Managing Your Mental Health With Bulimia

Managing Your Mental Health With Bulimia

Uncertain times, such as the COVID-19 pandemic, can be unsettling for our mental health. We tend to feel anxiety from the fear of contracting the virus, loneliness from isolation due to the lockdown, and worry about the uncertainty of the situations, which results in mental instability.

During these times, the struggle is twice as hard for people suffering from various eating and mental health disorders. How do we effectively manage mental health when most of the triggers are external factors that are out of our control? 

What Is Bulimia?


Around the world, there are about 70 million people who are suffering from eating disorders. All ages and sexes are prone to experiencing such conditions, however women are more likely to suffer from an eating disorder by 2.3% than men. Across generations, it is also more likely to occur during the teenage years. Bulimia is a fatal disease if left unaddressed, with around 3.9% mortality rate.

Bulimia is an eating disorder wherein the person has a distorted body image resulting in a series of binge eating and purging. A person with bulimia may see him/herself as excessively fat even though they are underweight in reality. They undergo a binge-eating episode wherein they lose control and eat a massive amount of food. Afterwards, they will feel guilt and shame, and so they purge themselves. 

The binge eating and purging cycle can have severe effects on a person’s physical health. The forceful vomiting of purging can damage the mouth, blood vessels, and glands resulting in tooth decay, puffy cheeks, raspy voice, and red eyes. Other effects of excessive purging are acid reflux, stomach pain, dehydration, heart problems, hormonal imbalances, and reproductive health issues. 

Also, beyond the detrimental physical effects of bulimia, the person suffers from severe mental and emotional health disturbances. Bulimic patients are also likely to suffer from depression, panic attacks, obsessive-compulsive disorder, social phobia, and post-traumatic disorder. 

The causes of bulimia are not entirely straightforward. All eating disorders are not just problems with body-weight perception and eating habits. They are rooted in much more profound psychological and emotional issues.

Current studies suggest that bulimia is an interplay of various factors such as genetics, emotional regulation problems, low self-esteem, and social factors like media portrayals of ideal body type and appearances.

 Coping Up With Bulimia 

Among people who have bulimia, around 55% to 85% go into remission within 90 days of receiving an intervention. However, 14% to 26% of the recoveries go into relapse. A proper assessment that would appropriately address the person’s underlying emotional and psychological problems is essential to avoid this. 


Depending on your case, the doctor may opt for hospitalization if your weight is alarmingly low. If not, you may be good with outpatient services. The treatment may be in the form of the following

  • Nutritional Rehabilitation

The goal of this specific kind of treatment is to normalize eating habits and achieve a healthy weight.

  • Antipsychotic And Antidepressants Medication 

These medications have been proven effective for some in improving the person’s weight and psychological stability. However, the effects of these drugs still vary for every patient, so it is vital to seek professional help for proper prescription.

  • Psychosocial Interventions

The most effective as of now is cognitive behavior therapy (CBT). CBT identifies and changes the mental perception associated with the specific eating behaviors. Other psychosocial interventions include family therapy and dialectical behavior therapy.

Apart from these clinical interventions, a study also found a guided self-help approach combined with a group CBT to be effective in bulimic patients. It significantly reduced the frequency of binge-eating, vomiting, and laxative use. 

Self-Care Tips For People With Bulimia 

While it is essential to follow the recommended treatments of licensed professionals, it is also necessary to take good care of yourself. Listed below are the suggested self-care tips that you should follow.

1. Understand Yourself 

First and foremost, you must understand yourself, your triggers, emotions, and behavior. In this way, you will know the root causes of your action and sooner find a way to deal with them. Recognize and accept that there is a problem and try to look at it objectively. 

2. Find A Solid Support System 

Being surrounded by friends and families who understand your condition is healthy for your mental health. Once you find people whom you are comfortable enough with, open to them about your problems. Not only will it keep you safe in case of your next trigger, but talking to other people could clear your head and untangle those thoughts, too. 


3. Avoid Triggers 

After identifying your triggers, ake an active decision to reframe your perception around these triggers and stay away from them. Triggers are unique for each person, and it’s crucial to identify your own. For some, social media sites can act as triggers. 

With social media, we tend to compare ourselves to unreasonable standards. It is often inevitable to feel pressure and envy towards others. Understand that everyone is different is different and each has their own pace and timing. If you feel like social media is detrimental to your mental health, it will be best to avoid it until you learn how to manage your triggers. 

4. Develop A Routine And Discover Your Passion 

Keep yourself preoccupied with finding something you like to do. It will help drive your attention away from harmful and self-destructive thoughts. You can try something new such as cooking, baking, painting, sports, or playing an instrument.

Incorporate exercise into your everyday life. It may be something as simple as stretching or Zumba. Anything to keep your blood flowing because it can significantly uplift your mood as well. There are numerous instructional videos on the web that you can follow to keep your body moving.

Indeed, eating disorders are a call to deeper psychological and social problems. Acknowledging and understanding your problem is the first active step you can take to manage your symptoms. 


Five Tips On Dealing With Bulimia As A Family


Eating together as a family is one of the simplest yet most memorable instances a family could share. Gathering around the dining table, and enjoying each meal is a chance for conversations to flow as it creates strong bonds among family members.

However, instances like this may differ notably in families with members who are suffering from eating disorders. How can a family savor each meal together while effectively dealing with bulimia? 

Understanding Eating Disorder 

People suffering from eating disorders may suffer from disturbances in eating habits, which may affect their mental health. Most of the time, they are preoccupied with trying to deal with their body weight and figure and food intake.

Anorexia nervosa and bulimia nervosa are two kinds of eating disorders wherein a person may be extremely conscious of their body weight. In both conditions, a person may always see themselves as overweight. Anorexia nervosa causes a person to weigh at least 15% below their healthy weight. Symptoms of anorexia include low food intake.

On the other hand, people with bulimia nervosa may weigh slightly heavier than those with anorexia. People with bulimia eat a significant amount of food in such a short period. However, they would also take in laxatives or induce vomiting to get rid of the excessive calories and sugar they consumed. 

The exact cause of bulimia is yet to be identified. However, several factors may affect its occurrence. Some of these factors are genetics, biology, mental health, and societal expectations, among others. The combination of these factors and the desire to adapt to beauty standards often pushes a person to develop eating disorders. 


According to research, females are more likely to suffer from bulimia than males. It often occurs during the adolescent years of a teenager to early adulthood. These are stages in their lives when they want to belong and be accepted. 

Health Risks Of Bulimia 

If unattended, bulimia may lead to serious health consequences. People who have bulimia may suffer from malnutrition because they do not get proper nutrition from their food. Because of this, a person’s immune system may become weak, making them at a higher risk of being infected by other diseases. 

Aside from malnutrition, constant vomiting may lead to dental problems because of the acid released by the body. It may damage the enamel of the teeth, cause bad breath, and sore throat. Females who have bulimia may also experience irregular or absent menstruation cycles. Physical consequences of bulimia may include dry skin, brittle fingernails, weakness, and bone problems. 

Those who suffer from eating disorders need all the support they could get. The whole family must be involved in creating a healthier and positive environment for sufferers. The family is the immediate source of strength and acceptance of persons with bulimia. To be able to deal with bulimia within the family properly, here are some tips: 

Follow These Tips 

  • Open Communication Lines 

Some problems and issues may trigger eating disorders. The family can avoid or deal with bulimia effectively if a person can freely say what they feel. 

  • Promote Body Positivity 


Parents lead by example. Unfortunately, parents can also forget how their actions, thoughts, and words can impact the lives of their children. When it involves body image and eating behavior, this can be especially relevant,” says Robert Glatter, M.D.

There is a high level of trust amongst the members of the family. Because of this, whatever is said and heard within the family is often believed by its members. Promoting body positivity within the family would reduce the risk of developing a person’s insecurities. The family members would not need to seek validation from others because people who love him assure him or her of acceptance.  

  • Be Wary Of Internet Use 

The internet feeds a massive amount of information with just a few clicks. Anyone can post anything on the internet for everyone to see. Suddenly, everyone has a voice of what you should be and how you should look like. 

With the ease of access to information, people can easily be influenced by society’s ideals. Because of this, insecurities may also rise. Being wary of internet use is about knowing what information to take and those that should be ignored. Mindful use of the internet would detach you from the misleading “realities” of society. 

  • Create Healthy Meals 


Most people who have bulimia are under too much pressure to achieve an ideal body or weight. The constant thought of being fat would cause them to induce vomiting to not gain weight. 

To avoid the need for purging, create healthy yet delicious meals for the family. Make sure that each member is involved and dedicated to a healthier lifestyle. Incorporate more vegetables and less sugar and fats into your family’s diet. Encourage the person with bulimia to eat without purging him or herself.  

  • Create A Happy Home 

One of the factors that may trigger bulimia is stressors. Research reveals that some people living with bulimia are also members of dysfunctional families. Stress coming from family conflict may seek comfort from food, which would increase their food consumption. Creating a happy home would remove or decrease possible stressors in an individual. A positive environment at home will provide a sense of security. 

There is no one-size-fits-all approach to treating bulimia. Sufferers and their families should understand the roots of the problem to be able to address it adequately. Often therapy can help unearth these root causes. These days, treatment has been made accessible for most because they now utilize the web, like BetterHelp, for example. With the internet and your device, you can benefit from the help that a licensed therapist can give to enhance your life. 

These tips are meant to encourage you to be involved in the lives of your family members. Use these tips to understand one another better. Give your full support to family members who are sufferers of eating disorders. Someday, when all is well, you can fully enjoy your meals together. 


Upsides Of Being Quarantined With Bulimic Child

Ever since the child psychologist confirmed that my 14-year-old daughter was suffering from bulimia nervosa, my emotions had been a mess. I felt angry at myself for not paying attention to the signs soon. I pitied my child for developing an eating disorder—an experience that might stay etched in her mind forever.

When I had a heart-to-heart conversation with my daughter after the diagnosis, she crumbled in front of me. She said, “Mom, the kids at school have been bullying me for years, calling me Juggernaut or Miss Piggy. I feel ashamed for eating a lot every mealtime, so I end up forcing myself to bring the foods back out.”



Despite the twisted reasoning that I just heard, I could not get angry at my child. She’s going through something that even adults could not handle level-headedly. How could anyone expect her to know what to do from the start?

Still, after that conversation, I encouraged my daughter to seek help. I allowed her to choose her therapist and what type of therapy she would do to ensure that she wasn’t doing it to appease me. The first sessions went great; they took place once a week a few blocks away from home. However, due to the COVID-19 pandemic, my daughter had to get therapy online. The child psychologist then tasked me to monitor her behavior closely and text her about it almost daily to see her progress.

I am not saying it because I love my child, but I have not seen any worrying activity from her. It’s as if the quarantine is very suitable for my daughter’s healing process.

These are the upsides that I have noticed:



Lack Of Social Pressure Makes A Child Worry-Free

My child is visibly more relaxed now than ever. She stays in her pajamas all day long and jokes around with us. It seems natural for her not to talk about being fat or give any body-related comment.

I believe that this change is all thanks to the lack of social pressure that my daughter experiences now. When she attends a class via the school’s online portal, I would see that everyone else—even the teacher—is not dressed to impress. I also saw one student snoring on top of his books, thus proving that no one cared about their appearance for once. So, my kid does not feel any pressure to follow the social norms or entertain distorted thoughts about body image.



Hard Work Lessens Food Consumption

When the lockdown started, I informed the entire family that we would not be ordering food from restaurants for a while. The reason was that I wanted to lessen our social interaction with other people and reduce the chances of getting the coronavirus. They could tell me what they wanted to eat so that I could order the groceries online and have the salesperson drop them in my trunk. However, we would have to make the dish together.

Eating too much and then vomiting it later was perhaps easy-peasy for my 14-year-old kid before the lockdown. However, since my daughter’s expected to chop the vegetables or man the stovetop these days, she appears to eat until she’s full. Hence, there are no more long, suspicious bathroom trips after mealtimes.

Final Thoughts

I don’t have any idea how much longer this quarantine will last. It can happen next week or in the next two months. What I can only pray for, though, is that my daughter will continue to let go of her bulimic habits until she does not feel the need to do it anymore. If that happens, I will be the happiest and most fulfilled mother on the planet.

Tips To Protect Your Teen From Bulimia

The role of nutrition in promoting good health among teens was emphasized during the 2018 Boston Annual Nutrition & Health Conference. The conference discussed the importance of having a balanced diet and proper food nutrition in preventing illnesses, which includes eating disorders.

Eating disorders can significantly affect the health and well-being of teens, especially among girls. As a parent, you need to protect them from it.


With this in mind, here are some tips and advice to help you protect your teen from developing bulimia: 

Know The Symptoms Of Bulimia

Prevention is better than cure, so you have to be wary of the symptoms of bulimia to prevent it before your child shows signs. The most common symptoms are: 

  • Usually having an average or low body weight but perceive themselves as overweight
  • Constant binge eating, often in secret
  • Self-induced throwing up
  • Excessive exercise or fasting
  • Strange eating habits that appear abruptly


Promote Healthy Eating Habits

Proper nutrition is critical to our health, appearance, and energy level. It would be best if you encourage your teen to eat whenever he or she feels hungry. It would also be helpful to explain why they shouldn’t deprive themselves of eating correctly. 

One way to boost their appetite is to prepare meals that they like but are nutritious at the same time. You should also eat together as a family more frequently to model good eating habits and encourage them.

Develop Open Communication With Your Teen 

Teenagers are exposed to different media that may influence their behavior, confidence, and personality. Television programs, movies, and social media platforms may send a wrong message to your teen. Talk to them about the media they consume.

Encourage A Healthy Body Image

To protect your child from bulimia, you have to convince him or her about the importance of proper eating habits in having a healthy body. It might not be easy, but it is essential to talk to your teen about self-image and reassure them that body shapes vary.


Seeking advice or a second opinion from other experts may help you detect if your child is at risk of having bulimia. Moreover, consulting with your teen’s doctor is vital for proper diagnosis and treatment. If necessary, he or she can refer your teen to a mental health provider.

The Psychology Behind Bulimia



Bulimia nervosa is a severe mental health disorder that if left untreated can become life-threatening. It involves the intake of excessive amounts of food and then engaging in compensatory behaviors to counteract this intake. There can be purging bulimia where the person uses self-induced vomiting or laxatives, enemas or diuretics to rid the body of the food. In contrast, there can be non-purging bulimia where they use other compensatory methods such as strict dieting or engaging in excessive exercise. These two types of bulimia are not necessarily exclusive and often overlap. Despite this focus on food, truly bulimia is not about food, but anxiety. People experiencing bulimia are often worried about their weight or body shape. They are likely to have high expectations for themselves and a tendency to focus on their self-perceived flaws. As bulimia goes deeper than simply a concern about food or weight and is rather due to deeper seeded low self-esteem, it can be very difficult to recover from. However, with good support and the right treatment, it can certainly be overcome.

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Amazing Facts About Bulimia Nervosa



People generally use carbohydrates as their food of choice in bulimia, though they may choose fatty foods as well. These are mood altering by way of the serotonergic system, and they also lead to a sense of fullness by filling the stomach and putting pressure on the diapgragm. — Leslie E. Korn Ph.D., MPH, LMHC, ACS, NTP

If you are a bulimic, you’d have an irrepressible and unmanageable urge to gorge followed by a relentless impulse to spew out the large quantity of food consumed. Almost all bulimics follow a similar pattern like yours, of first bingeing and thereafter purging, all with the sole objective of staying as slim as possible. Bulimia nervosa, like anorexia, is more of a psychological disorder that is brought about by the interaction of an array of risk factors, including genetic, environmental, societal, and behavioral.

Bulimia as an eating disorder usually predominates in women compared to men, particularly when they are in their teens, twenties, and thirties. However bulimics can expect a full recovery, thanks to the availability of advanced inpatient and outpatient treatment options. Following are some startling facts about bulimia nervosa:


  • Bulimia nervosa is idiopathic, i.e. there is no single cause which can be held responsible for triggering the outbreak or development of the disorder in an individual
  • The eating disorder could be genetic-You’re at greater or higher risk of developing the disorder if someone in your immediate family or a close relative has any type of eating disorder

Bulimia nervosa afflicts approximately 4% of women and 0.5% of men in the US. Nearly 4% of those suffering from bulimia will die from the disease and nearly all struggling with the illness experience serious medical and/ or emotional effects. — Alexis Conason Psy.D.

  • It is the society, you stupid-Western societies tend to be obsessed with slimness and always urge individuals to keep weight as low as possible. Obesity is considered a taboo. Therefore people, mostly women are fixated with maintaining a reed thin figure in order to make selves more appealing, and often end up developing detrimental eating habits.
  • The disorderliness exists more in the mind-Apparently, bulimia is an eating disorder but in reality, the disorderliness is mental. Bulimics find bingeing as a means of escapement from feelings of shame, guilt, or suicide that cause emotional turmoil. Bulimia is often co-morbid or in other words, bulimia patients often suffer from an additional health issue or issues that could be physical or mental or both.


If the statistic published by ‘National Association of Anorexia Nervosa and Associated Disorders’ is to be believed, then bulimia along with anorexia and binge-eating disorder are amongst the most fatalistic mental disorders in the US.

  • Bulimics find themselves trapped in a web of obsessive habits-As a bulimic you’d find yourself struggling hard to contain your food cravings. You’d be storing food items in the unlikeliest of places (apart from the regular ones) so that you can access the same whenever you wish to. At the same time, you’ll be continually stocking up on laxatives, diuretics, and emetics-medicines that induce regurgitation.

You’d also have the compulsive need to exercising strenuously in order to burn calories. To accelerate the calorie torching process, you may also resort to starving, doing without big meals and surviving on tidbits.

  • Bulimia can prove to be very damaging for women-Female bulimics will experience problems with menstrual cycles often missing periods. Pregnant women could be at risk of suffering miscarriages, giving birth to stillborns or giving birth to babies with congenital defects, and so on

The person restricting calories, bingeing, purging, or excessively exercising may become anxious about getting caught or irritable when accusing a loved one of being unfairly suspicious or “controlling.” — Lisa Ferentz LCSW-C, DAPA

  • Bulimia can play havoc with the well-being of the affected person-Individuals with bulimia will have weakened digestive and metabolic systems. Electrolyte imbalance, anemia, dehydration, dry skin, ulcers, kidney failure, gastrointestinal issues, and esophageal ruptures are some common problems that bulimics face.
  • A good proportion of bulimics happen to be men-Though members of the opposite sex are more vulnerable to bulimia nervosa, men are equally at risk of developing the eating disorder. 15% of individuals undergoing treatment for various eating disorders happen to be men, as per reports released by ANAD.
  •  The road to recovery is a long one and can be challenging-It might take months, if not years for a bulimic to recuperate fully and get back to living a healthy life.




Patients of bulimia need to realize that a combination of effective treatment plans that integrate supervised dietary regimen, scientific workout schedule, psychotherapy sessions, and an appropriate medication system will help them to recover.

Bulimia: Knowing When To Seek Treatment


Deciding when to seek treatment is probably the hardest step in the recovery process. It requires you to realize that you need help and that you can’t beat your eating disorder alone. Seeking professional assistance is necessary because of the life-threatening status of eating disorders. When your eating disorder is in control, you lose the ability to think rationally and to see the damaging effects it has on your physical and mental health. A therapist can help you look at the situation logically and learn coping skills to deal with stress or poor self-esteem associated with your disorder.

The lack of seriousness taken by many patients regarding the medical sequeale of Anorexia and Bulimia, contributes to the inability to choose the best protocol for care and therefore increases the likelihood of treatment failure. — Judy Scheel Ph.D., L.C.S.W., CEDS

When deciding if therapy is the right option for you, it is important to ask yourself these questions:


Is It Causing You Harm?


Eating disorders isolate you from your loved ones and cause you to doubt your own views and beliefs. Your insecurity and poor self-image is in control of your actions and behaviors.

Harm doesn’t necessarily mean physical symptoms, though these are also a cause for concern. Harm can refer to emotional and social harm. One example of this is that your mental state can be altered by low self-esteem and negative self-talk, both of which can lead to a damaging body image.

Bulimia nervosa will also manifest physically. This can be through harmful weight loss or acid reflux disorder. These disorders can cause pain to the individual.

Anyone who is has an eating disorder is very invested in maintaining the thoughts and behaviors that fuel it, so when a loved one expresses concern they may be met with anger or defensiveness. — Lisa Ferentz LCSW-C, DAPA

Is It Affecting The People Around You?

Your eating disorder will affect you and everyone around you. It will put a strain on your relationships. When someone’s friend or family member is hurting themselves and not seeking to change, it’s stressful for the individual. It’s unbelievably hard to watch someone you love damage himself in permanent ways because he won’t admit he has a problem.

Your eating disorder will make you to act out and become isolated from the people around you. This is because your disorder is in control of your decisions, not you. You will find yourself making excuses and avoiding interaction because you’re too afraid of getting caught. You dread to face the consequences.

If you notice that you are pulling away from your friends and family, it’s time to seek treatment and professional help. The situation gets much more dangerous when you lack a support system to encourage you and provide strength when things get really hard.


Is It Preventing You From Living A Normal Life?


Your eating disorder can potentially prevent you from experiencing a normal life. You will become so focused on what food you are consuming and the act of purging that you will neglect your daily tasks and the jobs that need to be completed.

The truth is: weight is a lousy indication of health. — Alexis Conason Psy.D.

Bulimia is a very secretive disorder, as mentioned earlier. You will hide your behavior around food and it will cause you to isolate yourself from the society. Professional help is needed to go on living a normal life while battling your disorder. You need to be equipped of the tools to cope with your poor self-image and low confidence levels.

If you find yourself unable to attend school or work, you are in a dangerous territory because you/re losing control. Once you neglect the activities you love, you have reached life-threatening waters and should seek help immediately. It’s important to reach out for treatment, even if you’re scared of people finding out about you. Your mental health is the most important thing and should be your priority.

Bulimia And Depression – The Connection, Its Dangers, The Cycle, And Online Therapy




What came first? Is it the chicken or the egg? Nobody can answer that question and the same rings true for the connection between bulimia and depression. If you think about it, why is the person depressed? Why is he or she bulimic? Could it be that he or she was suffering from depression first, that’s why the person developed an eating disorder? Or is it possible that through the person’s bulimia, he or she became depressed?

Symptoms of depression including sleep disturbance, excessive guilt, feelings of helplessness or hopelessness and loss of interest in activities that used to be pleasurable, can be the byproduct of feeling trapped or stuck in a behavior that they know on some level is harmful to them. — Lisa Ferentz LCSW-C, DAPA

Thinking about the extreme phenomenon is head-splitting, and truly crazy. Nobody wants to be depressed, but to be bulimic at the same time, it’s too much!


The Two Mental Health Disorders Go Hand In Hand

So, there you go. It’s official. A study revealed that people with anorexia tend to exhibit depression especially if they have bulimic tendencies. These are clinically diagnosed cases with a very high rate of people manifesting suicidal thoughts. A study by Levy in 1989 uncovered that people with bulimia are mostly depressed and have contemplated or attempted suicide. Another research proved that 59% of people with bulimia, who are of average weight, have suffered depression. As for anorexics, the rate is astounding at 80%.




A Chain That Links Bulimia And Depression

You often hear bulimics say – I only want to lose weight. Yes, that’s usually the honest answer. People want to look fit and healthy even if their insides are not in tiptop shape.

Because patients deny the severity of their condition they cannot accept the effects of malnutrition on heart, brain, organ and bone health. — Judy Scheel Ph.D., L.C.S.W., CEDS

If you are bulimic, then you have a mental health issue since it is an eating disorder. You are not only sick physically, but you are also psychologically “ill,” so to speak. Your hormones are in constant disarray since your serotonin and norepinephrine levels are unstable. It can increase the risk of you developing a more extreme depressive disorder and an abnormal eating habit, or non-eating, for that matter.


Factors That Contribute To The Development Of Depression And Bulimia

–    Self and body image issues

–    The feeling of not being in control of his or her life

–    “Loser” attributes

–    Being unhealthily angry

–    Extreme sadness or feeling all alone

–    Insomnia or oversleeping

–    Failed relationships

–    Post-traumatic stress

–    Physical, verbal, emotional, and mental abuse


The Bulimic Cycle

They call it the “Act of Purging.” You binge-eat, and then you purge. Why? A bulimic person must feel in control, and after feeling guilty for overeating, they will throw it all up and by that, regain that “I-am-in-command” feeling. This pattern is called the bulimic cycle.


It is disturbing because the guilt trip can add to the severity of the depression in people with bulimia. As if one mental health disorder is not enough – they need to suffer more! It’s crazy! For some, they even commit suicide and succeed, which is very dangerous. Purging may be the lesser of two evils if the other choice is fatal self-harm. It will never be a good option, but then at least, the person still has a chance to survive. With overflowing support and massive help, bulimics with depression may be able to cope, heal, and in time, start a new life free from mental health issues.



The truth is: weight is a lousy indication of health. — Alexis Conason Psy.D.

TreatmentFor Depression And Bulimia

Lisa Lilenfeld, Ph.D. from Argosy University in Arlington, VA said that there are two proven ways to help a depressed bulimic. One is through medication and intake of antidepressants. But this method is not safe for everyone.


The second way is through behavioral therapy. It may take a long time for the person to improve psychologically, but with regular sessions and follow-up, there is hope for a brighter future. For some, they also resort to online therapy when an actual face-to-face encounter is not viable. Anyway, as long as the treatment program is useful, then, there’s no problem. There are many reviews on the web about online platforms such as BetterHelp. A lot of people have testified to its benefits and how it worked wonders for them. If you want to learn more about this type of therapy, you can read about it or watch informative videos.

Helping Your Teen Fight Against Bulimia (Tips From A Psychiatrist)




Bulimia nervosa, a severe psychiatric disorder, has made a significant impact on the society. According to a study, about eight million individuals in the United States (about 3% of the population) struggle with eating disorders, such as anorexia nervosa and bulimia. It affects men and women of all ages and race, whatever history, and background.


Moreover, the symptoms of bulimia often manifest at an early age, around teenage years. It is because disorders and mental issues often arise during stages of growth like puberty. But as parents, how can we pinpoint whether or not our child is struggling with bulimia? And most importantly, how can we help in seeking treatment and fighting against it?

Oftentimes, symptoms and behaviors are rationalized and minimized by the person who engages in them. — Lisa Ferentz LCSW-C, DAPA

Causes Of Bulimia

Like anorexia and other eating disorders, the exact cause of bulimia nervosa is often difficult to determine. There may be risks of forming genetic links if, say, a parent or a sibling is suffering from an eating disorder. Some studies imply that brain activity may influence food intake. Pop culture also has a significant role in projecting the perfect “body image” onto the public, which instills pressure and decreases the self-esteem of many.




 Looking Out For Warning Signs And Symptoms

Your child may show some signs of bulimia nervosa or none at all. Most people keep the fact that they’re struggling with an eating disorder hidden, so observing and looking out for the following signs is very crucial:


  • Obsession with body image and weight
  • Unusual behavior around meals (eating in large quantities and feeling shameful after)
  • Social withdrawal
  • Hiding or hoarding food and groceries
  • Asking for money to buy binge food
  • Depression and anxiety
  • Excessive exercising

Clients with anorexia and bulimia who have pervasive psychological undercurrents motivating their behavior with food are negatively impacted by the billion dollar marketing efforts of the weight loss industry. — Dawn Delgado LMFT, CEDS-S

Your child may even suffer from symptoms of physical damage as a result of persistent binging and purging:


  • Menstrual irregularities or amenorrhea (loss of menstruation)
  • Poor bowel functioning
  • Hoarse and raspy voice condition
  • Mouth and throat sores
  • Teeth and gum damage
  • Scars on the knuckles, fingers, or hands (self-induced vomiting)



Seeking Treatment For Bulimia

The following treatments can be used to help your child:



Antidepressants, from time-to-time, are used to decrease cycles of binge eating and purging as well as relieve anxiety and depression from the patient.



Psychological counseling has two types: cognitive behavioral therapy (CBT) and interpersonal psychotherapy (IPT). CBT pushes your child to change how he/she feels about body image and weight while IPT plays a significant role in teaching your child the impact of relationships and how those relationships and your child’s feelings towards them affect bingeing and purging.

Today, there are numerous options on how you can have therapy. You can opt for online counseling with the institution of your choice, such as BetterHelp. Many of those struggling with eating disorders have successfully overcome it with the help of qualified professionals.



Tips To Follow For Parents Of Bulimics

As parents, what tips should you keep in mind when helping your child? Some of these tips were taken online from the articles of Dr. Kim Dennis, a psychiatrist connected with Timberline Knolls:


Communication. Keeping lines of communication open for your child is essential. They need to be consoled knowing that it’s okay to talk about their struggles and feelings.


Be patient and calm. Keep your frustrations at bay. It is clear that your child’s issue is very concerning and worrying, but it is best to be able to take the problem head on without anything blinding the way.


Help your child admit and accept that they’re struggling. Parents play a significant role in shaping their children to be who they will be in the future. Give them a nudge, sit down and have a talk or a good cry. Help them admit it to themselves and learn that what they are doing is distorted and not suitable for themselves.


Expose your child to positive outlets. Keep those fashion magazines away. Remind your child to avoid peers who body shame or continuously talk about weight loss, and look up better meal planning and healthy eating lifestyle.


Fight their unpleasant feelings with them. Identify what your child is feeling. Help them dig deeper and realize that these are not positively influencing your child. Distance from negativity and evil thoughts but accept it instead of running away from it.


Offer support. Always remember how your child feels and remind him/her you care.

Suggest professional help. When you talk, coax your child into seeking for help. Tell them it’s entirely helpful, and diminish any negative stigma about therapy and counseling.

The truth is: weight is a lousy indication of health. — Alexis Conason Psy.D.

Remember that your teen is developing and transitioning to adulthood. Avoid giving insults and patronizing jabs, it may hurt them more than you think. Always set a good example and take care of yourself; it is no exaggeration when people say that a child is a reflection of their parents. Lastly, always know when to accept your limits. There’s only so much a parent can do for their child. It is essential to keep in mind that your child is the one who will make decisions and make those big leaps to growth and betterment.

Facts About Exercise Bulimia (Is My Partner Suffering From It?) Part 2

If you haven’t read the Part 1 of this article, then it is recommended that you do so first before reading this one. The first article is all about Exercise Bulimia, in general. This writeup discusses the risks of the suffering from the disorder, recovery suggestions, and relevant questions with answers about the issue.


The behaviors might get downplayed or even flat out denied by the person who is trying to sustain them. — Lisa Ferentz LCSW-C, DAPA

Exercise bulimia is not that hard to spot – excessive exercise, obsession with body image and body weight, constant checking of calories in food, losing weight drastically, erratic behavior – always wanting to work out, depression, and anxiety – these are just some of the signs. If you partner is displaying such symptoms, get help as soon as possible.


What Are The Risks Of Exercise Bulimia?


Exercise bulimia, just like purging, poses life-threatening issues to the body. Below are some effects of the disorder:


Negative Impact On The Heart. Ideally, exercising should only last for a maximum of 50 minutes in a day. Pushing the limits will decrease the heart’s pumping ability. It will then lead to cardiovascular problems.

Because patients deny the severity of their condition they cannot accept the effects of malnutrition on heart, brain, organ and bone health. — Judy Scheel Ph.D., L.C.S.W., CEDS

Weakened Immune System. A hard workout can cause respiratory problems, and the treatment is prolonged since the body is stressed out.


Weakened Bones And Joints. People who exercise more than the recommended time is prone to getting bone fractures and torn joints.


Damage To Internal Organs. When the person is regularly stressed and restless, the toxins and free radicals that get inside the body can cause severe injuries to the organs.


Muscle Wear And Tear. Body ache is experienced due to strained tendons, ligaments, and muscles. If there is no rest state, the body can’t heal properly.


Vitamins And Mineral Deficiencies. Over-exercising depletes the nutrients and eventually causes complications.


Increased Food Cravings OrBinging. After every hard workout, the human body has this great urge to consume sugar. If this need is not met, it can lead to binge-eating.


What Steps Can I Take To Recover From Exercise Bulimia?


Get Professional Help. You can ask help from friends and family for support. There is a support group for people with exercise bulimia. You can find it online or within your community. It is also necessary to seek professional psychiatric help.


Practice Rest And Self-Care. Take care of yourself. Get into a healthy lifestyle and take adequate rest.


Manage Stress. Find other ways to manage your stress. There are numerous ways on how to do it like a spa day, reading a book, journaling, coffee time with your girls, and a lot more.


Ease Your Mind. Accept that at this point, over-exercising will do no good for you. From now on, you need to look at your purpose of being healthy from a positive angle.


Reduce the amount of time you spend working out. Lessen the time you spend exercising. Gradually do this until you are coping with the idea of liking your body image and loving yourself.

The truth is: weight is a lousy indication of health. — Alexis Conason Psy.D.

Do I Have To Stop Working Out Entirely To Recover?


If you want a full recovery from exercise bulimia, then you need to have a new and fresh outlook towards health and food. Exercising is part a person’s healthy lifestyle habits. You just have to do it accordingly without binge-eating and feeling guilty.


Will I Gain Weight If I Stop Exercising?


Gaining weight is a possibility since you will be eating more food and lessening your exercise hours. The body will have to readjust its function, and the metabolism will soon pick up. Just go on with your healthy lifestyle and don’t go overboard again with your exercise. In time, your healthy weight and body will emerge.


Is A Full Recovery Possible?

Yes, it is possible. The moment you accept your body image and do something positive about it, you can achieve full recovery. You just have to listen to others and submit yourself to treatment if you want to get better.


Exercise bulimia is manageable, but then you need to prepare yourself for the long and painful road. It takes dedication and discipline to get through this mental health condition.