Assisting A Loved One Through Treatment For Bulimia




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

When you find out that a loved one is suffering from bulimia it can be confronting and overwhelming. When this occurs, you will likely feel a strong urge to do anything that you can to support them. Supporting someone through treatment for an eating disorder can be taxing on yourself and will certainly take some effort on your part. However, if you are able to provide this support and understanding to them it might be that extra help they need to conquer the bulimia.

Having the conversation:


It can be very difficult to know where to start when supporting a loved one through bulimia, but having a conversation about your concerns is a good place.

  1. Research – Come to the conversation prepared, with a good understanding of what bulimia is and how it works. It is not simply just unusual eating behaviors based on body image issues and may often have a lot of emotions tied up with it. These can include strong feelings of shame, anxiety, embarrassment, guilt and even denial. Keep these in mind when approaching the conversation.


  1. Location – Choose a time and place where you can have a conversation in private and one where you are unlikely to be interrupted. Avoid places where there is a focus on food and try to choose somewhere that you know they will feel comfortable.

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  

  1. Express your concerns – Keep in mind that they may not feel as though they have an eating problem or they might be very embarrassed by it. Try and approach it in a caring and non-judgmental manner. Be careful not to put any blame on them or criticize them as they may already be feeling embarrassed. This will only make them more defensive and unlikely to listen to you. Head on over to our other article (how to talk about bulimia) for some guidance around the type of language to use when having a conversation about bulimia.


  1. Encourage – Let them know that you are there to help support them in any way that you can. However, it is also important to encourage them to seek professional support (medical and psychological). You can certainly provide them support alongside their therapist, but this is not a battle that can likely be fought without therapy. Not only this but due to the severe medical concerns that can occur due to bulimia, it is important to get a doctor involved.


Model Good Habits:

Try and set a good example for your friend or loved one by focusing on healthy eating and balanced meals opposed to dieting or restricting food. Watch how you talk about appearance and body size, and avoid being self-critical and critical towards others.

Try and Boost Self-esteem:


Focus on the personality strengths that make your friend or loved one the wonderful person they are. Give them encouragement around these and emphasize these to them in conversation. This obviously has to be subtle. For example, if they expressed concern about their weight, you wouldn’t simply reply “but you’re a really nice person” as they will likely take this as a way to confirm their insecurity. Rather, find ways and examples to praise them on their strengths.

Balancing serotonin levels with nutrition is central to managing the range of symptoms that occur along the eating disorders continuum. — Leslie E. Korn Ph.D., MPH, LMHC, ACS, NTP

Watch out for Triggers:

These could include talking about food, weight, eating, dieting and making judgmental comments about your or anyone else’s bodies. This doesn’t mean you have to avoid eating in front of them (actually this would make things worse). Just try not to have entire conversations centered around food.

Watch out for You:

Supporting a friend or loved one through bulimia can be a very taxing process. It is important to make sure you take the time to look after yourself as well. Keep up your own support networks and take time away for you to relax and recharge as you won’t be any help if you are also very stressed or anxious.

For further information on supporting a loved one through bulimia, please see the links below.


How to Find Help Treating an Eating Disorder

Inpatient and Outpatient Treatment Plans for Bulimia Nervosa


Bulimia nervosa, a grave eating disorder, is also regarded as a major mental illness affecting a wide swath of the populace, especially young women, and has a devastating effect on the patients. Since bulimics, like anorexics, have the tendency to mask the symptoms associated with the eating disorder as well as keep the mental issues they might be facing, under wraps, diagnosing the issue becomes difficult. The longer the bulimic conceals his or her eating disorder (along with the accompanying psychological issues termed as dual diagnosis disorder or co-morbidity), the more complicated will be the recuperation or healing plan.

Someone who is struggling with an eating disorder may attempt to eat “normally” in the presence of others, and then look for opportunities to be alone to find ways to binge or purge. — Lisa Ferentz LCSW-C, DAPA

A patient who reports his bulimia nervosa disorder, after several years of having lived with the issue, should be mentally prepared to go through a protracted treatment plan before he recovers sufficiently enough.  On the other hand, bulimics who are forthcoming about their eating disorderliness and seek timely treatment start responding positively to a therapeutic program within a few days after induction into the process. Bulimia patients can opt for any or both the treatment programs available at medical facilities or centers-inpatient treatment therapy and outpatient treatment therapy.

Outpatient Treatment Plan for Bulimics                                              

Outpatient treatment plan works best for individuals who’ve been recently diagnosed with bulimia nervosa. This mode of treatment is usually the first line of treatment for those with a mild form of the disorder. There are several benefits to registering for an outpatient treatment therapy including cost-effectiveness and the leeway to continue with a normal lifestyle.

Now, there are different kinds of outpatient treatment plans including but not limited to medication plan, dietary counseling, interpersonal psychotherapy, group psychotherapy, and behavioral/cognitive therapy. Patients undergoing outpatient treatment are not required to take admission in a medical facility but rather continue staying in their homes. Since they display symptoms that happen to be mild, they may not need to be kept under round the clock supervision.

Balancing serotonin levels with nutrition is central to managing the range of symptoms that occur along the eating disorders continuum. — Leslie E. Korn Ph.D., MPH, LMHC, ACS, NTP

The sort of outpatient treatment procedure that a bulimic individual needs to go for considerably depends on the extent of care required and the medical professionals who will be offering support. Usually, such a patient will have to consult a nutritionist, psychotherapist, and a psychiatrist at the least. The family, eating disorder support groups, general practitioner, social worker, and other caregivers function as supplementary resources.

Outpatient treatment is generally non-residential in nature as the patient carries on with his or her daily life while periodically reporting to a care center for interpersonal therapy and/or group therapy sessions. Broadly speaking, there are three distinct kinds of outpatient treatments for bulimics-day treatment or partial hospitalization, intensive treatment, and general treatment. In a partial hospitalization program, the patient is able to access group therapy sessions and is also offered highly nutritious meals 3-4 times in a day.

Intensive treatment plans last for 3-6 months where the patient needs to devote some hours spread over days in a week and is most suitable for those with encumbrances. An intensive treatment program incorporates group therapy, one-to-one therapy, nutritional counseling, and controlled meals. General treatment is a specialized form of intensive treatment where the assistance of medical specialists like a naturopath, chiropractor or acupuncturist is sought.

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  

Inpatient Treatment Plan

Inpatient treatment is recommended for bulimics who’ve had the disorder for many years and are completely unable to control their cravings for bingeing and purging. Keeping such patients under constant supervision in a medical facility will go a long way in coping with the chemical imbalances that result from excessive use of laxatives, emetics or diuretics. Supervised dietary and medicinal plans help in mitigating the chemical imbalances.

The temptations that trigger bingeing or purging are not available in a medical center.


Regardless of whether someone suffers from a mild or a grave form of bulimia, the fact that the person has to seek a treatment plan is inescapable. Additionally, the bulimia patient needs to be extremely patient in persevering with the treatment plan as it might take years before he or she can recover fully.

Some Surprising And Alarming Statistics About Bulimia



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

Of all the different types of eating disorders that adversely affect people across all age spectrums, especially female teenagers and young adults, bulimia nervosa is one of the most predominant. An individual is said to be suffering from bulimia if he or she has an obsessive compulsion for staying lean and wiry, but at the same time is unable to control bingeing and maintain a disciplined dietary plan. Though bulimia can affect people of both sexes, regardless of their socioeconomic status or ethnicity, it is majorly prevalent in young women in the age group of 15-35 years.

Statistically speaking, bulimia nervosa affects 1.5% females and 0.5% females in the US which implies that about 4.7 million women and 1.5 million men are in the throes of this eating disorder. Bulimia nervosa is an idiopathic eating disorder as the exact causative factors behind it are yet to be pinpointed. However, it is believed that bulimia can result from the interplay of temperamental, environmental, and genetic factors.

Startling Statistics about Bulimia Nervosa


Sadly, there is a lot of guilt and shame attached to these behaviors so they tend to be done in private. — Lisa Ferentz LCSW-C, DAPA

The following are some surprising and alarming statistics about bulimia:-

  • Bulimia, more often than not, stems from starting out with and sticking to a dietary program intended to enable the individual to lose weight and become more self-confident
  • According to the National Institute of Mental Health, about 2%-4.2% females are inconvenienced by the eating disorder at some stage of their life
  • An individual is most likely to be diagnosed with bulimia when he or she is 20 years old
  • Bulimia is most prevalent in individuals aged between 18 and 59 years
  • About 0.6% of the adult populace in North America is affected by bulimia nervosa
  • Women showing symptoms of bulimia are more likely to report for drug abuse compared to females suffering from anorexia nervosa
  • There is a widespread misconception that bulimia causes an individual to lose excess weight. But in reality, some bulimics happen to be obese or overweight while others tend to have a normal weight
  • A professional treatment program to help an individual exercise control over his or her bingeing habit as well as assist in shedding the fixation to stay really thin lasts for a maximum of 6 months. The bulimic is kept under direct supervision in a medically assisted and controlled environment.
  • Approximately 10% of the American population troubled by bulimia are likely to seek treatment
  • About 80% of American women who have undergone treatment for bulimia have been discharged or released from the facility earlier than then they should have been
  • Recent studies and surveys have found that bulimic women are more vulnerable to getting addicted to marijuana, cannabis, heroin, tranquilizers, and alcohol
  • An individual is more likely to respond better to a treatment program or therapy in a care center in comparison to family or home-based treatment
  • Medical insurance schemes offered by insurance companies are very unlikely to offer coverage for bulimia treatment
  • 8% of bulimics show a high preponderance for bingeing without the urge to purge or vomit
  • A typical bulimic may consume over 2,000 calories at one go before having the urge to regurgitate
  • Racial minorities and youngsters in the age group of 8-12 are presently at a high risk of getting diagnosed with bulimia
  • An individual is most likely to develop bulimia nervosa because of a genetic predisposition, to the extent of 50%-80%
  • About 3.9% of bulimics are likely to die as a result of the eating disorder
  • 50% of anorexics have a high probability of developing symptoms of bulimia

Balancing serotonin levels with nutrition is central to managing the range of symptoms that occur along the eating disorders continuum. — Leslie E. Korn Ph.D., MPH, LMHC, ACS, NTP



Bulimia nervosa, despite being a grave eating disorder, is rarely fatalistic, and almost everybody suffering from the psychological condition can expect a full and speedy remission. However, one needs to be committed and extremely patient, as it takes many months or even several years to recover completely from the affliction.


How A Mother Must Act When She Realizes That Her Daughter Has Bulimia



People who are purging tend to go to the bathroom immediately after eating, and use breath mints and bathroom spray to cover the odor of vomit. They get scarring on the finger they bite down on to do self-imposed vomiting and tend to develop dental problems as well. — Lisa Ferentz LCSW-C, DAPA

I didn’t know what to do back then. It was like I was in a state of shock with what I witnessed. I came inside my daughter’s room and there, I noticed that it reeked of puke. The room smelled of rotten food and vomit combined. It was the worst. No wonder she didn’t want me inside it every time I would ask to go in.

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At-Home Probiotic Testing Methods You Can Also Try

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.

As mentioned in a previous post, therapy is not the only thing that a bulimic individual needs to feel better. It is essential at this time in your life to start becoming picky with the foods and supplements that you consume. After all, the eating disorder took a toll not only on your mental health but also on your physical health, and so it seems fair to focus on strengthening your body inside and out.


One of the essential tools you can get your hands on quickly is a probiotic. Various companies produce it in pill form nowadays, and a bottle can be bought either online or offline.

In truth, the living microorganisms can act as your initial line of defense against the harmful bacteria in the gut that threatens to harm the rest of your body. Due to the foods and drinks you digest, the latter tends to germinate and cause you to feel ill often.

You can ideally turn the situation upside down by taking a supplement that has live active culture once or twice a day. Doctors rarely prevent their patients from taking probiotics too, considering they genuinely have a lot of benefits. The only issue is that, with the number of brands launching their products these days, it’s quite challenging to obtain the real ones.

Instead of telling you which company to go to, though, it seems better to share a couple of ways to test probiotics at home.

Method #1: Using Milk

The decisive point about this technique is that you can prepare the materials and finish the work in minutes. You don’t need to learn complicated ideas either because all you must do is wait for a chemical reaction to occur.


Step 1: Drop The Capsules In The Milk

Pour four ounces of milk in a glass before dropping two to four supplements in it. Although it may be better to use a measuring cup for accuracy, you may estimate the volume with a teacup. The milk should be cold as well to reduce the possibility of heat ruining the assessment.

Step 2: Leave The Mixture For Up To Two Days

Bring the container to a spot in the house that has a neutral temperature. The ideal time when you can touch the vessel again is after 48 hours – no more, no less. The microorganisms in the capsules have probably dispersed by then and reacted with the liquid.

Step 3: Check The Outcome

It is easy to tell that the probiotics are in motion once you see that the milk resembles a yogurt now. Meaning, the former produces digestive enzymes, thanks to the live active culture. In case you don’t detect even a hint of curdling, you must consider changing your supplements into something that works.

Feel free to repeat the steps above for any brand you have.

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

Method #2: Using A Home Testing Kit

The end goal for this procedure is to figure out if the supplements you’ve taken indeed contain live microorganisms. Testing a probiotic with a home testing kit is effortless since the lab experts will perform the valuation. Below are the steps to follow.


Step 1: Obtain The Stool Sample

There is no shortcut available here, but you may feel satisfied in knowing that a tiny specimen is enough. Hence, once you are done doing #2, take the swab that comes with the set and swipe it on your used tissue paper to get a stool sample.

It may be best to bring the entire kit with you in the bathroom. This way, you won’t need to carry your specimen outside for your housemates to see.

Step 2: Place Your Swab Inside The Liquid Vessel

Right after swabbing the stool sample, drop it in the container that the company has prepared. Not all probiotic testing sets are the same, but they all have a pre-mixed liquid included to the kit. It is supposed to keep the specimen testable; that’s why you should not throw it away.

Step 3: Close The Tube Tightly

When you have the sample secured inside the vessel, seal it well to prevent leaking from taking place. Though some kits may not require taping the lid, you should still ask a representative to be sure about it.

Step 4: Send It To The Company For Laboratory Examination

Read the instructions enclosed in the package regarding the exact mailing address for your specimen. Failing to transport it to the proper location may entail that the stool sample will no longer be useful. The worst-case scenario, therefore, is that you may never know if there are probiotics in your body.

Step 5: Wait For The Results

Give the manufacturer a week or two to assess the presence or absence of living microorganisms in your sample. While waiting may be boring to you, try to acknowledge that the company caters to thousands of clients like you. For this reason, sending you a detailed report may genuinely take some time.


It also helps the client to understand that their urge derives from a complex psychobiological response that can be addressed through movement and nutrition. — Leslie E. Korn Ph.D., MPH, LMHC, ACS, NTP

In Conclusion

Understanding how to test probiotics doesn’t need to be exhausting. The first method is valuable when you wish to evaluate the existence of live active culture in the supplement before taking it. The second one, on the other hand, lets you identify the probiotics within your system after ingesting them.

Decide which technique may be useful for you so that you can start taking care of your gut health with probiotics. Good luck!

Getting Counseling For Bulimia? Improve Your Gut Health With These Organic Probiotics Too


When you receive counseling to treat bulimia, the counselor cannot possibly talk you out of it alone. They won’t give you assignments that merely focus on keeping you from not eating or vomiting your food, no. Such a mental health professional will also want you to realize the importance of consuming the right stuff so that your gut won’t suffer.

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.

In case you don’t know it, your intestines are responsible for producing good bacteria in the body. These are the microorganisms that fight viruses and other foreign entities that try to invade your system. You should ideally be able to obtain them by eating yogurt and preserved vegetables, which are full of live active culture. However, it’s not a secret that we sometimes go for foods that do not promote their growth since they tend to taste a bit sour.

To prevent the bad bacteria from taking over your system – and stopping you from combatting an eating disorder in a sense – you need to take probiotic supplements.

It also helps the client to understand that their urge derives from a complex psychobiological response that can be addressed through movement and nutrition. — Leslie E. Korn Ph.D., MPH, LMHC, ACS, NTP

4 Best Organic Probiotics

I understand from experience that it can be confusing to acquire the best organic products out there. Many supplements promise to improve your gut condition, but only a few of them can genuinely deliver. Nevertheless, that won’t be an issue anymore since you can now check out the finest options available in the market.


Garden Of Life Primal Defense ULTRA Ultimate Probiotic Formula

The Primal Defense ULTRA is cruelty- and gluten-free supplement that’s made by the Garden of Life.

What makes it qualified to become one of the best organic probiotics is the reason that it contains 13 strains of living microorganisms. Two of them are B. subtilis and S. boulardii, species that can propagate even in acidic states. Aside from that, you can find homeostatic soil organisms (HSOs) in the mix as well. These soil-based bacteria are rare because the pesticides that some farmers use can eliminate them from the earth where plants grow.

Each vegan capsule has 5 billion CFU. You will need to consume three pills daily, as per the company’s advice.

People who are purging tend to go to the bathroom immediately after eating, and use breath mints and bathroom spray to cover the odor of vomit. They get scarring on the finger they bite down on to do self-imposed vomiting and tend to develop dental problems as well. — Lisa Ferentz LCSW-C, DAPA

Ora Organic Trust Your Gut

Trust Your Gut has a fascinating combination of six probiotic strains and a prebiotic (Jerusalem Artichoke). Having the latter already included is remarkable because prebiotics is practically dietary fibers that the live active culture needs to feed on to survive. Even if you do not eat a lot of pineapples, berries, brown rice, and other fibrous foodstuffs, you know that they will flourish in your gut.

The rest of the plant-based ingredients found in this supplement have approvals from USDA. Aside from being non-GMO, it is safe to take as well for people who are allergic to soy, nuts, gluten or dairy.

Royal Organica Essential Probiotic

Royal Organica’s Essential Probiotic is easily among the best organic probiotics out there for having a total of 12 Lactobacillus, Streptococcus, and Bifidobacterium strains. The species generate no less than 20 billion CFU; that’s why there’s no doubt that you’ll get a nice supply of good bacteria by taking this supplement.

Inulin happens to be one of its ingredients. This prebiotic is known for staying in the large intestine without dissolving fast. The living microorganisms won’t then lack food as they grow inside the gut. The same allergens mentioned above are absent in the pullulan capsules too. There’s even L-glutamine as a bonus to help you build muscles.

BioSchwartz Advanced Strength Probiotic

You should also consider getting the Advanced Strength Probiotic by BioSchwartz. After all, this merchandise has the highest CFU (40 million) on this list. The fact that only four strains of Bifidobacterium and Lactobacillus make that happen is genuinely worth citing. The high colony count ensures that the supplement won’t lose its potency at all until the expiration date comes.

The product does not contain corn, soy, gluten, peanuts, dairy, shellfish, sugar, wheat, or egg. Thus, it is edible for individuals who show food sensitivity towards such ingredients.


To Wrap Things Up

Regardless of what product you settle on, the best organic probiotics will only work when you change your lifestyle. Eat smart, workout regularly, and quit habits that can turn the good bacteria in your system into bad ones. Not only will it allow you to enhance your gut health, but it may also speed up your treatments with the therapist.

Good luck!

How Bulimia Negatively Affects Romantic Relationships



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.

People who are diagnosed with an eating disorder often believe that they are the culprit of their own hurts and frustrations. But this is among the many myths involving eating disorders, which include anorexia, bulimia, and binge eating. This misconception adds insult to injury, leading to worsening of the symptoms and making recovery impossible. Consequently, these people do not only hurt themselves but the relationships that they establish, especially romantic relationships.


Love relationships cannot survive if one is obsessed about her weight or if she has an extreme case of an eating disorder. It is because these disorders promote negative thought patterns, pessimism, and insecurities, and these can tremendously impact one’s chances of maintaining a beautifully healthy relationship. Below are some reasons why.






People who suffer from an eating disorder are most often secretive and have trust issues. As we may know, trust is a vital component in every relationship. If there’s no trust, a relationship will have trouble flourishing. If one is to keep her binge eating or calorie counting from her partner and she has been doing this for years, then she is hiding an important aspect of her life from her partner, perhaps out of fear of being judged or rejected. And when there is a feeling of fear or hesitancy, she may not be able to return the compassion and intimacy, which make for a meaningful relationship.

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

Social Circumstances


A person with a bulimia or anorexia tries to avoid going to parties and other socializing events for fear of eating too much, and this may bother her partner, especially if he doesn’t know why she is so adamant at refusing to socialize with him. So she finds a reason not to go because she doesn’t want him to know the truth. What if it’s his birthday celebration? Wouldn’t he think any excuse would be insufficient?




Living a life in fear and embarrassment builds limitations and blocks around us that destroy our self-confidence. Despite not telling their partners, a bulimic or anorexic often shows a dissatisfaction of themselves.


Dysfunctional eating and weight dissatisfaction cause shame, which then leads one to keep secrets from her partner. On the contrary, opening up to one’s struggles with weight will possibly increase intimacy between partners and help diminish shame.

Denying the problem and thereby denying its effects are not uncommon. Patients sometimes lie also about the severity of their condition, further hampering the selection of appropriate treatment options. — Judy Scheel Ph.D., L.C.S.W., CEDS

Decreased Self-Esteem


Eating disorder is a serious mental illness that makes us think less of ourselves. We become ecstatic one day because we’ve lost 4 pounds just to gain them all back with just one sitting of pizza and beer. We’d feel crazy depressed and frustrated. Then our partner wonders why we act the way we do, but we can’t tell them. We begin to feel so low, thinking that by now they’d feel differently about us.


That is how an eating disorder can destroy one’s self-image and one’s life. The inflicted individual will not be proud of almost anything she has because it is engraved in her thoughts that she is defective due to her eating issues.


Choosing A Partner


If she were not yet in a romantic relationship, her criteria for a partner would be lopsided because of her eating problem. Because she wants someone that she can be open with or not be ashamed, she might look for a partner who has the same mental health issue, or perhaps someone with another mental condition. She will be looking for someone who is flawed, as she believes that is what she deserves. Or it could be because she wouldn’t feel half as bad.





These are only some of the more common reasons why dysfunctional eating can negatively impact a romantic relationship. Although it can be different in other relationships, it is almost always true that where there is an eating problem, there is always someone who is suffering from shame and low self-esteem, which will inevitably come between the love of two people in the relationship.






Causes and Effects of Bulimia

Regarded as a menacing type of eating disorder, bulimia nervosa in its worst form may end up taking the life of the patient. This eating discrepancy is typified by episodic bouts of bingeing or gorging followed by regurgitation that is brought upon by the patient through the use of emetics or diuretics. Bulimia nervosa often leads to other mental health problems including depression, anxiety or panic attacks where the individual usually has a very low self-worth and is wreaked by feelings of vulnerability or guilt.

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Self Help Strategies For Dealing With Bulimia Nervosa


Bulimia nervosa is one of the gravest of eating disorders that ends up taking a huge toll on the affected individual, both physically and mentally. The bulimic suffers from a low self-esteem and is preoccupied with her form and weight. On one hand, the patient is unable to contain her sporadic impulse to binge while on the other, she resorts to bouts of self-imposed purging in order to disgorge the excessive food intake, by gulping diuretics, emetics or laxatives.

Bulimia in an individual often happens to be co-morbid or in other words, the bulimic tends to suffer from an additional psychological problem like major depressive disorder or anxiety disorder. Besides seeking assisted care in the form of an outpatient or inpatient treatment program, a bulimic can abide by some DIY or self-help strategies to cope with the eating disorder. Following are some self-help techniques that a bulimia patient can heed apart from undergoing the regular treatment methods including psychotherapy, group discussions, nutritional counseling, and medicinal therapy.

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