The steps to bulimia nervosa recovery are one, admit one has a problem. Up until now, one has been invested in the idea that life will be better if one loses more weight and controls what one eats. The first step in bulimia recovery is admitting that one’s relationship to food is distorted and out of control. Two, talk to someone. It can be hard to talk about what one is going through, especially if one has kept his or her bulimia a secret for a long time. One may be ashamed, ambivalent, or afraid of what others will think. But it’s important to understand that one is not alone. Find a good listener—someone who will give support as one tries to get better. Three, stay away from people, places, and activities that trigger the temptation to binge or purge. One may need to avoid …show more content…
The advice and support of trained eating disorder professionals can help one regain one’s health, learn to eat normally again, and develop healthier attitudes about food and one’s body (Smith). The treatment of choice for bulimia is cognitive-behavioral therapy (Smith). The initial goal of cognitive-behavioral therapy is to restore control over dietary intake. Cognitive-behavioral therapy principally involves a systematic series of interventions aimed at addressing the cognitive aspects of bulimia nervosa (Matthews 71). Breaking the binge-and-purge cycle is the first phase of bulimia treatment and restoring normal eating patterns. One learn to monitor one’s eating habits, avoid situations that trigger binges, cope with stress in ways that do not involve food, eat regularly to reduce food cravings, and fight the urge to purge. Changing unhealthy thoughts and patterns is the second phase of bulimia treatment that focuses on identifying and changing dysfunctional beliefs about weight, dieting, and body shape. Solving emotional issues is the final phase of bulimia treatment that involves targeting emotional issues that caused the eating disorder in the first
Bulimia nervosa, also called bulimia is a possible life threating eating disorder. A person that suffers from bulimia may secretly binge their food. They may eat large amount of food and then purge their food to get rid of the additional calories that they’ve digested. Bulimia is categorized in two ways, purging bulimia and non-purging bulimia. Purging bulimia is when a person regularly self-induces vomiting after eating. Non-purging bulimia is when an individual may use other methods to try to prevent weight gain, such as fasting, extreme dieting, or overly exercising.
Bulimia nervosa is a second eating disorder that needs attention drawn to it. Bulimia was pretty much unknown before the mid 1970’s (Dippel, N. & Becknal, K., 1987). Bulimia consists of binging and purging (eating as much as possible and then throwing it up). In a study that was conducted it was found that after bulimics had attempted several diets without success, they then became aware of vomiting or laxatives as a means to weight loss (Herzog, 1982). The symptoms of bulimia heave to do with preoccupations with food, weight, body image, and ridding themselves of ingested food (Dippel, N. & Becknal, K., 1987). Most people throw up because they feel guilty for consuming all the foods they know they shouldn’t have. They vomit not only to get rid of the food but to get rid of any unwanted feelings and emotions. Most patients begin purging approximately 1 year after the binge eating has started. As scary as the facts may sound, what is even scarier is the affects
In 1981, a researcher named Fairburn conducted the first study applying cognitive-behavioral therapy to the treatment of bulimia nervosa. In a recently published report by D. L. Spangler (1999), CBT is touted as “a well-developed, theoretically grounded treatment for bulimia nervosa with the strongest empirical support for its efficacy of any form of treatment for bulimia nervosa.” Today cognitive-behavioral therapy (CBT) is a form of therapy commonly used to treat patients with bulimia nervosa (BN).
Safer, D. L., Agras, W. S., Lowe, M. R., Bryson, S. (2003). Comparing two measures of eating restraint in bulimic women treated with cognitive-behavioral therapy. International Journal of Eating Disorders, 36, (1), 83. Retrieved February 4, 2005, from PhyscINFO database.
When looking for the best treatment options doctors primarily recommend cognitive behavioral therapy, antidepressants, and medical nutrition therapy. Similar to cognitive behavioral therapy, medical nutrition therapy attempts to help a bulimic understand outlying problems for their disease and how they can be fixed. However, medical nutrition therapy views how eating certain things can help to rejuvenate the body, while cognitive behavioral therapy attempts to rejuvenate the mind to help improve mental health. Compared to these therapies antidepressants are commonly used to elevate certain chemicals in the brain called neurotransmitters like serotonin and norepinephrine. While therapy sessions are used to talk and understand, how to treat bulimia
The cognitive view of the maintenance of bulimia nervosa stresses that there is more to an individual's eating problem then just binge eating (and purging). Low self-esteem, extreme concerns about shape and weight, and strict dieting are all implicated in perpetuating the vicious cycle of bulimia (Fairburn et al., 1993). Within the first stage of treatment (weekly sessions 1-8), the following steps characterize the cognitive-behavioral approach: 1) orient
Bulimia Nervosa refers to when an individual over-eats excessively and then takes action to purge the body of the intake. There are five criteria for Bulimia Nervosa in the DSM-IV, which include: recurring episodes of binge eating, recurring actions of purging, the patterns must continue at least twice a week for three months or more, a huge emphasis on body weight in self-evaluation, and the actions must occur apart
Bulimia Nervosa is an eating disorder characterized by recurrent episodes of binge eating with inappropriate compensatory behaviors to prevent weight gain. Cognitive Behavior Therapy and antidepressant drug therapy are treatment modalities that have shown promise with patients diagnosed with eating disorders, more so with Bulimia than with Anorexia, (Comer, 2014). In this case study analysis, a synthesis of researched outcomes-based treatment modalities is used to conceptualize a diagnosis and treatment plan for a 19 year-old female client presenting with symptoms of 307.51 (F50.2) Bulimia Nervosa; extreme.
Dialectical Behaviour Therapy (DBT) The case study conducted by Safer,Telch & Agras (2001) evaluates the effectiveness of dialectical behaviour therapy (DBT) for treating eating disorder. The main aim of Safer’s (2001) study is to help patients overcome eating disordered behaviours by training them to regulate emotions during their episodes. The case study is on a 36-year-old woman who has been suffering from bulimia nervosa whose condition worsened six years into the 13 year long problem. The patient was given a 20 session DBT treatment upon being unresponsive to her two year counselling.
In our Western society, we have several different types of eating dysfunction, all of which are unique and tragic in their own right. Despite their individuality, however, they all have several overlapping symptoms that are key to their classification and severity. For Bulimia Nervosa (BN) and Binge Eating Disorder (BED), one of the core features is binge eating, which can be defined objectively by number of calories eaten in a given time or subjectively by the feelings of the binger. Binge eating has many different aspects that are of interest to scientists and clinicians alike. One of those interests has to do with the reduction of this symptom among populations being treated for their respective disorder. Because both
The drug Topiramate is a sulfamate-substituted derivative from the monosaccharide D-fructose that is known for its anticonvulsant and antimigraine actions.1 Therefore, it is helpful for patients with seizures and migranes. Epilepsy is a specific example of what this drug is used to treat. Topiramate is different from other antiepileptic drugs because it is thought to block the spreading of seizures instead of lowering the threshold like other antiepilepsy drugs. 2 Although the exact mechanism that Topirmate cannot be identified, it is currently being observed from biochemical studies. Scientist have observed that the drug blocks voltage-dependent sodium channels, augments the activity of gamma-aminobutyric acid, antagonizes the AMPA/kainite subtype of glutamate receptor, and inhibits carbonic anhydrase. 1 Should this medicine be used to treat bulimia nervosa? Bulima nervousa is a disease that causes patients to engulf large amounts of food in a short amount of time, which then causes them to take action by purging or taking laxitives to get rid of the large sum of food they consumed. 3
Anorexia nervosa and bulimia are eating disorders that severely affect both men and women around the world. The cause of the eating disorder usually derives from psychological, biological and social forces. Eating disorders have become an epidemic in American society, twenty-four million people of all ages and genders suffer from an eating disorder in the U.S. (National Association of Anorexia Nervosa and Associated Disorders.\, 2011). There are many ways to address and treat an eating disorder. There have been multiple studies conducted to test the effectiveness of different types of treatment. My central research question analyzes the relationship between the continuation of the eating disorder with the presence of intervention or some
Bulimia Nervosa is the diet-binge-purge cycle. It is an illness that is mostly found in young females. This cycle involves a strict diet, uncontrollable eating and then unhealthy strategies to get rid of the food and therefore the guilt. This addictive eating disorder is based on guilt. The individual tends to under-consume and thereby becoming very hungry. Once the individual gives in and allows one’s self to eat, the person begins to over-eat. After finishing the large quantities of food, the individual begins to feel immense
People suffering from eating disorders cannot solely help themselves. Although they may be able to stop for a short time, in the long run they will be back in the same path of self-destruction. Kirkpatrick & Caldwell (2001) state, "Because eating disorders are a complicated mix of physical and psychological abnormalities, successful treatment always includes treatment of psychological issues as well as restoration of a healthy diet" (p. 131). Trained therapists should treat eating disorders. The severity of the disorders will determine the need for outpatient therapy or an in-hospital program (Matthews, 2001, p. 178). There are many goals of therapy but the return to normalcy is the main goal. The eating disorder sufferer needs to restore and maintain a normal weight as well as develop normal eating and exercise routines. Kirkpatrick and Caldwell (2001) state,
Bulimia Nervosa [also known as Bulimia] is a very serious and dangerous eating disorder. The disorder can be describe as bingeing and then followed by purging or a person who eats a large amount of food in short periods of time and then vomits after eating to prevent on gaining the weight cause by the food. There is different ways of going about ways to prevent the weight gain, making oneself throw up, taking pills, or laxatives which will increase how fast the food will move through your body, exercising excessively, eating a little amount or not at all, or taking other pills to pass urine This disorder is mostly between the ages of 15 and 35, even if they have no specific food disorders. Studies made in Europe and USA have underlined the