Bulimia Nervosa (bulimia) is a serious eating disorder that affects people of all ages and genders, although it is more common in young women. It involves episodes of binge eating followed by behaviours aimed at preventing weight gain, such as self-induced vomiting, excessive exercise, fasting, or misuse of laxatives. Unlike anorexia, people with bulimia often maintain a weight that appears healthy, making the condition harder to recognise.
Bulimia Nervosa: Understanding the Signs and Getting Help
Some of the most common signs of bulimia include:
Eating large amounts of food in a short period and feeling
unable to stop.Purging behaviours, such as vomiting, excessive exercise,
or laxative use.Ongoing concerns about weight, shape, and body image.
Physical symptoms such as dental problems, bloating,
digestive issues, or swollen glands.
People with bulimia often hide their behaviours, but frequent bathroom visits after meals, secretive eating, or a strong focus on weight and appearance can be warning signs.
Common Signs and Symptoms
What Causes Bulimia?
There is no single cause of bulimia. It is usually linked to a combination of factors, including:
Family history of eating disorders.
Pressure to achieve an ideal body shape or weight.
Low self-esteem, anxiety, depression, or past trauma.
Restrictive dieting or unhealthy weight-control behaviours.
Diagnosis
A specialist psychiatrist will assess eating habits, emotional wellbeing, and any related behaviours. Blood tests may also be recommended to check for physical health complications, such as dehydration or electrolyte imbalances.
Bulimia is treatable, and early support can make a significant difference. Treatment may include:
Cognitive Behavioural Therapy (CBT) – helping individuals identify and change unhelpful thoughts and behaviours around food and body image.
Family Therapy - family based therapeutic intervention for under 18 year old.
Nutritional Support – working with a dietitian to establish balanced eating habits and improve the relationship with food.
Medication – in some cases, antidepressants may be prescribed to help manage symptoms of anxiety or depression.
Treatment