Treatment FAQ

what is the go to treatment for bulimia in adolescents

by Dr. Wilburn Hickle Published 2 years ago Updated 2 years ago
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Medication

Teen bulimia is an illness, however, that can cause serious health problems or death, so teens with bulimia need to get medical treatment to recover from their eating disorder.

Therapy

Outpatient Care. An outpatient program for bulimia provides people with counseling, medication support, and/or ancillary services (like exercise and nutrition counseling), while people continue to live at home. People in an outpatient program do not need to move into the facility in which they will get care.

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If your primary care provider suspects you have bulimia, he or she will typically: Talk to you about your eating habits, weight-loss methods and physical symptoms Request a test that can identify problems with your heart (electrocardiogram) Perform a psychological evaluation, including a discussion of your attitude toward your body and weight

What is teen bulimia and how is it treated?

Most people with bulimia will be able to stay at home during their treatment. You'll usually have appointments at your clinic and then be able to go home. However, you may be admitted to hospital if you have serious health complications, including:

What is outpatient treatment for bulimia?

What should I do if my primary care provider suspects bulimia?

Can I stay at home during bulimia treatment?

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What is the treatment of choice for bulimia?

Antidepressants may help reduce the symptoms of bulimia when used along with psychotherapy. The only antidepressant specifically approved by the Food and Drug Administration to treat bulimia is fluoxetine (Prozac), a type of selective serotonin reuptake inhibitor (SSRI), which may help even if you're not depressed.

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 type of treatment is most effective for individuals with bulimia nervosa?

Many psychotherapy techniques have been shown to be effective in reducing binging/purging urges or in helping a person heal from the underlying issues that are connected with this eating disorder. This includes the practice and integration of: Mindfulness. Dialectical behavioral therapy (DBT)

What is the first step in treating bulimia nervosa?

Interpersonal or cognitive behavior therapy should be offered to patients with bulimia nervosa and binge-eating disorder. A self-help program may be considered as the first step in the treatment of bulimia nervosa and binge-eating disorder.

Can bulimia nervosa be treated if diagnosed early?

Early treatment can break unhealthy eating patterns before they become harder to overcome. You can reduce your risk of bulimia nervosa by getting treatment for other conditions like depression and anxiety disorders.

How does Prozac help bulimia?

Prozac has proven to reduce binge-purge cycles in bulimia. Antidepressant medicines may reduce episodes of binge eating in those who have binge eating disorder, and they may help with related depression or anxiety. Antidepressants regulate brain chemicals that control mood.

What therapy helps with eating?

The following are several types of the most prominent therapies used to treat eating disorders.Cognitive Behavioral Therapy. ... Cognitive Processing Therapy. ... Dialectical Behavioral Therapy. ... Interpersonal Psychotherapy. ... Acceptance and Commitment Therapy. ... Nutritional Therapy. ... Family Therapy. ... Expressive Arts Therapy.More items...

What is the only evidence based treatment for adolescents with anorexia nervosa?

Using the most recent Journal of Clinical Child and Adolescent Psychology methodological review criteria, family treatment-behavior (FT-B) is the only well-established treatment for adolescents with anorexia nervosa.

What is the most successful type of therapy for individuals with anorexia nervosa?

No single therapy method was most effective for adults with anorexia nervosa. However, many people with anorexia do see an improvement with therapy. CBT and IPT are the most established treatments for binge eating disorder and bulimia nervosa.

Does bulimia ever go away?

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.

How do you get diagnosed with 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.

What happens if you leave bulimia untreated?

If left untreated, bulimia can result in long-term health problems such as abnormal heart rhythms, bleeding from the esophagus due to excessive reflux of stomach acid, dental problems, and kidney problems.

How to help a child with bulimia?

Tell others about your child’s bulimia. Work with your child’s healthcare provider and schools to develop a treatment plan. Reach out for support from local community services. Being in touch with other parents who have a child with bulimia may be helpful.

How to prevent bulimia in children?

Experts don’t know how to prevent bulimia. But early detection and treatment can lessen symptoms. They can also help your child’s normal development. It can also improve his or her quality of life. Encouraging your child to have healthy eating habits and realistic attitudes toward weight and diet may also help.

What are the symptoms of bulimia nervosa?

Obsession with food, weight, and body shape. Scarring on the back of the fingers from self-induced throwing up. Overachieving behaviors. The symptoms of bulimia nervosa may look like other health problems. Make your child sees his or her healthcare provider for a diagnosis.

How often does bulimia happen?

They may happen as often as several times a day. Bulimia has two types: Purging type. A child with this type regularly binges and then causes himself or herself to throw up. Or the child may misuse laxatives, diuretics, enemas, or other medicines that clear the bowels. Nonpurging type.

How do you know if you have bulimia?

But the most common symptoms of bulimia are: Usually a normal or low body weight but sees him or herself as weighing too much. Repeated episodes of binge eating, often in secret. Fear of not being able to stop eating while bingeing. Self-induced throwing up, often in secret. Excessive exercise or fasting.

What are the most common mental health problems in children with bulimia?

They tend to be from a high socioeconomic group. They may have other mental health problems, such as an anxiety or mood disorders. Children with bulimia are more likely to come from families with a history of: Eating disorders. Physical illness.

Who can help with child care?

Your child may get care from a team that may include counselors, therapists, social workers, psychologists, psychiatrists, and registered dietitian nutritionists.

Eating Disorders in Adolescence Statistics

Here’s a few statistics and facts about eating disorders in adolescence:

Types of Eating Disorders in Adolescence

There are several different types of eating disorders. This section will go over three eating disorders that are commonly seen in adolescents.

What are the Effects of Eating Disorders in Adolescence?

As mentioned earlier, eating disorders can have serious health effects. Some of these effects can be long-term or lifelong. These include:

What Causes Eating Disorders in Adolescence?

There isn’t one single thing that can cause an eating disorder. Research shows that eating disorders are a result of a mix of genetic, biological, psychological, and social factors [3].

What is the best treatment for bulimia?

Family therapy. Children and young people will usually be offered family therapy . This involves you and your family talking to a therapist, exploring how bulimia has affected you and how your family can support you to get better. You may also be offered CBT, which will be the same as the CBT offered to adults.

How old do you have to be to recover from bulimia?

Treatment may take time, but you can recover from bulimia. Treatment for bulimia is slightly different for adults and those under 18 years old.

How many sessions of CBT are there?

Cognitive behavioural therapy (CBT) If you are offered CBT, it will usually involve up to 20 sessions across 20 weeks. CBT involves talking to a therapist, who will help you explore emotions and thoughts that could be contributing to your eating disorder, and how you feel about your weight and body shape.

Can you stay home with bulimia?

Most people with bulimia will be able to stay at home during their treatment . You'll usually have appointments at your clinic and then be able to go home. However, you may be admitted to hospital if you have serious health complications, including: being very underweight. problems with your heart.

Can you brush your teeth after vomiting?

avoid brushing teeth immediately after vomiting so you do not wear away the enamel. do not drink or eat acidic foods, such as fruit juice, during a binge and after purging. Vomiting can also lead to risk of dehydration. To avoid this, make sure you drink plenty of fluids to replace what you have vomited.

Can you take fluoxetine for bulimia?

Medicine. Antidepressants should not be offered as the only treatment for bulimia. But you may be offered an antidepressant, such as fluoxetine (Prozac), in combination with therapy or self-help treatment, to help you manage other conditions, such as: anxiety or depression. social phobia.

What are the symptoms of bulimia nervosa?

Shame and guilt are two of the core psychological bulimia symptoms. An individual suffering from bulimia nervosa may have a distorted sense of body image or an extremely negative self-image.

Can you get bulimia from vomiting?

Most people recognize the primary bulimia symptoms of vomiting after eating. However, many other bulimia symptoms are often overlooked. Some symptoms are also so subtle that they can be easy to miss.

Can bulimia cause cancer?

Studies show there is a link between bulimia nervosa and an increased risk of adenocarcinoma cancer of the esophagus. Bulimia can cause chronic irritation and trauma to the esophagus, particularly due to the regular presence of bile in the esophagus when vomiting occurs.

Is bulimia a wafer thin?

A person with bu limia may be of normal weight or even a little overweight, so they don’t always have the stereotypical wafer-thin figure of a person with anorexia. As a result, many friends, family members or even medical professionals may overlook important underlying bulimia symptoms.

Can eating disorders cause addiction?

It’s common for many people with serious eating disorders to also develop drug or alcohol addictions. Some people may abuse stimulant drugs, such as cocaine or crystal meth in an effort to lose weight. Others may self-medicate with alcohol or prescription drugs to numb painful feelings or emotions.

What is the outpatient treatment for bulimia?

An outpatient program for bulimia provides people with counseling, medication support, and/or ancillary services (like exercise and nutrition counseling), while people continue to live at home. People in an outpatient program do not need to move into the facility in which they will get care. Instead, they can continue to live ...

What are the two types of bulimia treatment?

There are two types of programs for bulimia treatment: inpatient and outpatient. While one might be right for some types of people with bulimia, the other might be best for different types of people with bulimia. Read on to find out which type of care is recommended for which class of people.

What are some examples of medical problems associated with bulimia?

Permanent constipation. Heart damage. Some of these medical problems can be addressed with proper care. For example, kidney damage associated with bulimia is sparked, in part, by chemical imbalances caused by the excessive use of laxatives and vomiting.

What does it mean when someone chooses an outpatient treatment provider?

Someone who enrolled in outpatient care may find that all of the freedom these programs provide allows for too many relapse opportunities. Or, conversely, someone in an inpatient program may do so well in therapy and make such great strides that an outpatient program seems like the best place for continued care.

How long do people with bulimia keep their symptoms hidden?

Even so, many people with bulimia go to great lengths to keep their disorder under wraps. In fact, according to Psychology Today, many people with bulimia keep their symptoms completely hidden until they reach their 30s or 40s.

Can bulimia be hidden?

But some people who have bulimia are not adept at hiding their disordered behaviors.

Is it safe to get inpatient care for weight loss?

It can be a safer choice for people who face many triggers at home, or for people who do not have the willpower to handle the triggers they face at home. Clinicians may also suggest, according to documents released by Priority Health, that people get inpatient care if they have lost a great deal of weight.

What to do if your teen has bulimia?

If your teen may have bulimia, seek help immediately. Teens with bulimia should be treated by doctors, mental health professionals, and dietitians. Individual therapy is necessary to help the teen learn better eating habits and a better attitude about food and body image, and family therapy can help the teen to have a supportive environment ...

What percentage of teens have bulimia?

Teen bulimia is most common among teen girls, but about 10-15 percent of teens with bulimia are boys, and teen boys with eating disorders often go undiagnosed and untreated. Teens of all races can develop bulimia, but the majority of teens who are diagnosed with bulimia are Hispanic.

How many calories do teens consume during a binge?

Binges may last many hours, and the teen many consume over 10,000 calories while bingeing. Teens with bulimia may spend $50 or more on food per day, and some teens shoplift to get food for their binge.

What is bulimia nervosa?

Teen Bulimia Statistics. Teen bulimia nervosa is one of several common eating disorders among adolescents and teens. Teens suffering from bulimia will binge eat, then purge through vomiting or the use of laxatives.

How long does bulimia treatment last?

Effective therapy usually lasts at least a year, and is generally outpatient unless the case is very severe. Teens who are treated early have a better chance of recovery. Between 5 and 20 percent of teens with bulimia will die because of the disorder.

How many people have depression and an eating disorder?

Approximately 50% of people with an eating disorder also suffer from depression. About half teens with anorexia, which causes them to starve themselves, also suffer from bulimia. Doctors have reported that about one-third of teens with bulimia also shoplift, and about one-quarter have other addictions, such as alcohol.

How many people in the US have bulimia?

Up to 30 million people in the US suffer from an eating disorder. Most people with bulimia develop it while in their teens, but people as young as 5 and as old as 60 have been diagnosed with bulimia.

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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

Assessment & Treatment of Eating Disorders in Adolescents

  • 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

Screening

  • 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…
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History

  • 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, …
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Physical Examination

  • 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

Patient and Family Communication

  1. April 14, 2022
  2. The REACH Institute
  3. Assessment & screening, Child mental health, Eating disorders
See more on thereachinstitute.org

Treatment

  • As a pediatric primary care provider (PCP), your first indication that a patient may have an eating disorder is likely to come from caregiver reports or your weight chart. Screening tools for eating disorders include the Eating Disorder Examination Questionnaire and the Eating Attitudes Test. A briefer tool is the SCOFF questions: S: Do you make yourself Sick because you feel uncomfortab…
See more on thereachinstitute.org

Resources

  • Eating in secret, distorted body image, denial, perfectionism, obsessive eating behaviors, and over-exercising are characteristic of eating disorders. Question your patient alone, away from caregivers. 1. Take a 24-hour diet history. 2. Ask specific questions about exercise types, frequency, and duration. 3. Ask whether the patient ever eats in sec...
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