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Bulimia
Nervosa
MARIA VAZQUEZ
P4
Definition
 An illness in which a person binges on food or has
regular episodes of significant overeating and feels a
loss of control. The affected person then uses various
methods such as vomiting , laxative abuse and
excessive exercise to prevent weight gain.
SYMPTOMS OF BULIMIA
 Inability to stop eating or eating to the point of
physical discomfort and pain
 Alternating between overeating and fasting:
Rarely eats normal meals. It’s all or nothing when
it comes to food.
 Going to the rest room after meals.
 Using laxatives. Or Excessive exercising- works out
strenuously , especially after eating.
PICTURES
Associated Features
 What thoughts, feelings, and behaviors are characterized
by the disorder?
Clauses or scars on the knuckles or hands: from sticking
fingers down the throat to induce vomiting.
Discolored teeth: From exposure to stomach acid when
throwing up. Teeth may look yellow
THE Effects Of Bulimia
 Weight Gain
 Abdominal pain , bloating
 Swelling of the hands and feet
 Chronic sore throat
 Broken blood vessels in the eyes
 Weakness & dizziness
DSM-IV-TR

(1) Eating, in a discrete period of time (e.g., within any 2hour period), an amount of food that is definitely larger
than most people would eat during a similar period of time
and under similar circumstances.

(2) A sense of lack of control over eating during the
episode (e.g., a feeling that one cannot stop eating or
control what or how much one is eating). B. Recurrent
inappropriate compensatory behavior in order to prevent
weight gain, such as self-induced vomiting, misuse of
laxatives, diuretics, enemas, or other medications; fasting,
or excessive exercise. C. The binge eating and
inappropriate compensatory behaviors occur, on average, at
least twice a week for three months. D. Self-evaluation is
unduly influenced by body shape and weight. E. The
disturbance does not occur exclusively during episodes of
Anorexia Nervosa.
ETIOLOGY / THE CAUSES
 The potential cause of this disorder is not clear, but most
of the time it results from family history, social values
personality traits (such as perfectionism) and also living
a stressful life.
Prevalence
 How common is bulimia nervosa?
Bulimia is highest among young woman who are aged
between 12 to 25
 Twins are somewhat more likely to share this disorder if
they are identical rather than fraternal
 In Massachusetts hospital there were 135 males
hospitalized between 1980 and 1994 and 46% of this
girls it was because of bulimia
Prevalence Cont.
 In gender, women and men think differently.
 9 in 10 women said they would rather have a perfect
body than have A mate with a perfect body.
 6 of 10 men prefer to be with someone with a good body
instead of them getting in shape.
 In 100 girls 35% are bulimia
Treatments.
 Creative groups
 Recreational therapy with the family
 Aftercare program
 Body Image Groups.
Prognosis
 The probable outcome of Bulimia Nervosa may cause
many different kinds of problems for
example
 psychological problems, mental , gastro-intestinal ,
cardio-vascular system , kidney , skin , bones , and
hormonal problems. Most of the times even death.
 The chances of recovering is all up to the patients as
long as the person sees doctors , nutritionists , and
therapists they would be okay.
The binge and purge cycle
video
http://www.youtube.com/watch?v=NVT_XEc3_y4&feature=related
References
 Smith, M.M.A. & Kovatch, S. (2011). Bulimia nervosa:
signs, symptoms, treatment, and help. Retrieved from:
http://www.helpguide.org/mental/bulimia_signs_sympto
ms_causes_treatment.htm
 Google bulimia symptoms .com
http://www.helpguide.org/mental/bulimia_signs_sympto
ms_causes_treatment.h
 http://www.nlm.nih.gov/medlineplus/ency/article/00034
1.htm
Discussion Question
 What you rather have bulimia or anorexia ? Why ?