Online Therapy For Girls With Bulimia Nervosa During The Lockdown And More


I have heard of bulimia nervosa, the eating disorder. But at that time, I didn’t know how it could negatively affect a person’s physical and mental health until I saw one suffering from it. My poor daughter is suffering from bulimia nervosa, and as a mother, I thought that I had failed her. I should have seen this coming, and I should have been more focused on her. What kind of a mother am I if I could not see how my children were doing? At first, I blamed it on myself, and I felt very guilty.

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Signs and Symptoms of Bulimia

Bulimia nervosa is not just an eating disorder but a grave psychological disorder that can become life-threatening under some circumstances. This eating disorder is typically characterized by recurring phases of binge eating and purging where the patient first stuffs as much food as possible and thereafter, retires to the bathroom to vomit out the food. The bulimic initially tries to refrain from bingeing as he is apprehensive of gaining weight, but is unable to control his cravings in the end.

Historically, across cultures, humans (and other animals) are known to engage in ritualized behaviors of  purging and regurgitation as methods of altering states of consciousness. — Leslie E. Korn Ph.D., MPH, LMHC, ACS, NTP

In order to compensate for having consumed too much, a patient of bulimia attempts to disgorge the excessive food through self-induced regurgitation through the use of diuretics, emetics, and laxatives. Many bulimics do intensive workouts, starve, and go through a rigorous dietary plan to burn the calories. Bulimia nervosa often takes a tremendous toll on the physical and mental health of the patients resulting in their suffering from heart attacks, hypertension, and damaged kidneys.

A great majority of bulimics often report symptoms of depression, and anxiety disorder and several other mental disorders.


Following are some of the most common symptoms of bulimia nervosa:

  • A round of bingeing where the patient consumes upwards of 2,000 calories of food at one sitting lasting for a short period
  • The bingeing is followed by spells of vomiting to disgorge the excess amount of food consumed or embarking on strenuous exercises, fasting or following rigorous dietary regimens in order to burn calories
  • Large scale misuse of laxatives, diuretics, and emetics with the ultimate aim of preventing weight gain. However, rampant abuse of such medications can prove to be fatalistic in the long run.
  • Torn between feelings of uncontrollable urge to eat on one hand and the attendant guilt that comes with overindulgence and the apprehension of putting on weight
  • Preoccupation with overeating, dieting, purging, and body weight keeps the bulimic from performing routine tasks and leading a normal life
  • Having a sense of worth oriented around weight and physique

Perhaps sociology could offer answers as to why these so-called ‘gurgitators’ would inhale everything from hot dogs to mayonnaise under the pressure of time and before live screaming audiences…of thousands. — Lawrence Rubin Ph.D, ABPP, LMHC, RPT-S

Besides the above prevalent and widespread symptoms, a bulimic may exhibit the following signs as well:

  • Stowing food items in the most unlikeliest of places, especially areas that the patient may be easily able to access without being found out
  • Prefers to eat alone rather than in the company of other people
  • Female bulimics may experience irregularity in their menstrual cycles
  • The patient might lose or gain considerable weight on a recurrent basis, and in a short time period
  • Conversations and discussions will mostly revolve around dieting, foods, figure, and body weight
  • Will appear ashen or pale owing to deficiency and/or imbalances of vital electrolytes including sodium, potassium, and calcium and loss of fluids owing to frequent purging leading to dehydration
  • Will be obsessed with workouts and overuse laxatives/diuretics


Physical signs and symptoms:

  • Flaky, dry, and wrinkled skin
  • Thin, dry and frizzy hair
  • Mouth ulcers and sores
  • Decaying teeth, tooth enamel, and bleeding gums
  • Inflamed salivary glands
  • Abdominal pain and cramps
  • Successive bouts of diarrhea and constipation
  • Heartburns
  • Dizziness
  • Feeling tired most of the time
  • Restlessness and anxiety owing to lack of sleep
  • Calluses or bite marks on knuckles resulting from frequent regurgitation brought upon by oneself
  • Wreaked by feelings of guilt, depression, and anxiety
  • Shoplifting
  • Substance abuse, alcoholism, and resorting to intake of banned medications or drugs

Ample research shows that people can be healthy and confident at a whole range of shapes and sizes. — Alexis Conason Psy.D.


Most of the common signs or symptoms associated with bulimia nervosa are not palpable, making it difficult to diagnose the eating disorder as the patients are fearful of expressing the same. Bulimics can go to extreme lengths to prove that they are perfectly normal and healthy. If you are a bulimic yourself or know somebody who may be suffering from the eating disorder, then you seek medical intervention right away.

The Chief Causes and Types of Bulimia Nervosa

Bulimia nervosa or simply bulimia is a grave eating disorder that affects a significant proportion of the population, particularly young women, and can sometimes get fatal. An individual with bulimia tends to binge or eat gluttonously during a sitting, much more than what one would consume normally. Majority of bulimics also resort to purging or regurgitating after a round of gorging.

At a larger social level are the influences of pressure and advertisements on children and adults of what constitutes a perfect body and the ways that food, or lack thereof, may achieve that. — Leslie E. Korn Ph.D., MPH, LMHC, ACS, NTP

Bulimic individuals usually follow the cycle of bingeing and vomiting with the sole objective of staying as slim as possible and checking weight gain. Bulimics find themselves torn apart by an irrepressible urge to eat on one hand, and on the other, an irresistible desire to purge or vomit the excess food consumed. However, there is a proportion of bulimics who exploit other ways in order to shed the excessive intake of calories, instead of purging, like dieting, starvation, and intensive workouts.

It is estimated that 0.1-0.5% of males and 1.1-4.6% of females in the US may have or have had bulimia at some point in their life.


Symptoms and Signs of Bulimia

Unlike anorexics, bulimics tend to be have a normal weight and a very few bulimic persons are obese or overweight. Bulimics, on the other hand are also more likely to indulge in substance abuse, including narcotics, banned prescription drugs, tranquilizers, and alcohol. A typical bulimic might be difficult to identify as the usual signs or symptoms associated with the eating disorder are barely noticeable.

Physical signs generally include:

  • Fluctuating body weight
  • Acute dehydration
  • Malnutrition causing one to remain in poor health
  • GERD (gastro esophageal reflux disease)
  • Irregularity in menstruation
  • Teeth damage and sore throat owing to acid refluxes

And the behavioral symptoms entail:

  • Gorging
  • Eating all by oneself
  • Stashing food in unlikely places
  • Visiting the bathroom right after bingeing
  • Being finicky about gaining weight
  • Starving or dieting intensively followed by binge eating and vice versa

Bulimics are in the habit of taking emetics and laxatives that stimulate purging urges and usually keep such medications hidden. These persons also are adversely affected by sudden mood swings, and often diagnosed with depression or anxiety disorder. A bulimic might feel inhibited to talk about his or her eating disorder despite being acutely aware of the same.

Newsflash: purging food was discovered eons ago by patients suffering from eating disorders—no surgical procedure required. — Alexis Conason Psy.D.

Causes of Bulimia

The causes behind bulimia nervosa that have not yet been traced may help diagnosticians and medical scientists to work out an effective treatment plan. However, most dieticians, nutritionists, and medical professionals are of the opinion that a combination of genetic, environmental, and behavioral or temperamental factors are responsible for causing bulimia. Bulimics subjecting themselves to bingeing followed by a phase of purging is usually a means of dealing with emotional and psychological stress.

Bulimia patients are constantly troubled by feelings, usually bordering on irrationality that they are putting on undue weight and becoming obese. Consequently, they develop a sort of love-hate relationship with everything related to obesity including food. What starts as a simple way for managing emotional stress soon burgeons into an infatuation that bulimics find difficult to control.

A bulimic often indulges in self-destructive behavior leading to chronic psychological issues including anxiety disorder, bipolar disorder, and depression.

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

Risk Factors

Researchers and scientists are yet to pin down a single, palpable risk factor that might cause an outbreak of bulimia. It is generally alleged that there could be a set of environmental, psychological, biological, behavioral, and genetic factors working in coordination. Women are more prone to exhibiting symptoms of bulimia, compared to men, mostly during puberty when they experience physical and mental changes as a result of increased hormonal secretions.

More often, an obsession to emulate the dietary styles of celebrities, results in the young female being diagnosed with bulimia.



 The treatment procedure or plan for breaking the destructive cycle of binging and purging is protracted, lasting for nothing less than 4-6 months. A judicious blend of nutritional counseling, cognitive and behavioral therapy, medications, interpersonal therapy and the support of near and dear ones are instrumental for remitting symptoms of bulimia.

The Risks of Physical Harm Arising out of Bulimia

 It seems counterintuitive to think about how many people are willing to put their emotional and physical health at risk in order to lose weight when one of the main reasons that people state for wanting to lose weight is to improve their health and feel better about themselves. — Alexis Conason Psy.D.

Bulimia nervosa is regarded as a serious eating disorder where the patient indulges in successive phases of bingeing, gorging on food, and purging or regurgitating with the aim of keeping self extremely lean. Though bulimia apparently is associated with recurring cycles of eating excessively and then dieting or starving, there’s much more to the eating disorder than you might think. Bulimia can play havoc with one’s physical and mental well-being, and in the worst case scenario, lead to the patient’s death.

This eating disorder takes a tremendous toll not only on the patient’s physical well being but also on his mental health. Bulimics, are more often than not, diagnosed with OCD (obsessive compulsive disorder), anxiety disorder, and depression. They are subjected to extreme irritability and mood swings owing to malnutrition, lack of sleep, dehydration caused by electrolyte imbalance, IBS, and other issues.


Physical Side Effects

Following are some of the adverse side effects arising out of Bulimia


Electrolyte Imbalances and Abnormalities

As a bulimic patient usually escapes to the bathroom to vomit after a round of bingeing, he or she loses a high amount of fluids leading to electrolyte imbalance. Owing to electrolyte imbalance, the patient’s body becomes deficient of vital minerals including sodium, calcium, potassium, and magnesium. Abnormal decreases in the levels of these minerals or electrolytes can lead to chemical imbalances ultimately causing a heart attack or malfunctioning of other bodily organs.

Eating disorders are highly comorbid with obsessive-compulsive disorder, and the  functional nutritional treatment  for both is very similar. — Leslie E. Korn Ph.D., MPH, LMHC, ACS, NTP

Digestive and intestinal issues

Both binge eating and purging causes a heavy strain on the digestive system and metabolism of the bulimic individual. All organs associated with digestion and ingestion starting from the teeth, tongue, esophagus, and stomach to liver, kidney, and intestines are overworked as abnormal amounts of food have to be broken down for assimilation. Additionally, self-induced regurgitation leads to further straining of these organs.

Initially, the patient will experience abdominal pains, heartburns, bloating, and stomach cramps. In the long run, it is not unusual for the bulimic to be diagnosed with peptic or gastric ulcers, tooth decay, enamel erosion, and gingivitis. Long-term laxative and emetic abuse leads to diarrhea, constipation, and rupturing of the esophageal wall. GERD or acid reflux also has the potential of damaging the small and large intestines, trigger blood vomiting, and cause distended salivary glands.


Unfavorable effects on the circulatory system

Purging on a recurrent basis results in undue loss of fluids and electrolytes like potassium, sodium, and calcium eventually causing dehydration. Dehydration and electrolyte imbalance causes the muscles, ligaments, tendons, and tissues to become weak leading to muscle cramps. All these issues have a bearing on the normal functioning of the heart making the blood pumping and purifying organ to miss regular heartbeats-a medical condition termed arrhythmia.

Arrhythmic pulsations put a heavy stress on the heart, and in the worst case scenario, lead to a heart attack because of fatigued cardiac muscles. On the other hand if the patient is severely dehydrated, he or she might lose consciousness or faint, may suffer falls, feel dizzy, and over time, the kidneys might get damaged permanently. Bulimia nervosa may cause optic blood vessels to rupture, lead to hypertension and anemia.


Integumentary system takes a beating as well

The side effects of bulimia are across-the-board and does not even spare the organs categorized under integumentary system, like the nails, skin, and the hairs. Dehydration resulting from periodic spells of regurgitation leads to a decreased level of water in the body which implies that all bodily organs including the nails and the hairs have to make do with less water. Consequently, hairs dry up and turn frizzy, the skin wrinkles, and the nails become brittle.


 And the reproductive system also

Bulimic individuals deprive their bodies of essential nutrients, causing hormonal imbalance eventually leading to decreased appetite for coitus. Pregnant and lactating women continuing with their binging and purging behaviors also face several complications.

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


Bulimia nervosa, despite its severity, is very much treatable. However, bulimics need to be very patient as the treatment process is long drawn, spread over a period of 3-6 months. A combination of treatment plans including behavioral and cognitive therapies, medications, and interpersonal therapies needs to be resorted to for healing.


Is Bulimia Nervosa Treatable?

Nowadays, the increasing pressure to have this hourglass, model-like body is very observable. Even little kids already know what is physically attractive and what is not. This unrealistic notion influences the youth to pursue these outrageous standards. Hence, several problems such as eating disorders, depression, and obsession arise.

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

It is totally fine to be physically fit and healthy, but if you are overdoing it, that’s a different discussion. One of the most common problems that this specific standard of having an hourglass figure creates is an eating disorder.

Different Types of Eating Disorder

There are three major types of eating disorders. Anorexia nervosa is the condition wherein the individual restricts the intake of food to avoid being fat when in reality, the person is already thin. The second one is called binge eating disorder which is characterized by an uncontrollable urge to eat despite being full or not being hungry. Lastly, bulimia nervosa is characterized by purging, vomiting, or exercising excessively after binge eating.


Let’s Focus on Bulimia Nervosa

Apparently, you should know that there are two common types of bulimia nervosa. The first one is the purging type which is characterized by self-induced vomiting or abuse of laxatives to compensate after a binging episode. The second type is the non-purging bulimia nervosa. This form does not engage in self-induced vomiting. Rather, the individual who has this condition compensates by exercising excessively or fasting for extended periods of time.

Opposing and competitive opinions and theoretical perspectives in conjunction with discrepancies and inconclusive outcomes in quantitative and qualitative research continue to make it difficult to understanding causation and therefore establish solid treatment protocols. — Judy Scheel Ph.D., L.C.S.W., CEDS


The typical causes of bulimia are usually stress, negative body image, low self-esteem, history of abuse or trauma, and/or other related factors. Despite these known factors, the specific cause of bulimia nervosa is not yet identified.

What can we do to treat Bulimia Nervosa?

Given the knowledge that you already know about bulimia nervosa, you probably have an idea what you can do to prevent it. Since one of the underlying factors for this condition is low self-esteem and the need to be thin just to be accepted by the society, it is understandable that doing activities to boost your morale can help. These activities, such as playing sports, joining a club, and others can help in increasing self-esteem, therefore lowering the risk for bulimia nervosa.

Another helpful treatment would be to discontinue the binge-purge cycle and to improve your negative thoughts so you won’t feel guilty about yourself and end up purging or over-exercising again. Re-establishing the way that you view yourself can help you erase the irrational beliefs about your weight or your body shape. As long as you are healthy, you are perfect the way you are.



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

The most important treatment is to seek out a professional that can help you through the process of dealing with bulimia nervosa. This kind of disorder can lead to serious medical complications. Delaying to seek out for help is a really bad idea.

If you know anyone who is having a hard time dealing with their eating habits, he or she might be at risk of developing bulimia nervosa. Don’t hesitate to reach out and ask for help.

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.

Facts About Exercise Bulimia (Is My Partner Suffering From It?) Part 1


Jed thought that his wife was just determined to lose weight after their baby was born. She would only eat fruits and bread every day and was strict with her calorie counting. After that, his wife would perform a strenuous exercise routine. He didn’t mind it that much until he received a phone call at work. His wife died at the gym while she was working out and had cardiac arrest at age 34.

Sometimes the thinking by patients and family members is that if the effects of the illness are not overt, then how can a problem exist. — Judy Scheel Ph.D., L.C.S.W., CEDS

What Jed didn’t know was that his wife suffered from a psychological problem called Exercise Bulimia. Exercise Bulimia is a form of physical workout performed by a person who wants to shed off unwanted body fats and calories in an extreme manner. This exercise is done in a very rigid way compared to regular healthy exercise. The effect of exercise bulimia on the human body is more on the negative side rather than the positive side.


This type of exercise is done by people with bulimia as a replacement for purging, but the effect is still the same. It can put people’s health and life in danger. The whole situation can become life-threatening when the person purges and uses exercise bulimia, just to get rid of unwanted body fat and calories.


What Is Exercise Bulimia?

Exercise bulimia is classified as a type of bulimia nervosa. It is a workout style that is driven by the intense desire to burn out calories at the soonest possible time. The person with the disorder tracks down his food intake and then calculates how to burn them off.


Instead of purging, the person uses this form of exercise to disable the food intake from turning into excess fats. It is mostly accompanied by anxiety, especially if food and body image issues are present. Clearly, a person who suffers from exercise bulimia also has other mental health disorders to manage.

When weight, body size and shape are seen as synonymous with love, acceptance, and self-worth, young people are vulnerable to the efforts of the weight loss industry. — Dawn Delgado LMFT, CEDS-S

The Difference Between Getting Fit Through Exercise And Over-Exercising


Getting fit and being obsessed with exercise lies on a very thin line. People work out several times a week to get healthy. Others are facing the risk of getting addicted to exercise coupled with bulimia and anxiety issues. On a worst-case scenario, some people would even do their workout routine if they are not feeling well just to meet their target. This action puts a person’s life at risk.


How Do I Know If I Have Exercise Bulimia?


Since working out is one of the two means to get healthy and fit, exercise bulimia is hardly recognized at first. It will only be diagnosed as such when the result of rigid exercising surfaces. However, it can still be uncovered with the following questions:


  • Do you intentionally skip events, functions and other essential meetings so that you could work out?
  • Do you feel guilty whenever you miss a workout session?
  • Has anybody told you that you are exercising too much?
  • Do you have a target number of calories to be burned whenever you are exercising?
  • Do you rigidly track down the food you eat?
  • Is being fit very important to you?
  • Do you believe that your self-worth will be defined by how much you weigh or look?
  • For female respondents, is the menstruation flow extraordinarily light or infrequent?
  • Do you often take measurements of yourself?

Combining psychotherapy with nutritional therapies and yoga provides an integrative approach to efficacy and empowers our clients in their recovery process. — Leslie E. Korn Ph.D., MPH, LMHC, ACS, NTP

If you answered YES to at least five of the questions stated above, then you may be at risk of developing exercise bulimia. Now, if you responded YES to ALL THE QUESTIONS, then you have exercise bulimia, and you need immediate treatment.


There is a second part to this article which discusses the risks of exercise bulimia, how to recover from the same mental health disorder and other essential facts about it. It is in the hopes of the writer of this article that you’ve learned something about exercise bulimia by reading this short writeup. If you have a loved one who is exhibiting signs of exercise bulimia, then push for help and treatment immediately.

What To Do When Your Spouse Has Bulimia


Bulimia is an eating disorder that is most common in women. But it can happen to anyone. Bulimia comes in with so many difficulties that it needs the support of your family, friends and mostly, your spouse. If your significant other has bulimia, then you have to get yourself educated with the said condition. In this way, you can help your partner deal with it and overcome the disorder.

With our eating disorder treatment centers currently full across the nation, one important word has been on our minds…PREVENTION. — Dawn Delgado LMFT, CEDS-S

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Medical Issues Due To Anorexia, Bulimia And Binge-Eating (Watch Out For Your Loved Ones)


Anorexia, bulimia, and binge-eating are just some of the eating disorders identified at this time. Each type has their unique symptoms, but all these mental health disorders can lead to a person’s life-threatening state and fatality. It is essential that once these illnesses are detected, help should be extended immediately. It is necessary to avoid further complications that might turn into one’s bitter end, especially if the person affected is your loved one, your spouse or partner.

The same advertisements that target “healthy” behaviors can trigger life threatening “unhealthy” behaviors in others, especially in the teenagers who struggle to fit in with their peers. — Dawn Delgado LMFT, CEDS-S

Medical Issues Arising From Anorexia

Anorexia nervosa is characterized by a person who is eating a tiny amount of food or getting into backbreaking physical work out even if there’s no food in their system. The purpose of doing such action is to prevent the body from accumulating fats. The person denies her own body from getting the nutrients she needs to keep it nourished. Doing this can lead to nutritional deficits and possible physical body breakdowns.


To be more specific, anorexia nervosa will restrict the body from getting the ideal calorie count it needs which then slows down the body functions. Heart rhythm irregularities and low blood pressure may take place which will then lead to heart failure. A woman’s menstruation would stop as the body will experience endocrine system changes. Aside from cardiovascular problems, the said disorder can also cause bone and kidney problems, as these organs and the systems were deprived of the ideal nutrients.


The neurotransmitter dopamine enables us to stop eating and resist the urge to eat a second helping of dessert and conversely Dopamine triggers when to eat when we are indeed hungry. Dopamine function is altered for patients with Bulimia and Anorexia.  — Judy Scheel Ph.D., L.C.S.W., CEDS

Bulimia Also Causes Medical Issues

Unlike anorexia nervosa, people with bulimia eat more than their usual consumption. Then after that, they would vomit everything they just ate. This is called the “binge and purge cycle” which may occur several days in a week for minor cases. In others with severe bulimia, the cycle happens several times in a day. As a result, these individuals become uncharacteristically underweight, but there are cases wherein they can be overweight. But despite the weight issue, bulimia can cause life-threatening conditions for anyone.


Due to the vomiting, some people get tooth decay and gastroesophageal reflux disease (GERD), among other related disorders. These add problems to the body and the original health issue which is bulimia.



Complications That Arise From Binge-Eating Disorder

Binge-eating disorder is the condition wherein the patient consumes food more than usual, but not purge the meal afterward. People with the said disorder can become obese, and as a result, there are complications like heart disease, high blood pressure, high bad cholesterol count, type 2 diabetes and conditions related to the gallbladder.

Combining psychotherapy with nutritional therapies and yoga provides an integrative approach to efficacy and empowers our clients in their recovery process. — Leslie E. Korn Ph.D., MPH, LMHC, ACS, NTP

Medical Issues Related To Co-Existing Psychiatric Disorders Like Depression, Anxiety, And OCD

The said diseases are found to be correlated with psychiatric disorders like anxiety, obsessive-compulsive disorder, and depression. These conditions can be mild or severe. Studies also revealed that eating disorders are at times associated with substance and alcohol abuse. For people with eating disorders and at the same time substance abuse, infected pathogens can arise and risky behaviors are manifested as well.


Eating disorders are a huge concern, and this issue will further deepen once it is taken for granted. That is why it is best to face the problem head-on while it is still in its early stages so that it can quickly be eliminated in no time. If you suspect that your loved one has anorexia, bulimia, or binge-eating disorder, then you have to act fast. You need to do whatever it takes for your loved one to be checked in a hospital for vital signs and more. Therapy with an eating disorder specialist is also a requirement for immediate treatment.