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Bulimia nervosa

At the bWell Clinic we have seen the ravaging affects of eating disorders on young women and men. We hope to offer a practical light at the end of a very difficult tunnel to people suffering from the various types of eating disorders.

Building the clients awareness of the destructive nature of the disease and re-forming the self-concept and self and body image that is constructive to leading a healthy physical, emotional and Psychological state of being.

Eating Disorders are a very serious and prevalent problem in our society today affecting both genders from as young as seven to late adulthood. The manifestation of eating disorders is an outward expression of an individual experiencing immense internal emotional and psychological pain and confusion. For the sufferer it may appear that food and the controlling behaviours are the main concern for the individual but the serious and sometimes fatal behaviours has lead anorexia nervosa to be rated as the highest form of death and suicide in mental health problems.
Bulimia nervosa mostly known as bulimia is an eating disorder in which the subject engages in recurrent binge eating followed by feelings of guilt, depression, and self-condemnation. The sufferer will then engage in compensatory behaviors to make up for the excessive eating, which are referred to as "purging".

Purging can take the form of:
Other medications
Eating disorders not otherwise specified (EDNOS) involves disordered eating patterns. EDNOS is described in the DSM-IV-TR as a "category [of] disorders of eating that do not meet the criteria for any specific eating disorder".
DSM-IV-TR Diagnostic Criteria - EDNOS
It is in no way representative of what a sufferer 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 are not present. In other words, if you think you have Bulimia, it's dangerous to read the diagnostic criteria and think "I don't have one of the symptoms, so I must not be Bulimic".

Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances.
A sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating)
1.Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, enemas, or other medications; fasting; or excessive exercise.
2.The binge eating and inappropriate compensatory behaviors both occur, on average, at least twice a week for 3 months.
3.Self-evaluation is unduly influenced by body shape and weight.
4.The disturbance does not occur exclusively during episodes of Anorexia Nervosa.
Purging Type: during the current episode of Bulimia Nervosa, the person has regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas
Non-purging Type: during the current episode of Bulimia Nervosa, the person has used other inappropriate compensatory behaviors, such as fasting or excessive exercise, but has not regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas
Some signs and Symptoms to be aware of:

1.Dramatic weight loss in a relatively short period of time.
2.Wearing big or baggy clothes to hide body shape
3.Obsession with weight and complaining of weight problems
4.Obsession with calories and fat content of foods
5.Obsession with continuous exercise
6.Frequent trips to the bathroom immediately following meals
7.Visible food restriction and self-starvation.
8.Visible bingeing and/or purging.
9.Use or hiding use of diet pills, laxatives, or enemas.
10.Isolation Fear of eating around and with others.
11.Shifting the food around on the plate
12.Hiding food in strange places
13.Flushing uneaten food down the toilet
14.Vague or secretive eating patterns
15.Keeping a "food diary" or lists food and/or excercise
16.Pre-occupied thoughts of food, weight and cooking
17.Visiting websites that promote unhealthy ways to lose weight
18.Reading books about weight loss and eating disorders
19.Self-defeating statements after food consumption
20.Hair loss. Pale or "grey" appearance to the skin
21.Dizziness and headaches
22.Frequent soar throats and/or swollen glands.
23.Low self-esteem. Feeling worthless
24.Need for acceptance and approval from others
25.Complaints of often feeling cold
26.Low blood pressure
27.Loss of menstrual cycle
28.Constipation or incontinence
29.Bruised or calluses knuckles
30.Bloodshot or bleeding in the eyes
31.Light bruising under the eyes and on the cheeks
32.Perfectionist personality
33.Loss of sexual desire or promiscuous relations
34.Mood swings. Depression. Fatigue
35.Insomnia. Poor sleeping habits
Compulsive Overeating / Binge Eating Disorder
1.Fear of not being able to control eating, and while eating, not being able to stop.
2.Isolation. Fear of eating around and with others.
3.Chronic dieting on a variety of popular diet plans.
4.Holding the belief that life will be better if they can lose weight.
5.Hiding food in strange places (closets, cabinets, suitcases, under the bed) to eat at a later time.
6.Vague or secretive eating patterns.
7.Self-defeating statements after food consumption.
8.Blames failure in social and professional community on weight
9.Holding the belief that food is their only friend.
10.Frequently out of breath after relatively light activities.
11.Excessive sweating and shortness of breath.
12.High blood pressure and/or cholesterol.
13.Leg and joint pain.
14.Weight gain.
15.Decreased mobility due to weight gain.
16.Loss of sexual desire or promiscuous relations.
17.Mood swings. Depression. Fatigue.
18.Insomnia. Poor Sleeping Habits.
What can you do?
It is up to the individual who is experiencing an Eating Disorder to take responsibility for their behaviour.
As a carer you can support but the change must come from the individual with the eating disorder.
Understand that the eating disorder is communicating the pain help the person articulate how they feel in a healthier way.
Get professional therapeutic help.
Treatment for Bulimia Nervosa, Treatment for Bulimia, Treating Bulimia, Therapy for Bulimia Nervosa
For a consultation and to discuss how our approach can make all the difference for
Call us today 01-845 60 70
bWell Clinic, Malahide, Co. Dublin
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