Bulimia Nervosa

The battle of binge and fix

Dissatisfied with the body and concerned about losing weight (Nolen-Hoeksema, 2014)

Living with bulimia nervosa is a constant battle between the desire to stay thin and the compulsion to eat. First, you eat as much as you can, without the ability to control it, and then you use extreme measures to fix it and get rid of those calories... The way you fix it determines the subtype - either purging with vomiting, diuretics, laxatives and other medications, or nonpurging with fasting and excessive exercise (Nolen-Hoeksema, 2014; March & Schub, 2014). There is help; you don't have to fight this battle any more...
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Am I Bulimic?

taken from http://www.helpguide.org/mental/bulimia_signs_symptoms_causes_treatment.htm

Ask yourself... the more YES answers you have, the more likely you have bulimia or another eating disorder... if you have ANY symptoms, talk to your doctor, before it gets worse and takes over your life...

  • Are you obsessed with your body and your weight?
  • Does food and dieting dominate your life?
  • Are you afraid that when you start eating, you won’t be able to stop?
  • Do you ever eat until you feel sick?
  • Do you feel guilty, ashamed, or depressed after you eat?
  • Do you vomit or take laxatives to control your weight?


Bulimia is caused by many factors, including family history, brain chemistry, social influences, personality traits and stressful life events (Steiger & Bruce, 2007; Bulimia Nervosa-cause, n.d.)

You have a higher risk of developing an eating disorder if

  • others in your family have one
  • dieting and/or bingeing and purging behaviors are common in your social circles
  • you are a perfectionist
  • you have recently been through a traumatic event
Talk with your doctor today if you suspect you have an eating disorder; bulimia (and other eating disorders can cause serious medical issues, including death.
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The use of cognitive behavior therapy in the treatment for bulimia has the strongest research support (Nolen-Hoeksema, 2014; Fischer, Meyer, Dremmel, Schlup & Munsch, 2014). This type of therapy will challenge thoughts behind the cycle of the illness, and change behaviors. Cognitive behavior therapy can also be combined with medications that may help to break the cycle of bingeing and purging. Nutritional counseling can help in conjunction with therapy and medical monitoring in replacing risky eating patterns with healthy ones.

True or false

You can tell someone has an eating disorder by looking at them.

Eating disorders are caused by the media.

Men don't get eating disorders.

Only rich people get eating disorders.

Eating disorders are a lifestyle choice; someone can choose to stop having one.

Purging is an effective way to lose weight.

Eating disorders are the result of over-controlling, dysfunctional families.

Recovery from eating disorders is rare.

All of these are false... more information is available at


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Bulimia Nervosa-Cause. (n.d.). WebMD. Retrieved August 3, 2014, from http://www.webmd.com/mental-health/eating-disorders/bulimia-nervosa/bulimia-nervosa-cause

Fischer, S., Meyer, A. H., Dremmel, D., Schlup, B., & Munsch, S. (2014). Short-term Cognitive-Behavioral Therapy for Binge Eating Disorder: Long-term efficacy and predictors of long-term treatment success. Behaviour Research & Therapy, 5836-42. doi:10.1016/j.brat.2014.04.007

March, P., & Schub, T. (2014). Bulimia Nervosa.

Nolen-Hoekema, S. (2014). Abnormal psychology (sixth ed.). New York, NY: McGraw-Hill Education.

Steiger, H., & Bruce, K. R. (2007). Phenotypes, Endophenotypes, and Genotypes in Bulimia Spectrum Eating Disorders. (cover story). Canadian Journal Of Psychiatry, 52(4), 220-227.