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“Bulimia nervosa is a serious, potentially life-threatening eating disorder characterized by a cycle of bingeing and compensatory behaviors such as self-induced vomiting designed to undo or compensate for the effects of binge eating.” (National Eating Disorder Association) Both bulimia nervosa and anorexia eating disorders occur primarily in healthy women who are overly concerned with their body weight and shape. In anorexia, in their minds people are thinking: 'I'm not good enough, I shouldn't have this, I don't deserve this.' So they play that out with food. It's not that the thought is 'I'm not hungry' it's that 'I shouldn't eat.' What’s the BIG deal? • Bulimia nervosa affects 1-2% of adolescent and young adult women. • Approximately 80% of bulimia nervosa patients are female. • Only 1 in 10 men and women with eating disorders receive treatment. • People struggling with bulimia nervosa usually appear to be of average body weight. (So you ask why are you doing this? It’s psychological.) • 95% of those who have eating disorders are between the ages of 12 and 25.8 • Risk of death from suicide or medical complications is markedly increased for eating disorders. • Taken form: Anorexia Disorders and Associated Disorders.org Diagnosing • In anorexia nervosa, there is refusal by the patient to maintain body weight at or above a minimally normal weight for age and height. There is intense fear of gaining weight or becoming fat even though they are underweight. • In Bulimia nervosa, there are recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following: • Eating an amount of food that is larger than most people would eat during a similar period of time (potentially thousands of calories) and under similar circumstances. • Lack of control (a feeling that one CANNOT STOP) over eating during the episode. In order to rid those guilty feelings of binging, purging occurs in order to prevent weight gain, such as self induced vomiting, misuse of laxatives or diuretics, or excessive exercise. THE CYCLE • Binge: eating a lot of food all at one time • Purge: an unwanted feeling, giving a cathartic release. • First you go on a diet not eating certain foods. You starve yourself from those foods. • Then you become so hungry you give in and eat them because you crave them so badly. • Once you eat you feel that you broke your diet so you might as well go all the way and keep eating. • You then feel bad about yourself and breaking your diet that you purge by using laxative, exercising, or vomiting. • Then the purge makes you to launce a new diet and the cycle starts over. Symptoms others should watch for • Preoccupation with food • Binge eating, usually in secret • Constantly going to the bathroom after eating little food • Compulsive exercise • Swollen salivary glands • Broken blood vessels in the eyes Characteristics Anorexia Nervosa Bulimia Nervosa Muscle loss and weakness. Frequent episodes of consuming very large amount of food followed by behaviors to prevent weight gain, such as selfinduced vomiting. Intense fear of weight gain, obsession with weight and persistent behavior to prevent weight gain. A feeling of being out of control during the binge-eating episodes. Self-esteem overly related to body image. Self-esteem overly related to body image. Binge-Eating/Purging Type involves binge eating and/or purging behaviors during the last three months. Abuse of laxatives, diuretics, diet pills Restricting Type does not involve binge eating or purging. Self Esteem Booster!! • https://www.youtube.com/watch?v=iYhCn0jf46U&index=1&list=PLjZ evmp7_JXR86zVkuPGfK-WzxojY9sQH