorders different is what the person with bulimia will do to compensate for a binge.
People with non-purging bulimia use other behaviors, like exercise or fasting, to compensate for food consumed. These behaviors are considered excessive or extreme and can be disruptive to a person’s daily life. As an example, someone with non-purging bulimia may binge eat and follow the binge with hours of exercise, days of fasting or very restricted eating.
Which is Worse?
Both purging and non-purging bulimia carry serious side effects and risks to health. The consequences of each type of bulimia differ but can be severe and long-lasting.
In some ways, the health risks of purging behaviors can carry more immediate risks than non-purging, like severe dehydration or electrolyte imbalance. People who purge may also have higher levels of dissatisfaction about their appearance, more symptoms of anxiety and depression, and higher alcohol consumption.
On the other hand, people with non-purging bulimia who exercise or fast still experience significant distress, guilt and impaired functioning.
Despite these differences, experts caution against calling one version of bulimia worse than another. Both types of bulimia are linked with short and long-term consequences, and people who suffer from either type experience significant distress. Although the symptoms and outcomes might look different depending on the type, both kinds of bulimia should be taken seriously and treated accordingly.
Risks Involved with Bulimia
Although bulimia carries a lower risk of mortality than anorexia nervosa, there are still many dangers and health risks.
Both purging and non-purging behaviors can impact psychological, social and mental health. The thoughts and feelings that cause compensatory behaviors can be damaging to a person’s self-worth, and in many cases, people with bulimia experience other mental health conditions. Additionally, eating disorders are associated with increased risk of suicide.
From a physical health perspective, chronic compensatory behaviors (whether they include purging) can impact an individual’s risk of illness. Purging and non-purging behaviors may increase the risk of chronic health conditions that may require lifelong care or can increase the risk of death.
Finding Bulimia Treatment
The treatment approach for each type of bulimia nervosa may be different. As a starting point, it’s important to address thoughts and feelings of body dissatisfaction and the fear of weight gain in all cases of bulimia, as well as any co-occurring mental health conditions.
In addition to addressing underlying thought patterns, bulimia treatment also includes developing strategies to stop compensatory behaviors, addressing any existing health problems resulting from bulimia and re-establishing a healthy relationship with food.
Some of these treatment options for bulimia can include a combination of:
- Cognitive behavioral therapy
- Interpersonal psychotherapy
- Guided self-help
- Nutritional management
Seeking treatment for both types of bulimia nervosa can improve quality of life and reduce the risk of long-lasting effects from compensatory behaviors.
If you or someone you care has bulimia and a co-occurring substance use disorder, contact The Recovery Village today to discuss treatment options.
Editor – Thomas Christiansen
With over a decade of content experience, Tom produces and edits research articles, news and blog posts produced for Advanced Recovery Systems. Read more
Medically Reviewed By – Dr. Sarah Dash, PHD
Dr. Sarah Dash is a postdoctoral research fellow based in Toronto. Sarah completed her PhD in Nutritional Psychiatry at the Food and Mood Centre at Deakin University in 2017. Read more
Steinhausen, Hans-Christoph; Weber, Sandy. “The Outcome of Bulimia Nervosa: Findings[…]Century of Research.” The American Journal of Psychiatry, December 1, 2009. Accessed June 7, 2019.
Substance Abuse and Mental Health Services Administration. “DSM-5 Changes: Implications for Child Se[…]otional Disturbance.” Center for Behavioral Health Statistics and Quality, June 2016. Accessed June 7, 2019.
Pearson, Carolyn; Wonderlich, Stephen; Smith, Gregory.
“A risk and maintenance model for bulimia[…]compulsive behavior.” Psychological Review, May 11, 2015. Accessed June 7, 2019.
Westmoreland, Patricia; Krantz, Mori; Mehler, Philip. “Medical Complications of Anorexia Nervosa and Bulimia.” The American Journal of Medicine, January 2016. Accessed June 7, 2019.
Mond, Jonathan. “Classification of bulimic-type eating di[…]rom DSM-IV to DSM-5.” Journal of Eating Disorders, August 20, 2013. Accessed June 7, 2019.
Abebe, Dawit; et al. “Binge eating, purging and non-purging co[…] longitudinal study.” BMC Public Health, January 13, 2012. Accessed June 7, 2019.
Slade, Keeney; et al. “Treatments for bulimia nervosa: a network meta-analysis.” Psychological Medicine, 2018. Accessed June 7, 2019.
Medical Disclaimer
The Recovery Village aims to improve the quality of life for people struggling with substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes.
We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare providers.
Bulimia - types, methods of treatment, consequences
Treatment of bulimia is one of the specializations of our clinic. We offer the services of professional psychiatrists and psychotherapists who are skilled in cognitive behavioral therapy. It is this method of treating bulimia and anorexia that is the most effective and safe. Treatment is carried out in comfortable conditions for patients and is completely confidential.
Description and symptoms of the disease
Bulimia is a neuropsychological disorder accompanied by eating disorders. A sign of the disease is a constant fluctuation in body weight. Even the closest people of the patient cannot independently diagnose bulimia, so he can hide for a very long time, bringing his stomach and body as a whole to a deplorable state.
nine0003
Treatment programs
Neurological consultation
About food and more
6 month program
Eating disorders
Bulimia can have two forms with different symptoms:
- Primary. This form of the disease is characterized by a constant feeling of hunger.
- Secondary. Is a consequence of anorexia. The disease is accompanied not only by a constant feeling of hunger, but also by uncontrolled overeating. nine0022
After overeating, one of two scenarios occurs:
- the patient may feel guilty, so the meal often ends with vomiting or an enema;
- if the feeling of guilt does not arise after a breakdown and overeating, the patient begins to limit his diet even more.
Bulimia is characterized by the following symptoms:
- large meals;
- frequent eating;
- induction of vomiting to clear the stomach of food; nine0022
- general weakness;
- persistent weight fluctuations;
- bad breath;
- sore throat;
- depression due to constant thoughts of overeating;
- increased salivation;
- diseases of the gastrointestinal tract.
It is especially difficult for relatives to diagnose bulimia in a patient. A sign can be a special greed when eating food and a lack of reaction to others while eating.
“If you feel that you have already observed these symptoms in yourself or your loved ones, we can advise you on what to do about it.” nine0003
Chief Physician Kharaburova TL
Sign up for a consultation by phone 8 (831) 266-03-06 or leave a request Make an appointment
Causes of bulimia
In order to effectively fight the disease, you need to know the cause of its occurrence. The cause of bulimia is:
- low self-esteem;
- mental problems;
- nervous tension, clinical depression and frequent stress, which the patient treats with food; nine0021 exposure to the influence of the media and imposed standards of beauty;
- diseases of the endocrine system.
Bulimia is often caused by constant diets, which make the condition worse.
It is almost impossible to get out of this vicious circle on your own. Bulimia nervosa is treated only within the walls of medical institutions and only by professional doctors.
Consequences of bulimia
If the disease is detected at an early stage and treated immediately, there are practically no negative health consequences. However, prolonged progression of the disease can even lead to death. nine0003
With constant induction of vomiting, a person lacks useful substances, the body becomes dehydrated and weakens. The heart muscle also weakens, the work of the gastrointestinal tract is disrupted, and hormonal imbalance occurs. In advanced cases, convulsions and heart attacks occur.
Consulting
Psychiatrist
Psychotherapist
Psychologist
Diagnosis
An examination and anamnesis by a psychotherapist and psychiatrist is required to make an accurate diagnosis.
If the patient's condition is severe, additional studies and consultations of highly specialized specialists are prescribed to assess the harm that the disease has caused to the body. nine0003
Methods of treatment
After diagnosing the patient, specialists develop a course of treatment. To eliminate a psychological problem and restore the body, it may be necessary not only to work with a psychiatrist, but also a nutritionist. The most effective methods of treatment:
- Psychoanalysis. The task of the psychotherapist is to determine the cause of the disease.
- Cognitive behavioral therapy. This therapy helps the patient to change the perception of his own body, change mental attitudes and behavioral patterns. nine0022
- Interpersonal Therapy. The help of a psychiatrist may be required for patients whose bulimia has developed against the background of existing psychological, social and mental problems.
- Group consultations. An effective method of treatment is the communication of patients in groups.
In the classroom, they can share stories of their life and illness, share experiences about overcoming bulimia and returning to a normal life. Group classes are supervised by a specialist who directs the conversation in the right direction. This method of treatment is effective even at the last stage of the disease. nine0022
Psychotherapists work not only with the patient, but also with his relatives. This allows you to create a warm and trusting relationship in the family, in which the patient will feel needed and loved.
People who suffer from bulimia know a lot about the calorie content of certain foods. However, constant breakdowns do not contribute to maintaining optimal body weight. Professional nutritionists will develop a menu for them based on delicious dishes that support body weight. Nutritionists will talk about the right diet, effective and safe ways to maintain optimal shape. nine0003
“The disease won't go away on its own, treat your health responsibly.
Are there any symptoms? Book a consultation with us."
Head physician Kharaburova TL
Sign up for a consultation by phone 8 (831) 266-03-06 or leave a request. Sign up
By contacting our clinic, you can get professional help in solving the problems of bulimia. Treatment is carried out in a hospital or outpatient setting. The advantages of cooperation with our clinic include comfortable conditions of stay, professional staff and the use of innovative treatment methods. nine0003
Related articles
Make an appointment Ask a question to a specialist Online consultation
Teaching the second stream of students
Colleagues, welcome. On Friday, Elena Aleksandrovna and I will begin training for the second stream of students...
more
Working with adolescents in clinical practice: depressive disorders, suicidal behavior, self-harm
For psychologists, family therapists, parents of patients! You can study on the course of our main…
more
Therapeutic groups: a psychodynamic model of conduct
For psychologists, family therapists, parents of patients! You can study on the course of our chief…
more
Schizophrenia - horror or deliverance?
For a quarter of a century I have been actively studying the treatment of schizophrenia, reading textbooks and articles, listening .
..
more
signs, symptoms, causes, diagnosis and treatment of the disease
Font size Color scheme Images
x
Make an appointment
Name* Phone* Adult Child (under 18)x
Sign up for analysis
Name* Telephone*☆ st. Malaya Balkanskaya, 23 (m. Kupchino)
47 Dunaisky Ave. (Dunaiskaya metro station)
19 Udarnikov Ave. (Ladozhskaya metro station)
st. Marshala Zakharova, 20 (metro station Leninskiy pr-t)
Vyborgskoe shosse, 17 (metro Prospect of Enlightenment)
- Call
435 55 55 -
Make an appointment
This disease is treated by a Psychotherapist
The information provided on this page should not be used for self-treatment or self-diagnosis. If you suspect a disease, you should seek help from a qualified specialist.
Only your doctor can diagnose and prescribe treatment. nine0003
- Causes
- Symptoms of bulimia
- Classification
- Diagnostics
- Treatment of bulimia
- Prophylaxis
What is bulimia?
Bulimia is an eating disorder. The main signs of bulimia are bouts of uncontrolled consumption of large amounts of food, followed by emptying of the stomach by artificial induction of vomiting. nine0003
The patient constantly overeats, after which he begins to feel guilty and tries to quickly cleanse the body in various ways (enemas, inducing vomiting, taking diuretics and laxatives). To reduce weight, people begin to torture themselves with heavy physical exertion and go on strict diets.
Most often, the disease occurs in young girls aged 15-24 years, whose weight is within the normal range or slightly higher. Most patients are associated with areas that require weight control (gymnasts, runners, dancers, models).
nine0003
The diagnosis is made by a psychotherapist by interviewing and examining the patient, using psychodiagnostic questionnaires.
How to cure bulimia? The therapy of the disease is complex and includes diet therapy, taking antidepressants, psychotherapy Source:
Anorexia nervosa and bulimia nervosa: from history to the present. Barylnik Yu.B., Filippova N.V., Deeva M.A. Guseva M.A. Russian Psychiatric Journal No. 3, 2016. p. 36-45.
Causes
This mental disorder usually develops under the influence of social factors, which include:
- the imposition of artificial standards of beauty on the Internet, on television, in advertising;
- interpersonal contacts;
- excessive self-criticism resulting from the negative influence of someone from close people;
- low self-esteem, self-doubt;
- desire for ideal forms, excessive pedantry. nine0022
Bulimia nervosa is especially common in the EU and the US, where the fashion industry is well developed and the population is highly exposed to advertising, TV and the Internet.
In recent decades, bulimia is increasingly common in Russia.
But in the countries of Latin America or India, where beauty standards are different and "girls in the body" are valued, the number of patients with bulimia is extremely small.
There are a number of other factors that can trigger the development of the disease:
- hereditary predisposition;
- lack of serotonin in the body;
- depression;
- chronic stress;
- increased anxiety Source:
Young people's current ideas about eating disorders (bulimia). E. M. Solodovnik, L. A. Nepovinnykh. International Journal of Humanities and Natural Sciences №42, 2020. p. 159-163.
Symptoms of bulimia
The main signs of the disease are:
- constant weight control, perception of oneself as a fat person, although in reality it is not, fear of gaining weight;
- uncontrollable, obsessive desire to eat;
- constant overeating - it happens objective when the patient really eats too much food at a time, and subjective when little food is eaten, but the person thinks that he overeats, the frequency of such episodes in bulimia is at least twice a week in for three months or more, after eating, the patient feels guilt, despair, anger; nine0022
- getting rid of food eaten by artificial methods to avoid weight gain (taking drugs to reduce appetite, laxatives, inducing vomiting, setting cleansing enemas).
To confirm the diagnosis of bulimia , the patient must have all 4 of the above symptoms. The diagnosis is made by a psychiatrist after examination and detailed questioning of the patient.
In addition to the above signs, a person with bulimia feels loneliness, helplessness in front of his problem, he develops depression. As a result, in search of support, many people, instead of contacting a specialist, find thematic communities about bulimia and anorexia on the Internet and try to solve their problems on their own, which rarely gives a result. If bulimia is started, then over time this leads to metabolic disorders and the development of diseases of internal organs Source:
Overeating as a way to regulate the emotional sphere of people with bulimia nervosa syndrome of the cleansing type. Svitkevich Yu.V. North Caucasian Psychological Bulletin No. 1, 2021. p. 5-20.
Classification
There are two types of bulimia:
- cleansing - after episodes of overeating, the patient tries to get rid of food by causing bouts of vomiting, enemas, taking laxatives and diuretics;
- uncleaning - less common, in this case the patient tries to compensate for overeating with intense sports, fasting.
According to the nature of attacks, three types of disease are distinguished:
- paroxysmal - periods of overeating occur suddenly;
- nocturnal - attacks of gluttony and hunger occur exclusively at night, during the day the appetite is normal or reduced;
- constant - overeating is replaced by cleansing of the body, after which the patient soon begins to feel hungry again. nine0022
Diagnosis
Diagnosis is made by a psychotherapist based on anamnesis, questioning and examination of the patient, results of laboratory and instrumental studies. To determine the degree of metabolic disturbance, a blood test for biochemistry may be prescribed.
If there are indications for diagnosing disorders in the functioning of internal organs, the doctor may prescribe such examinations as ECG, CT, ultrasound and a number of others.
Bulimia treatment
- 1.
Psychotherapy . Bulimia needs to be treated comprehensively. After all, this pathology leads not only to organic and functional disorders, but also to psychopathological consequences for health. Therefore, for those who are looking for ways to get rid of bulimia on their own, it is better not to waste time and immediately seek help from specialists. The main treatment for bulimia today is Cognitive Behavioral Therapy . In addition, interpersonal therapy and cognitive-emotional therapy show good results. Children and adolescents are treated with systemic family therapy. nine0022 - 2. Medical treatment . To correct this pathological condition, the patient is prescribed antidepressants . This helps to quickly normalize the emotional background, reduce the strength and frequency of seizures, which, in combination with psychotherapy, gives good results. With properly selected treatment and patient compliance with all the recommendations of the attending physician, the prognosis is favorable.
- 3. Food . Patients need to eat varied, wholesome, do not overeat, do not starve, do not go on diets, refuse to take medications for weight loss. nine0022
Prevention
To prevent new attacks, the following preventive measures should be observed:
- improve the patient's self-esteem;
- create a healthy psychological environment in the family;
- set a person up for positive thinking;
- create a stable and safe environment Source:
Transactional Analysis of Bulimia in a Passive-Aggressive Personality. Dmitrieva N.V., Krasovskaya N.R. Medical psychology in Russia No. 6, 2018. pp. 1-16. nine0022
It is necessary that the patient is clearly aware of his problems and understands that the struggle with them must continue until complete recovery. The most important preventive measure is the observance of the principles of rational and healthy nutrition.
Patients with a confirmed eating disorder (EDD) need to see a psychotherapist periodically.
The specialists of our clinic will help to cure the disease and avoid the severe consequences of bulimia.
You can make an appointment with a doctor right now by calling the indicated numbers or filling out the feedback form on the website. nine0226
- Anorexia nervosa and bulimia nervosa: from history to the present. Barylnik Yu.B., Filippova N.V., Deeva M.A. Guseva M.A. Russian Psychiatric Journal No. 3, 2016. p. 36-45
- Modern ideas of young people about eating disorders (bulimia). E. M. Solodovnik, L. A. Nepovinnykh. International Journal of Humanities and Natural Sciences №42, 2020. p. 159-163
- Overeating as a way to regulate the emotional sphere of people with purgative bulimia nervosa syndrome. Svitkevich Yu.V. North Caucasian Psychological Bulletin No. 1, 2021. p. 5-20
- Transactional analysis of bulimia in a passive-aggressive personality. Dmitrieva N.V., Krasovskaya N.R. Medical psychology in Russia No.
6, 2018. p.1-16
Article published on : 10/12/2016
Last updated : 11/06/2022
See also
Panic attacks
Apathy
Anxiety
Licenses
Medicom LLC
(Drummer Avenue)
Medicom LLC
(Vyborgskoye Highway)
Medi Len LLC
(Marshal Zakharov St.)
Medi Prof LLC
(Dunaisky Prospekt)
Medi Prof LLC
(Malaya St.) Balkan)
Go to the license section Go to the legal information section
record from website DISCOUNT 10%
Enrollment is only possible through the contact center.
To register, fill out the form below and you will be contacted. nine0003
By clicking on the button, you consent to the processing of your personal data by
You are enrolling:
Clinic: {{department}}
Specialty: {{specialty}}
Doctor: {{doctor}}
Date and time: {{form.
date | setTime(form.time) | dateTimeFormatted}}
Date of birth: {{age | dateFormatted}}
nine0472 {{appointmentReply}}By clicking "Sign up", I accept the terms of the user agreement, the provisions on the protection of personal data and give my consent to the processing of personal data.
In order to pass the mandatory registration, you must come to the registration desk 10 minutes before your appointment with your passport.
If the patient is a minor (children under 18), it is mandatory to be accompanied by one of the parents with the presentation of his passport and birth certificate of the child. nine0003
Relatives and third parties accompanying a minor must have a notarized consent of the parents or legal representatives.
If you have made an appointment with a coloproctologist, please read the information about preparing for an appointment
The price of the consultation includes:
History taking, preliminary diagnosis and examination.
All additional doctor's manipulations at the appointment are paid according to the price list.
If you change your mind, please unsubscribe from the reception by phone +7 (812) 435-55-55
The price of the consultation includes:
History taking, preliminary diagnosis and examination appointment. All additional doctor's manipulations at the appointment are paid according to the price list.
If you change your mind, please unsubscribe from the appointment using your Personal Account or by phone +7 (812) 435-55-55.
Are you sure you want to stop recording?
If you have any questions, call us at +7 (812) 435-55-55
nine0002 Are you sure you want to change the current entry?If you have any questions, call us at +7 (812) 435-55-55
You are subject to some restrictions on online booking.
Appointment possible via contact center.
You can sign up by phone +7 (812) 435-55-55
The specialist does not see patients of the specified age.
To register please fill out the form below and you will be contacted.
Make an appointment
Would you like us to call you
?
Name Telephone
By clicking on the button, you consent to the processing of your personal data by
You will be contacted to confirm your application.
Making an appointment
Preliminary appointment through the site
Our employee will contact you to confirm the appointment with a specialist
By clicking on the button, you consent to the processing of your personal data by
Learn more about the quality assurance of medical services
Would you like us to call you
?
By clicking on the button, you consent to the processing of your personal data by
Leave a request and our specialist
will select a convenient time for a communication session with a doctor
By clicking on the button, you consent to the processing of your personal data by
Get a coupon for a return visit
Screenshot of a review from Yandex.
Maps*
By clicking on the button, you consent to the processing of your personal data by
Sign up
for a consultation
Choose a clinic, corp. 1st. Marshal Zakharov, house 20Vyborg highway, house 17, bldg. 1
By clicking on the button, you consent to the processing of your personal data by
Learn more about the quality assurance of medical services
Appointment for tests
Preliminary appointment through the website
Our employee will contact you to confirm the appointment with a specialist
By clicking on the button, you consent
to process your personal data
Write to the head of customer support service
SM-Clinic
By clicking on the button, you consent to the processing of your personal data by
We use cookies.
