Treatment FAQ

what are some treatment options for bulimia

by Mr. Forrest Schoen DVM Published 2 years ago Updated 2 years ago
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Medication

Here are some suggestions:

  • Ask your child what you can do to help. For example, ask if your teenager would like you to plan family activities after meals to reduce the temptation to purge.
  • Listen. Allow your child to express feelings.
  • Schedule regular family mealtimes. Eating at routine times is important to help reduce binge eating.
  • Let your teenager know any concerns you have. ...

Therapy

There are effective treatments for bulimia, and it is possible to recover from it. Bulimia nervosa is a serious and potentially life-threatening eating disorder that can significantly impact all aspects of someone’s life.

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  • Identify the situations or thoughts that trigger an urge to binge or purge
  • Develop escape routes they can use in order to avoid these triggers
  • Build skills they can employ when the trigger can’t be avoided
  • Practice healthy self-talk and self-care, so triggers become less enduring

What are some cure methods for bulimia?

What Sorts of Medications Are Available for Bulimia Treatment?

  • Common Medication Choices. Mayo Clinic reports that there is only one medication that has been approved by the Food and Drug Administration for the treatment of bulimia.
  • Working with Medications. While it’s easy to understand why medications might be a good choice for some people, they are not the right choice for all people.
  • A Good Choice. ...

Is it truly possible to recover from bulimia?

What sorts of medications are available for bulimia treatment?

What is the best antidepressant for bulimia?

See more

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What are 3 treatments for bulimia?

What Is the Treatment for Bulimia? The primary treatment for bulimia often combines psychotherapy, antidepressants, and nutritional counseling. It is helpful to find a psychologist or psychiatrist experienced in dealing with eating disorders.

What treatment is most effective for bulimia?

Cognitive behavioral therapy (CBT) and interpersonal psychotherapy (IPT) remain the most established treatments for bulimia nervosa and binge eating disorder, with stepped-care approaches showing promise and new behavioral treatments under study.

What is the first line treatment for bulimia?

Although cognitive-behavioral therapy is the first-line treatment of choice for bulimia nervosa, its effectiveness is limited. Approximately 50 percent of patients who receive this therapy stop binge eating and purging. The remaining patients show partial improvement, but a small number do not benefit at all.

How can bulimia be treated or prevented?

To treat bulimia, your doctor will consider your physical and psychological needs. Your treatment may include counseling and medications. Often, it involves a team of medical, nutritional, and mental health professionals. They'll try to help you restore your health and healthy eating patterns.

What therapy helps with eating?

Interpersonal psychotherapy (IPT) IPT is a type of therapy that's used to treat eating disorders like binge eating disorder or bulimia. In IPT, your eating disorder is explored in the context of social and interpersonal relationships.

What is the most successful treatment for anorexia?

In the majority of clinical trials, Enhanced Cognitive Behavioral Therapy (CBT-E) has been shown to be the most effective treatment for adult anorexia, bulimia and binge eating disorder. Enhanced CBT (CBT-E) was designed specifically for eating disorders.

How do antidepressants help bulimia?

Antidepressant medicines reduce binge eating and purging in up to 75% of people who have bulimia nervosa. Antidepressants regulate brain chemicals that control mood. Guilt, anxiety, and depression about binging usually lead to purging.

What does bulimia do to your face?

“Chipmunk Cheeks”: A Common Sign of Bulimia One of the telltale signs of bulimia is the appearance of swollen cheeks – colloquially known as “chipmunk cheeks” – on the sides of the face. Caused by the enlargement of the parotid glands (one of the salivary glands), the medical term for this phenomenon is sialadenosis.

Can bulimia nervosa be treated if diagnosed early?

Bulimia can be treated with psychological counseling and sometimes medicines, such as antidepressants. The sooner treatment is started, the better. Getting treatment early can make recovery easier and prevent serious health problems.

How do you get rid of bulimia cheeks?

However, if the individual begins to self-induce vomiting again, the swelling will reappear if they stop engaging in self-induced vomiting. In other words, to get rid of 'bulimia cheeks' an individual must stop engaging in self-induced vomiting.

How long can you live with bulimia?

Roughly 50% of women will recover from bulimia within ten years of their diagnosis, but an estimated 30% of these women will experience a relapse of the disorder. These behaviors can wreak havoc on the body both in the short-term and the long-term.

Can a dentist tell if you are bulimic?

Excessive tooth erosion is one way your dentist could tell if a patient may be bulimic. Frequent vomiting can lead to sensitive teeth, dry mouth and red, cracked lips. All signs that your dentist is trained to recognize as side effects of bulimia.

What is the best treatment for bulimia?

The primary treatment for bulimia often combines psychotherapy, anti depressants, and nutritional counseling. It is helpful to find a psychologist or psychiatrist experienced in dealing with eating disorders.

How to help bulimics?

Body exercises such as yoga, tai chi, qigong, and dance can help bulimics with their problems of body image. Reprogramming mental processes to gain control over the binge-and-purge cycles is another approach. Either hypnotherapy or EEG biofeedback may help.

Can hypnotherapy help with bulimia?

Either hypnotherapy or EEG biofeedback may help. If you seek help here, be sure to ask hypnotherapists or biofeedback practitioners about their experience in treating eating disorders. And again, tell your doctor and other therapists about the care you get. Nutrition and Diet's Role in Bulimia Treatment.

What is luxury treatment for bulimia?

Luxury and executive treatment facilities for bulimia and other eating disorders are similar to other residential treatment programs. The person lives at the facility, and there is 24/7 medical supervision and support.

What is the best treatment for eating disorders?

Antidepressants, antipsychotics, and/or mood stabilizers can help treat both the eating disorder and any co-occurring mental illnesses, such as anxiety and depression. 6 Medications are usually combined with some form of therapy.

What is bulimia nervosa?

Bulimia nervosa, more commonly referred to as bulimia, is a serious and potentially life-threatening eating disorder. Professional treatment is often necessary to overcome the disorder. Those with bulimia may receive a combination of therapeutic approaches, such as psychotherapy (individual or group counseling), family therapy, ...

What is family based treatment?

Family-based treatment – This approach helps parents learn how to monitor their adolescent’s eating until the child demonstrates improvement. The goal is for the parents to take responsibility for their child’s eating disorder. 5.

How can I improve my body image?

Alternative therapies – Yoga, meditation, and tai chi can help promote a positive body image and help the person learn healthy coping strategies. Other activities such as hobbies and extracurricular activities can also boost self-esteem and encourage healthy lifestyle changes.

Can you recover from bulimia?

Yes, it is possible to recover from bulimia, particularly when the person receives appropriate treatment under the supervision of a healthcare professional. Studies have shown that about 50% of people with bulimia can recover after treatment, 30% can have a partial recovery, and about 20% may continue to show symptoms of bulimia. 1.

What is the best treatment for bulimia?

Therapy, particularly cognitive-behavioral therapy (CBT), is the leading evidence-based treatment for bulimia. 2. Multiple therapies can be used concurrently, such as CBT and nutrition therapy, and may be combined with medication if necessary. Team members that might be involved in treatment for bulimia may include a: 3.

How is bulimia treated?

Bulimia is primarily treated with nutrition therapy, psychotherapy (talk therapy), and in some cases medications. This article covers the various treatment options for bulimia. KatarzynaBialasiewicz / Getty Images.

What is CBT BN?

In 2004, the National Institute for Health and Care Excellence (NICE) recommended that an adaptation of CBT—called CBT-BN—be used for the treatment of bulimia. This treatment targeted bulimia specifically. 8.

What is bulimia characterized by?

It is characterized by repeated episodes of binge eating (eating a large amount of food in a relatively short amount of time) followed by purging (compensatory) behaviors such as self-induced vomiting, fasting, misuse of medications (laxatives, diuretics, diet pills, etc.), or excessive exercise. Bulimia is primarily treated with nutrition therapy, ...

How does FBT affect adolescent eating?

FBT takes the control and responsibility of the adolescent’s eating from the adolescent and transfers it to their parents. With this approach, parents are seen as attacking the disorder itself without being critical of the adolescent. As the treatment progresses, control is gradually shifted back to the adolescent.

Why do people with bulimia need hospitalization?

Reasons a person with an eating disorder such as bulimia may need hospitalization include: 1. Their weight is less than 75% of the estimated healthy weight for their age and height. A persistent, rapid decline in food intake or weight despite exercising all available outpatient treatments. An individual history of needing medical attention ...

How to get rid of bulimia?

Steer clear of anything that glorifies bulimia and eating and disorders, such as harmful groups and websites. Use a journal to keep track of your thoughts, emotions, and behaviors, and watch for negative patterns that indicate you need to seek help. Stick to your treatment plan, even if you are feeling better.

What is the best treatment for bulimia nervosa?

One of the most common forms of therapy used as part of bulimia nervosa treatment is cognitive behavioral therapy (CBT). CBT aims to teach patients new skills that shift their ideas about eating and body image, effectively targeting the mental and behavioral aspects of bulimia nervosa.

What type of therapy is used for bulimia nervosa?

Another type of therapy sometimes used for bulimia nervosa patients is interpersonal therapy (IPT). As you may be able to tell from the name, IPT focuses on one's interpersonal skills. Specifically, IPT involves taking a closer look at the patient's relationships with others and how these relationships impact their mental and emotional health.

How effective is CBT for bulimia?

While every person is different, CBT is considered a very effective bulimia nervosa treatment method.

What is the most common eating disorder?

Along with anorexia nervosa and binge eating disorder, bulimia nervosa is one of the most common eating disorders.

Why do people keep their bulimia secret?

People may choose to keep their bulimia a secret for a variety of reasons, including embarrassment. Though society is making strides in reducing stigma for seeking treatment for mental disorders, there is still a large amount of shame surrounding bulimia and other eating disorders and mental illnesses.

What are the goals of CBT?

Goals of CBT include changing one's perception of their eating disorder symptoms, changing thought patterns related to eating disorder behavior, improving patients' mood and feelings about their lives, and teaching patients how to tackle daily problems without resorting to any bulimia-related behaviors.

What is the best medication for bulimia?

Another treatment sometimes used in conjunction with therapy is prescription medications, specifically antidepressants. Fluoxetine (brand name Prozac) is approved by the FDA to treat bulimia. Antidepressants have been shown to be useful in some people by reducing binging and purging urges.

Finding Your Bulimia Treatment

It is not difficult to locate the right bulimia treatment for you, but it may take a little work before you find just the right thing that will work for you.

Eating Disorder Treatment Centers

In- patient or outpatient treatment centers are excellent ways to put your bulimia nervosa treatment in the hands of caring professionals who can tailor a comprehensive program to suit your needs.

Eating Disorder Support Groups & 12 Step Programs

Hundreds of support groups exist across the country and around the world. The largest group, Overeaters Anonymous, is based upon the 12 step programs like Alcoholics Anonymous.

Bulimia Self Help Treatments

There are several self-help treatments that can be powerful adjuncts to conventional therapy. Here are a few:

Alternative Bulimia Treatments

Alternative bulimia treatments can also be essential tools to use alongside your conventional therapy. Some include:

You can overcome your eating disorder

Whatever methods you chose as your bulimia treatment, with compassionate and nurturing professional guidance you will absolutely be able to overcome your eating disorder.

What is the best way to diagnose bulimia?

An important element for diagnosing bulimia is the individual's story of how she or he is feeling. A health care professional will also do a physical exam and may recommend blood tests to check for problems associated with vomiting or laxative use.

How often do people with bulimia binge?

People with bulimia may binge a few times a week or as frequently as several times a day. Most people with bulimia are female (85% to 90%) and the disorder usually begins between ages 15 and 20. There are two types of bulimia: purging bulimia. A person with this type makes herself or himself vomit after binging. nonpurging bulimia.

How do you know if you have bulimia?

Symptoms of bulimia include: extreme concern over body weight or body shape. eating large quantities of food over a short period, often in secret. binge eating followed by self-induced vomiting; use of laxatives, diuretics, enemas or suppositories; fasting or severe dieting; or excessive exercise.

What is bulimia nervosa?

Bulimia: Symptoms, diagnosis and treatments. Bulimia nervosa, often called bulimia, is an eating disorder. Individuals with bulimia eat large amounts of food in a relatively short time, often even when they aren't hungry. People with bulimia tend to feel out of control when eating and can't stop eating.

What is the cause of bulimia?

Eating disorders such as bulimia tend to be caused by a mix of physical and emotional problems. Treatment usually aims to address all of these problems by: helping the individual understand and change harmful thought patterns related to bulimia.

Can laxatives cause bulimia?

Overuse of laxatives can cause chronic gastrointestinal problems. Severe bulimia can lead to heart problems, and sometimes can be deadly. Some individuals have bulimia for a short time, such as during a stressful a stage of life. Others have it for many years.

Does bulimia medication work?

But medication generally doesn't work alone , and is best when combined with psychotherapy and other kinds of support. About a quarter of individuals with bulimia get better without treatment. With treatment, more than half improve.

What is the best medication for bulimia?

That medication is fluoxetine, sold under the brand name Prozac. This medication is a type of selective serotonin reuptake inhibitor ...

Why do clinicians use medications?

But some clinicians do use medications as a way to augment the work their clients are doing in therapy. Some people find that the medications they take while in therapy help them to feel calm, collected, and in control. That could help these people to really recover from bulimia.

Can bulimia be purged?

Some people with bulimia create very elaborate rituals involving what they can eat, how they can eat, and how they can purge. They may feel as though they should handle every one of these steps in the same way, or something terrible will happen.

Is bulimia a mental illness?

That relief could be due, in part, to the fact that bulimia is often tied to undiagnosed mental illness. An article in Current Psychiatry suggests that depression, especially major depression, is considered a common co-occurring mental health disorder in people who have bulimia.

Does therapy help with bulimia?

Researchers found that therapy did a much better job. Studies like this demonstrate the real power of enrolling in a therapy program for bulimia. It is here that people can pick up skills they need in order to control bulimia for good. But some clinicians do use medications as a way to augment the work their clients are doing in therapy.

Is bulimia a good choice?

A Good Choice. People with bulimia have a great deal of choice when it comes to treatment and recovery. They could choose a program that includes medications, or they could look for programs that do not rely on any pharmaceutical support. Either option is valid. The real key is to get help.

What is the medical term for bulimia?

Medications for Bulimia. Other names: Bulimia Nervosa. Bulimia is an illness defined by food binges, or recurrent episodes of significant overeating, that are accompanied by a sense of loss of control. The affected person then uses various methods -- such as vomiting or laxative abuse -- to prevent weight gain.

Can bulimia cause anorexia?

Someone with bulimia may also suffer from anorexia nervosa, an eating disorder involving severe, chronic weight loss that proceeds to starvation, but many bulimics do not suffer from anorexia.

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Diagnosis

Clinical Trials

Lifestyle and Home Remedies

Alternative Medicine

Medically reviewed by
Dr. Abhimanyu Chandak
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment consists of antidepressants, counseling, medication and nutrition education.
Medication

Antidepressants: Reduce certain symptoms.

Fluoxetine

Therapy

Psychotherapy:Behavioral therapy helps alter associated habits and cognitive therapy helps change underlying negative thoughts.

Specialist to consult

Psychotherapist
Specializes in using psychological methods rather than medical means to treat mental disorders.
Psychiatrist
Specializes in the branch of medicine concerned with the diagnosis and treatment of mental illness.
Nutritionist
Specializes in the subject of nutrition and advises on matters of food.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.
Dieticians
Specialize in the nutritious diet and patient's food habits.

Coping and Support

  • If your primary care provider suspects you have bulimia, he or she will typically: 1. Talk to you about your eating habits, weight-loss methods and physical symptoms 2. Do a physical exam 3. Request blood and urine tests 4. Request a test that can identify problems with your heart (elect…
See more on mayoclinic.org

Preparing For Your Appointment

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

In-Patient Hospital Care

  • In addition to professional treatment, follow these self-care tips: 1. Stick to your treatment plan.Don't skip therapy sessions and try not to stray from meal plans, even if they make you uncomfortable. 2. Learn about bulimia.Education about your condition can empower you and motivate you to stick to your treatment plan. 3. Get the right nutrition.If you aren't eating well or y…
See more on mayoclinic.org

Therapies

  • Dietary supplements and herbal products designed to suppress the appetite or aid in weight loss may be abused by people with eating disorders. Weight-loss supplements or herbs can have serious side effects and dangerously interact with other medications. Weight-loss and other dietary supplements don't need approval by the Food and Drug Administration (FDA) to go on th…
See more on mayoclinic.org

Prescription Medications

  • You may find it difficult to cope with bulimia when you're hit with mixed messages by the media, culture, coaches, family, and maybe your own friends or peers. So how do you cope with a disease that can be deadly when you're also getting messages that being thin is a sign of success? 1. Remind yourself what a healthy weight is for your body. 2. Resist the urge to diet or skip meals, …
See more on mayoclinic.org

Lifestyle

  • Here's some information to help you get ready for your appointment, and what to expect from your health care team. Ask a family member or friend to go with you, if possible, to help you remember key points and give a fuller picture of the situation.
See more on mayoclinic.org

Summary

A Word from Verywell

  • Therapy, particularly cognitive-behavioral therapy (CBT), is the leading evidence-based treatment for bulimia.2 Multiple therapies can be used concurrently, such as CBT and nutrition therapy, and may be combined with medication if necessary. Team members that might be involved in treatment for bulimia may include a:3 1. Psychiatrist 2. Psychologist 3. Dietitian 4. Family therap…
See more on verywellhealth.com

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