Understanding Bulimia Nervosa

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Questions and Answers

What is a common misconception about bulimia nervosa?

  • It only affects underweight people.
  • It is caused by a lack of exercise.
  • It only affects men.
  • It is simply someone who throws up after eating. (correct)

According to the DSM-5, how frequently must binge eating and compensatory behavior occur for a bulimia nervosa diagnosis?

  • Once a month for one month
  • Every day for one week
  • Three times a week for one month
  • Once a week for three months (correct)

What is the primary focus of cognitive-behavioral therapy in the treatment of bulimia?

  • Addressing family stressors exclusively
  • Promoting weight gain
  • Changing unhealthy thoughts and behavioral patterns (correct)
  • Prescribing antidepressant medication

Which of the following is a compensatory behavior seen in purging bulimia?

<p>Use of laxatives (C)</p>
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Which of the following is a potential consequence of repeated vomiting in purging bulimia?

<p>Erosion of teeth (C)</p>
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What behavior characterizes non-purging bulimia?

<p>Excessive exercise (D)</p>
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What role does stress typically play in the development of bulimia?

<p>It serves as a trigger for unhealthy coping mechanisms involving food. (A)</p>
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In addition to individual therapy, what other therapeutic approach is often useful in treating bulimia, due to the role that unhealthy family systems can play?

<p>Family-based therapy (D)</p>
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What is a potential pharmaceutical treatment option for bulimia?

<p>Antidepressants (B)</p>
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Why is early treatment important for bulimia?

<p>The behavior patterns become more ingrained over time. (D)</p>
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Flashcards

Bulimia Nervosa

An eating disorder characterized by recurrent binge eating and compensatory behaviors to prevent weight gain, disproportionate influence of body shape and weight on self-esteem, and not better explained by anorexia nervosa.

Binge Eating (in Bulimia)

Eating a definitively larger amount of food than most people would during a discrete period of time, accompanied by a sensation of a loss of control over eating.

Purging Bulimia

Subtype of bulimia nervosa where individuals remove food through methods like laxatives, water pills, or vomiting after binge eating.

Non-Purging Bulimia

Subtype of bulimia nervosa characterized by restricting caloric intake or excessive exercise after binge eating, without purging methods.

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Disordered Eating

Unhealthy patterns of eating that don't meet the full criteria for an eating disorder, such as excessive or unhealthy dieting.

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Cognitive-Behavioral Therapy

Therapy that focuses on identifying and changing unhealthy thoughts and behavioral patterns.

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Compensatory behavior

Using laxatives, water pills or vomiting to remove food from the body.

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Study Notes

  • Bulimia nervosa is often misunderstood and misrepresented, with assumptions that it's simply "throwing up after eating" or only affects women and models.

Definition of Bulimia Nervosa

  • Bulimia nervosa is defined in the DSM-5 as an eating disorder not necessarily linked to being underweight.
  • Symptoms include:
    • Recurrent binge eating, defined as eating a larger amount of food than most people would in a discrete period and feeling a lack of control.
    • Recurrent compensatory behavior to prevent weight gain.
    • Binge eating and compensatory behaviors occurring on average once a week for three months.
    • Self-esteem disproportionately influenced by body shape and weight.
    • Behavior not better explained by Anorexia Nervosa.
  • Bulimia nervosa goes beyond just eating habits, rooted in psychological issues.
  • Estimated that 1.1% to 4.2% of women experience bulimia during their lifetimes.
  • Underreported in men and individuals of other gender identities.

Subtypes and Symptoms

  • Binge eating is eating a larger amount of food than most people would in a discrete period and feeling a lack of control.

  • Differentiating subtypes of bulimia depends on how the person controls their caloric intake through compensatory behavior.

  • Purging bulimia involves removing food through methods such as laxatives, water pills, or vomiting.

    • Can result in severe physical damage and malnourishment.
    • Repeated use of laxatives can cause bowel unresponsiveness.
    • Water pills can lead to kidney damage.
    • Vomiting can erode teeth, damage gut and diaphragm muscles, and cause eye problems.
  • Non-purging bulimia involves restricting caloric intake or excessive exercise.

    • Restricting can include complete fasting or strict dieting.
    • Excessive exercise is doing intensive cardio for extended periods.
    • These methods are destructive to the body by depleting its fuel and ability to function correctly.

Causes and Treatment

  • The exact cause of bulimia is unknown, but stress and coping mechanisms play a significant role.
  • Individuals may turn to food as an escape from stress, leading to a cycle of binge eating and compensatory behaviors.
  • Treatment options include:
    • Education and stress management techniques for mild cases.
    • Cognitive-behavioral therapy (CBT) to change unhealthy thoughts and behaviors.
    • Family-based therapies to target stressors within the family system.
    • Pharmaceutical approaches, such as antidepressants, while monitoring for weight gain side effects.
  • Severe cases may require hospitalization due to extensive physical damage, and ritualized behaviors.
  • Early treatment leads to the best prognosis, as behaviors become more ingrained over time.
  • Individuals with long-term bulimia may struggle to eliminate all behaviors entirely.

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