BULIMIA NERVOSA

PRESENTED BY ABANG MUHAMMAD SYAZMAN

is

BULIMIA NERVOSA

An eating disorder in which a person engages in binge eating followed by some type of behaviour to prevent weight gain from the food that was eaten.

Two forms:

• Self-induced vomiting, misuse of enemas, laxatives, diet pills (called purging)

• Excessive exercise, fasting, or diabetic omission of insulin (called non-purging).

Behaviour to prevent weight gain

How do you know someone involve with Bulimia Nervosa?

Constant dieting, even when the

person is thin

Rapid, unexplained weight loss or weight gain

Obsession with calories, food or nutrition

Taking laxatives or diet pills

Compulsive exercising

Hoarding high-calorie food

Treatment to Bulimia Nervosa

• Breaking the binge-and-purge cycle

learn to monitor your eating habits, avoid situations that trigger binges, cope with stress in ways that don’t involve food, eat regularly to reduce food cravings, and fight the urge to

• Changing unhealthy thoughts and patterns Identifying and changing dysfunctional beliefs about weight, dieting, and body shape.

Solving emotional issues

Therapy may focus on relationship

issues, underlying anxiety and

depression, low self-esteem, and

feelings of isolation and loneliness.

Offer compassion and support

Keep in mind that the person may get defensive or angry. But if he or she does open up, listen without judgment and make sure the person knows you care.

• Avoid insults, scare tactics, guilt trips, and patronizing comments

Since bulimia is often a caused and exacerbated by stress, low self-esteem, and shame, negativity will only make it worse.

• Set a good example for healthy eating, exercising, and body image.

Don’t make negative comments about your own body or anyone else’s.

As a parent or friend, there isn’t a lot you can do to “fix” your loved one’s bulimia. The person with bulimia must make the decision to move forward.

Accept your limits

• Take care of yourself

Know when to seek advice for yourself from a counsellor or health professional. Dealing with an eating disorder is stressful, and it will help if you have your own support system in place.

References

1. Gidwani, G.P. and Rome, E.S. (1997). Eating Disorders. Clinical Obstetrics and Gynecology, 40(3), 601-615.

2. Levine, M. (1994). “A Short List of Salient Warning Signs for Eating Disorders.” Presented at the 13th National NEDO Conference, Columbus, Ohio.

3. Kendler, K.S., MacLean C., Neale, M., Kessler, R., Heath, A. (1991). The genetic epidemiology of bulimia nervosa. , 1627-1637.

4. Warning Signs of an Eating Disorder. Retrieved from http://b4tea.com/food-health/warning-signs-of-an-eating-disorder/

5. Eating disorders: anorexia nervosa, bulimia nervosa and related eating disorders. (2004). National Institute for Clinical Excellence Retrieved from http://www.nice.org.uk/nicemedia/pdf/cg009publicinfoenglish.pdf

6. Bulimia Nervosa: Comparative Effectiveness of Available Psychological and Pharmacological Treatments. (2010). ECRI Institute’s 2010 Systematic Review Retrieved from http://www.bulimiaguide.org/static/guide_summary.pdf