Safety tip for those who choose the hammer: wear goggles! Breaking up with your bathroom scale also allows you to focus on how your body feels instead of how much it weighs. They have a network of support that helps them along the way. And so, building your network of support is a crucial step of how to recover from bulimia.
Your network can include close friends, trusted family members, your treatment team, support groups, and even online groups for people in recovery. These people can help you through bad moments, cheer on victories and milestones in recovery, and be there to support you as you recover.
She lives in northern Virginia with her husband and rescue pets. This blog is for informational purposes only and should not be a substitute for medical advice. These disorders are very complex, and this post does not take into account the unique circumstances for every individual. For specific questions about your health needs or that of a loved one, seek the help of a healthcare professional.
Stop Restricting Your Food A common trigger for a binge is deprivation. Learn Your Triggers Many people who experience bulimia can point to experiences that trigger bingeing and purging. Make a Plan to Overcome Bulimia What do you do when you want to binge and purge?
Start Healing Your Relationship with Food People who suffer from bulimia can lose touch with the cues their body sends them about hunger and fullness. Explore Intuitive Eating in Recovery For someone in recovery from bulimia, it can be helpful to work closely with your treatment team as you explore Intuitive Eating.
Low self-esteem , social phobia , fear of abandonment , or an inferiority complex may all drive and maintain, and sometimes result from, bulimia. Feeling in the grip of any emotional condition can damage our sense of independence and fracture our self-esteem. If life generally feels out of control, then bulimic or anorexic behaviours may seem to promise some succour for your client, at least initially.
If I decide what and when I eat, and even what I choose to digest, that might seem to give me at least some sense of control. Indeed, many binges are planned rather than spontaneous. Your bulimic client may have personality issues such as maladaptive perfectionism, which may need to be treated alongside the bulimia. Some clients find a kind of numbing or escape from problems or difficult feelings while they binge. Endorphins may be released during the pain of purging. We always need to look at why people do what they do.
What are the pulls of the pattern? Sharon was prone to the kind of all-or-nothing thinking that tracks alongside perfectionism. But, thanks to the bulimia, she had other problems too. The first time Sharon visited me her voice was hoarse, her throat dry and sore.
Ask your client about any physical effects from the bulimia. These may include tooth decay from the rush of acidic stomach contents against the teeth , swollen salivary glands, and intestinal disorders, among other serious consequences. Is it body image? Your bulimic client may not be able to give you all the answers if you ask about these things directly, but by asking generally about their life you should be able to glean much vital therapeutic information.
Is the bulimia a symptom of unresolved trauma? Finding out when it began and the circumstances around that time can give you a sense of why it started.
Current Opinion in Psychiatry. Eating disorders. National Alliance on Mental Illness. Rochester, Minn. Harrington BC, et al. Initial evaluation, diagnosis, and treatment of anorexia nervosa and bulimia nervosa. American Family Physician. Herpertz-Dahlmann B.
Treatment of eating disorders in child and adolescent psychiatry. Forman SF. Eating disorders: Overview of epidemiology, clinical features, and diagnosis. Rienecke RD. Family-based treatment of eating disorders in adolescents: Current insights. Adolescent Health, Medicine and Therapeutics.
Castillo M, et al. Using dietary supplements wisely. National Center for Complementary and Integrative Health. Bipolar II disorder. Sim LA expert opinion. Mayo Clinic, Rochester, Minn. Campbell K, et al. Read our cookies policy to find out more about cookies and how we use them.
Treatment Bulimia Symptoms Treatment. Treatment takes time but you can recover from bulimia. Treatment for adults Cognitive behavioural therapy Cognitive behavioural therapy CBT helps you manage problems by thinking more positively. Treatment for children and young people Family therapy You and your family will talk to a therapist. You may also be offered CBT-E. This is a specific form of CBT for people with eating disorders.
Looking after yourself It's important to look after your health while recovering from bulimia. If you are vomiting regularly, the acid in your vomit can damage your teeth over time.
To minimise the damage, you should: avoid brushing your teeth immediately after vomiting so you don't wear away the enamel rinse your mouth with a non-acidic mouthwash make sure you see your dentist regularly don't drink or eat acidic foods, such as fruit juice, during a binge and after purging don't smoke Vomiting can also lead to a risk of dehydration. Medication Treatment for bulimia can include an antidepressant, such as fluoxetine Prozac.
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