BULIMIA NERVOSA Stay Active, Stay Healthy, Stay Beautiful

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Bulimia Nervosa

Bulimia NervosaStay Active, Stay Healthy, Stay Beautiful1What is Bulimia Nervosa?The National Eating Disorder Association defines Bulimia Nervosa as, 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.12Symptoms and Warning SignsSymptomsFrequent episodes of consuming very large amounts of food followed by behaviors to prevent weight gain, such as self-induced vomitingA feeling of being out of control during the binge-eating episodesSelf-esteem overly related to body image1Warning SignsEvidence of purging behaviors such as frequent trips to the bathroom, signs and/or smells of vomiting, presence of wrappers or packages, of laxatives or diureticsExcessive, rigorous exercise regimen- despite weather, fatigue, illness or injury, the compulsive need to burn off caloriesWithdrawal from usual friends or activities 13These athletes are really skinnyMany athletes actually suffer from Bulimia, without vomiting episodes.Some people are actually known as obligatory exercisers.2 What is an obligatory exerciser?A person who will not interrupt their exercise schedule, even when they are injured or when they know exercise could harm their lives.2

Is that really considered a part of an eating disorder?Other names for obligatory exercisersActivity disorderCompulsive athleticismExercise addictionExercise dependenceExcessive exercise2Symptoms:Focuses on reducing body weight and changing body shapeMaintains a rigid dietStructure social activities around the exercise routineKeeps extensive logs and records2

Treatment for Obligatory ExercisePeriodization- cycles of training with set recovery periodsCognitive-behaviorial therapyGroup therapyFamily therapyMedicine2

Do these symptoms and treatments sound familiar?Why would I have this?A combination of many different parts of your life can come together to affect your chance of an eating disorder. 9

Does it really affect me?Bulimia affects 1-2% of adolescent and young adult women.1Q: I have lots of friends and I don't know anyone with bulimia. How come I don't know anyone with bulimia if it's so prevalent?A: People struggling with bulimia usually appear to be normal body weight.18But at least I'll be skinny...Does weight really matter when your health is involved??Health Risks of BulimiaElectrolyte imbalances that can lead to irregular heartbeats or heart failure, even deathTooth decay or staining of teeth from frequent vomiting.Unfortunately, once tooth enamel is eroded, it will not regenerate, and restorative dental procedures may be necessaryChronic or irregular bowel movements from the use of laxatives8

9I play sports, my friends stay healthy...Athletes are just as at-risk of bulimia.According to a study, one-fourth of both male and female athletes had episodes of overeating on a daily basis (bingeing).The study also showed that more athletes admitted to Bulimia, rather than Anorexia, another common eating disorder.3Female athletes also reported lower self-esteem than male athletes.Their goal was to achieve a body fat content that was very unhealthy and would result in amenorrhea.310Why would I care about amenorrhea?Ammenorrhea is when your menstrual cycle (your period) comes infrequently. (Ex.- once every 6 months)Most women have to maintain approximately 17% body fat to menstruate. Osteoporosis may occur within 1 year.Often increases food occupation and increases the likelihood that overeating will occur.3

Why do athletes care about getting skinny and not just about the sport?Some athletes actually work for types of thinness.Performance Thinness- belief that a lower weight and body fat percentage will enhance their performanceCommon types- endurance sports (running, cycling)Appearance Thinness- belief that thinner athletes will be rewarded Common types- figure skaters, gymnastics3

Treatment OptionsNutritional Counseling- learn to structure & pace meals, adjust calories to maintain weightCognitive Behavioral Therapy (CBT)- identify & change disordered thoughts that bring on the compulsive behavior, find better ways to cope with lifes stressesInterpersonal Therapy- tries to improve relationships that may be framing the problem4

Treatment Options (cont.)These treatment options are usually more effective when implemented with other strategiesSelf-help- internet-based modes & support groupsMedicine- SSRIs (selective serotonin reuptake inhibitors)4

Will this little pill help me feel better?One of the treatment options for Bulimia is medication. The most common medications fall in the category SSRis.SSRis (Selective Serotonin Reuptake Inhibitors)- changes the balance of serotonin in the brain, which helps the brain cells send and receive messages, which boosts moodsSome ones I might hear- Celexa, Lexapro, Prozac, Zoloft, Paxil5Take some time to yourself!Some studies have been done to see if mindful meditation can work to stop the urge to binge, which is caused by your anxiety.These meditation interventions have been used for other addictive characteristics.One study found that the meditation can have marked immediate impact on decreasing the episode. 6

How do I meditate mindfully?This is something you can do even without money!Sometimes called present-focused awarenessWhat do I do?Sit comfortably.Focus on your breathing.Bring your minds attention to the present without drifting to concerns for the past or future.6What can my parents do to help me?Coaches, athletic directors, teammates and parents should be aware of a pursuit of low percentage body fat. 3Greater percentage of full remission with parents involved in the treatment process, ex. Family therapy.7

Where can I go in Ohio?ProfessionalsCincinnati- Anne Kearney-Cooke 513-588-9431West Chester- Teri Role-Warren 513-779-920910

CentersCleveland Center for Eating Disorders 216-765-0500Lindner Center of Hope 513-536-4673The Center for Balanced Living 614-293-9550Works Cited1 National Eating Disorder Association (2014). Bulimia Nervosa.2 Physician Sports Med (2005). The Obligatory Exerciser Assessing an Overcommitment to Exercise. 3 International Journal of Eating Disorders (1999). Athletes and Eating Disorders: The National Collegiate Athletic Association Study.4 The Harvard Medical School Family Health Guide (2006). Treating Bulimia Nervosa.5 Mayo Clinic (2014). Selective Serotonin Reuptake Inhibitors.6 The Harvard Health Publications (2014). Mindful Meditation May Ease Anxiety, Mental Stress.7 National Institute of Mental Health (2012). Spotlight on Eating Disorders.8 Journal of Womens Health (2004). Bulimia: Medical Complications9 National Institute of Mental Health (2014). What are Eating Disorders?10 National Association of Anoxeria Nervosa and Associated Disorders (2014). Eating Disorder Professionals: Ohio.

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