Bulimia Nervosa is a psychological and severe life-threatening eating disorder described by the ingestion of an abnormally large amount of food in short time period, followed by an attempt to avoid gaining weight by purging what was consumed.
Bulimia Nervosa comes from a Greek word meaning ravenous hunger. The word defines the helplessness of an individual.Bulimia is also a mental health disorder that causes a cycle of health concerns. You may experience depression, anxiety, or obsessive-compulsive behaviors. Moodiness and irritability may occur due to lack of vitamins or behaviors that come along with bulimia. For example, constant monitoring of food and weight can become an obsession.

Are you not able to control or resist urself while eating? Is that the desire for more eating keep you engage everytime  or you are hiding yourself from others and filling your BIG BELLY BAG!!!. If you are really undergoing through such habits then you need to worry somehow it can be the sign of the eating disorder BULIMIA NERVOSA.You definitely need medical help….

Based on the DSM-5, the major  diagnostic requirements for bulimia nervosa are:

Repeated episodes of binge eating. An bout of bingeing is seen as a both of the next:

Eating, in a discrete period of time (e.g. within any 2-hour period), some food that is certainly bigger than most people would eat throughout a similar time period and under similar circumstances.
A feeling of insufficient control overeating through the episode (e.g. a sense that one cannot cease eating or control what or how much you are eating).
Recurrent improper compensatory behavior to be able to prevent putting on weight, such as self-induced vomiting, misuse of laxatives, diuretics, or other medications, fasting, or extreme exercise.
The bingeing and inappropriate compensatory behaviors both occur, typically, at least one time weekly for 90 days.
Self-evaluation is influenced by body form and weight unduly.


Psychology Facts

If we talk about Bulimia Nervosa we can see an individual exhibits many symptoms and affect an individual physically , psychologically as well as emotionally.


Bulimia nervosa is an eating disorder that’s described as a destructive pattern of eating and purging to control weight. Two of the most prominent behaviors of bulimia are bingeing (eating a lot of food) and purging (self-induced vomiting), but bulimia encompasses so much more than that. It can also take a tremendous emotional toll and lead to severe, life-threatening conditions.

A sore throat, stomach pain, or both may be the first obvious physical side effects of bulimia. As the disorder progresses, chronic self-induced vomiting can cause a variety of symptoms in the digestive tract, beginning at the mouth. Over time, the high acid content of vomit can damage teeth and cause enamel erosion, tooth sensitivity, and gum disease.

Bulimia Nervosa is basically of two types:

Purging type 

This type of bulimia nervosa accounts for the majority of cases of those suffering from this eating disorder. In this form, individuals will regularly engage in self-induced vomiting or abuse of laxatives, diuretics, or enemas after a period of bingeing.

Binge eating

Binge eating involves eating a very large amount of food within a relatively short period of time (e.g. within two hours) and also feeling a sense of loss of control while eating (e.g. feeling unable to stop yourself from eating.

Bulimia Signs & Symptoms
An individual suffering from Bulimia Nervosa may reveal several signs and symptoms, many which are the direct result of self-induced vomiting or other forms of purging, especially if the binge/purge cycle is repeated several times a week and/or day.

Physical signs and symptoms of this eating disorder are:

Physical symptoms of weight gain

Constant weight fluctuations.
Electrolyte imbalances, which can result in cardiac arrhythmia, cardiac arrest, or ultimately death.
Broken blood vessels within the eyes.
Enlarged glands in the neck and under the jaw line.
Oral trauma, such as lacerations in the lining of the mouth or throat from repetitive vomiting.
Chronic dehydration.

Psychological Signs of Bulimia Nervosa                                                     psychological symptoms
Preoccupation with eating, food, body shape and weight
Sensitivity to comments relating to food, weight, body shape or exercise
Low self esteem and feelings of shame, self loathing or guilt, particularly after eating
Having a distorted body image (e.g. seeing themselves as overweight even if they are in a healthy weight range for their age and height)

Obsession with food and need for control

Emotional and behavioral symptoms of Bulimia Nervosa


Appears uncomfortable eating around others
Develops food rituals (e.g. eats only a particular food or food group [e.g. condiments], excessive chewing, doesn’t allow foods to touch)
Skips meals or takes small portions of food at regular meals

Evidence of binge eating (e.g. disappearance or hoarding of food)
Vomiting or using laxatives, enemas, appetite suppressants or diuretics
Eating in private and avoiding meals with other people
Anti social behavior, spending more and more time alone

Causes of Bulimia

The exact cause of bulimia nervosa is currently unknown; though it is thought that multiple factors contribute to the development of this eating disorder, including genetic, environmental, psychological, and cultural influences. Some of the main causes for bulimia include:

Stressful transitions or life changes       poor selfesteem
History of abuse or trauma
Negative body image
Poor self-esteem


Bulimia Treatment

Since negative body image and poor self-esteem are often the underlying factors at the root of bulimia, it is important that therapy is integrated into the recovery process. Treatment for bulimia nervosa usually includes:

Discontinuing the binge-purge pattern: The initial phase of treatment for bulimia nervosa involves breaking this harmful circuit and rebuilding normal eating behaviors.It will enhance your confidence level.
Woman struggling with bulimia should improve negative thoughts: The next phase of bulimia treatment concentrates on recognizing and changing irrational beliefs about weight, body shape, and dieting.The irrelevant thoughts can further build up negativity.
Resolving emotional issues: The final phase of bulimia treatment focuses on healing from psychological issues that may have caused the eating disorder. Treatment may involve interpersonal interactions and can include cognitive behavior therapy, dialectic behavior therapy, and other related therapies.
further  delaying  can cause serious medical complications. Rush through your near by area for the treatment facility.

Treatment of Bulimia Nervosa involves a number of Therapies which includes:

Dialectical behaviour therapy
Guided imagery
Crisis intervention
Stress management

Evidence-based self-help programs
Cognitive behavioural therapy for Bulimia Nervosa
Interpersonal psychotherapy
Maudsley family-based treatment (for children and adolescents)

Treatment by Cognitive Behavioral Therapy

CBT Therapy

Cognitive-behavioral therapy, or CBT, is the primary evidence-based treatment for adults with eating disorders and is also designed for use with younger patients. It is based on the theory that a person’s thoughts, emotions, and behaviors are interconnected and can be restructured to support new, healthier thoughts and actions. Cognitive behavior therapy provides the base for individual and group therapies throughout all levels of caution at the Center for Eating Disorders.

Organised treatment that focuses on the present and the future.
The cognitive-behavioral model emphasizes the important role that both thoughts (cognitive) and actions (behavioral) can play in maintaining an eating disorder. Examples of keeping factors include:

Cognitive Factors : over-evaluation of weight and shape, negative body image, core beliefs about self-worth, negative self-evaluation, perfectionism.
Behavioral Factors : weight-control behaviors including dietary restraint, restriction, binge-eating, purging behaviors, self-harm, body checking and body avoidance,Helplessness, low self confidence.
Individuals with eating disorders often hold a negative or distorted view of themselves and their bodies. They somehow dislike their body structure.These highly critical thoughts can result in feelings of shame, panic or disgust that often cause weight control manners and fuel a cycle of negative self-evaluation. Guided by a therapist, CBT or Cognitive Behavior Therapy helps the individual to examine which specific factors are preserving their disorder and to set individualized goals that are dealt with throughout the various phases of CBT.

Treatment by Interpersonal Psychotherapy

Interpersonal Psychotherapy

IPT or Interpersonal Psychotherapy can also be an efficient tool in the recovery process for an eating disorder sufferer in that it addresses underlying personal issues, targets underlying factors that may be fueling an eating disorder, and encourages the application of strategies for relationship improvement. Throughout the duration of therapy sessions, individuals suffering from eating disorders are guided in learning how to better cope with the tension and anxiety that often outcomes from poor interpersonal interactions, as well as fortify greater self-esteem. For the treatment of eating disorders, IPT is likely to be combined with other forms of psychotherapy, such as Cognitive Behavioral Therapy (CBT), in conjunction with the overall treatment plan for recovery.

Research on Wheels

eating disorder

Research by Columbia University’s Rachel Marsh, PhD, shows that the brains of women with bulimia may react more impulsively than those without an eating disorder. Researchers compared fMRI images from 20 women with bulimia to 20 similar-aged healthy controls while the participants identified the direction of a series of arrows viewed on a computer screen. They found that the women with bulimia tended to be more impulsive during the task, responding faster and making more mistakes than healthy women. They also found that the women with bulimia did not show as much activity in brain areas involved in self-regulation and impulse control. Marsh is now studying adolescents with bulimia to determine whether these functional brain abnormalities arise early in the course of the illness, possibly predicting its development and persistence.

Stice, of the Oregon Research Institute, for example, developed an eating-disorder prevention program based on social psychology’s theory of cognitive dissonance, in which participants critique the thin-ideal standard of female beauty through a series of verbal, written and behavioral group exercises. A 2008 Journal of Consulting and Clinical Psychology  study with 481 adolescent girls who were dissatisfied with their bodies found that those who participated in the dissonance intervention showed a 60 percent reduction in eating disorder onset compared with controls who had no intervention.

Researchers are now testing the program’s effectiveness when it’s delivered by high school guidance counselors and physical education teachers.

Adapting Stice’s model, Trinity University psychology professor Carolyn Black Becker, PhD, has developed a peer-led eating-disorders prevention program that has significantly improved body-image perceptions and decreased disordered eating on college campuses. A study led by Becker also published in JCCP  suggests that participants who attended two two-hour cognitive dissonance-based workshops showed less desire to be thin and were less dissatisfied with their bodies.

Klump conducted a series of developmental studies with data from the Minnesota Twin Family Study. She found that the heritability of eating disorder symptoms increases during puberty, from zero risk before puberty to 50 percent or greater after puberty . Along with Florida State University psychology professor Pamela Keel, PhD, Klump is now using those findings to examine how natural changes in ovarian hormone levels may contribute to bulimic behaviors in twins. Preliminary analyses suggest that heritability influences disordered eating most when estrogen levels are at their highest.

          Some Tips

medical help bulimia

  • The person suffering from Bulimia must come out of negative thoughts which keeps him involve in bingeing.
  • Take the help of your close ones or friends, get their valuable suggestions.
  • Dont feel guilty of your self being fatty,try to get out of the excess eating habits.
  • Always try to raise your self esteem , it will help you out avoid bad eating habits which can affect your health and can distort your body shape.
  • Seek the help of medical proffesionals or psychologists.