Podcast
Questions and Answers
What is a common misconception about bulimia nervosa?
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?
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?
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?
Which of the following is a compensatory behavior seen in purging bulimia?
Which of the following is a potential consequence of repeated vomiting in purging bulimia?
Which of the following is a potential consequence of repeated vomiting in purging bulimia?
What behavior characterizes non-purging bulimia?
What behavior characterizes non-purging bulimia?
What role does stress typically play in the development of bulimia?
What role does stress typically play in the development of bulimia?
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?
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?
What is a potential pharmaceutical treatment option for bulimia?
What is a potential pharmaceutical treatment option for bulimia?
Why is early treatment important for bulimia?
Why is early treatment important for bulimia?
Flashcards
Bulimia Nervosa
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)
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
Purging Bulimia
Subtype of bulimia nervosa where individuals remove food through methods like laxatives, water pills, or vomiting after binge eating.
Non-Purging Bulimia
Non-Purging Bulimia
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Disordered Eating
Disordered Eating
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Cognitive-Behavioral Therapy
Cognitive-Behavioral Therapy
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Compensatory behavior
Compensatory behavior
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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
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Binge eating is eating a larger amount of food than most people would in a discrete period and feeling a lack of control.
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Differentiating subtypes of bulimia depends on how the person controls their caloric intake through compensatory behavior.
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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.
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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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