In bulimia nervosa, the individual eats a large amount of food in a relatively short time and then attempts to compensate for the “binge” with behaviors such as vomiting, abusing laxatives or diuretics, or engaging in excessive exercise.

Bulimia nervosa is characterized by symptoms such as:

• Recurrent episodes of binge eating followed by compensatory behaviors to prevent weight gain, such as self-induced vomiting or excessive exercise.
• Sense of loss of control with eating.
• Preoccupation and/or dissatisfaction with body shape/size or weight.

A large percentage of people experiencing bulimia developed this disorder, at least in part, due to dieting. Distorted body image, low self-esteem, depression, anxiety, and substance abuse are often experienced by individuals diagnosed with bulimia nervosa. They are at risk for physical complications of the digestive tract, including the mouth – frequent vomiting damages the teeth. In bulimia, there is also a higher incidence of electrolyte disturbances due to purging behaviors. These electrolyte abnormalities can lead to cardiac complications and respiratory difficulties. 

How we can help with bulimia nervosa:

• Provide a safe, non-judgmental environment for exploring recovery
• Give direction for nutrition replenishment 
• Provide guidance/recommendation if a higher level of care is warranted
• Help manage symptoms commonly experienced after stopping compensatory behaviors
• Work with other members of your healthcare team to help develop and apply coping skills that support interruption of the binge-purge cycle and overall recovery