Description of Bulimia Nervosa
Individuals with Bulimia are usually aware they have an eating disorder. Obsessed with food they often focus on and enjoy discussing diet related issues. The Bulimic may engage in self-starvation between binge-purge episodes thus presenting the same dangers as the anorexic, in addition to the ones presented by the binging and purging. Recurring episodes of rapid food consumption followed by tremendous guilt and often purging, a feeling of lacking control over his or her eating behaviors, regularly engaging in stringent diet plans and exercise, the excessive use of laxatives, diuretics, and/or diet pills and a persistent concern with body image can all be warning signs someone is suffering with Bulimia Nervosa.
It is important to realize that those suffering with Bulimia manifest symptoms in different ways. The Bulimic has binge and purge episodes where as purging can be different things to different people. After binging, some will exercise compulsively, in an attempt to burn off the calories of a binge. Others will self-induce vomiting or take laxatives, or to "fast" for days following a binge. Some take diet pills in an attempt to keep from binging or to use diuretics to try to lose weight. Bulimics will often hide food for later binges and often eat in secret.
Defining Characteristics of Bulimia Nervosa
Individuals with bulimia nervosa regularly engage in discrete periods of overeating, which are followed by attempts to compensate for overeating and to avoid weight gain. There is variation in the nature of the overeating but the typical episode of overeating involves the consumption of an amount of food that would be considered excessive in normal circumstances. The bulimic is dominated by a sense of a lack of control over the eating. Binge eating is followed by attempts to undo the consequences of the binge though self-induced vomiting, misuse of laxatives, severe caloric restriction, diuretics, enemas, or excessive exercising, etc. The bulimic's self-evaluation is centered on the individual's perceptions of his/her body image. Concerns about weight and shape are characteristic of those with bulimia nervosa. The diagnostic criterion of bulimia nervosa requires that the individual not simultaneously meet criteria for anorexia nervosa. (If an individual simultaneously meets criteria for both anorexia nervosa and bulimia nervosa, only the diagnosis of Anorexia Nervosa, binge-eating/purging type is given.) The formal diagnosis also stipulates minimal frequency and duration cut-offs. The diagnosis requires that individuals must binge eat and engage in inappropriate compensatory behavior at least twice weekly for three months.
There are also two subtypes of bulimia nervosa. The Purging Type describes individuals who regularly compensate for the binge eating with self-induced vomiting, laxative abuse, diuretics, or enemas. The Non-Purging Type is used to describe individuals who compensate through dietary fasting or excessive exercising.
Definition/Facts: Bulimia Nervosa
•There are two types of bulimia nervosa - purging and non-purging.
•It occurs in 0.5% to 2.0% of adolescents and young adult women.
•It is usually preceded by dieting behavior.
•Bulimics are usually of average or above average weight.
•Self-evaluation is unduly influenced by size and weight.
•A complex lifestyle develops to accommodate eating disorder behaviors.
•There are ongoing feelings of isolation, self-deprecating thoughts, depression, and low self-esteem.
•It typically develops in early to mid-adolescents.
•There is full recognition of the behavior as abnormal.
•Statistics indicate it is relatively uncommon in men.
DSM IV Diagnostic Criteria: Bulimia Nervosa
The following definition of Bulimia Nervosa is used to assist mental health professionals in making a clinical diagnosis. The clinical definitions are usually not representative of what a victim feels or experiences in living with the illness. It is important to note that you can still suffer from Bulimia even if one of the below signs/symptoms is not present. If you think you have Bulimia, it is dangerous to read the diagnostic criteria and think if you do not have one of the symptoms, you therefore, must not be Bulimic.
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