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:

• 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