What is bulimia
Let's start with the fact that patients with bulimia give twothings. Firstly, an incredible appetite, which can not satisfy. Second, the huge effort he has made to get rid of calories absorbed.
In contrast, patients with anorexia nervosa, bulimia victimsyou can not immediately find the crowd, focusing on excessive thinness and refusal of food. As a rule, patients with bulimia weight roughly corresponds to normal, although each case is different bulimia, and not excluded a significant weight deviations from the norm.
Patients with bulimia are often ashamed of theiruncontrolled appetite and try to hide the symptoms of this disease. Often, they secretly plenty gorge, and then induce vomiting to get rid of eaten, and people eat in moderation, did not differ from healthy people, or even to limit food intake.
As a rule, patients with bulimia are very particular abouttheir weight and figure, so often or periodically attempt to follow a diet. The system of self-weight and the figure is occupied almost the first place. Often this is what factors determine their attitude.
Symptoms of bulimia
It is an eating disorder characterized by recurrent binge eating incidents that occur at least twice a month for three months.
During these attacks insatiable appetite when sick sweep away everything, observed the following:
- Overeating, ie consumption in a short time (e.g., within two hours) in the amount of food that most people are unable to eat for the same time and under the same circumstances.
- The feeling of loss of control over a the period of attack (eg, a feeling that is impossible to withhold or impossible to control the amount of food eaten).
Bulimia victims often try to controlconsumption of food or at least prevent weight gain. To do this, they cause forced vomiting; abuse laxatives, diuretics, enemas or other similar means to prevent the assimilation of food; They refuse to eat (hunger); or are actively involved in sports.
This digestive disorders can be diagnosed only in the event that it is impossible to explain anorexia.
There are two types of bulimia:
- Classic (cleansing): the patient regularly provokes vomiting or abusing laxatives, diuretics or enemas.
- Bulimia nervosa as a second stage: the patient uses other compensatory behavior, such as starving or are actively involved in sports, but does not provoke vomiting regularly and does not abuse laxatives, diuretics or enemas.
Cognitive-behavioral therapy involvesstandard elements of behavioral therapy, but the focus is centered on identifying and changing faulty mental models, beliefs and attitudes that can cause and exacerbate bouts of overeating or the other extreme - a complete rejection of food. Monitoring of food consumption - the most important element of therapy, as well as the definition of stimulants and their removal or the development of alternative reactions to such stimulation.
Interpersonal therapy focuses on interpersonal relationship problems, self-esteem, self-confidence, social skills and communication strategies to address these problems.
Various forms of family therapy. The problem of family therapy - to help family members to modify the factors that could affect the development of certain pathologies thinking bulimic patient. The blame for this disease brings not only the patient.
When the patient is recovering from bulimia, veryeffective group therapy. Communication in the group allows participants to share experiences, talk about how to overcome the disease and learn about other similar experiences. Besides, helping others helps to improve self-esteem of the individual. The group should send an experienced leader, specially trained.
Many patients also suffer from bulimiadepression, symptoms that disappear under the influence of anti-depressants. To date, only fluoxetine Prozac is approved for the treatment of bulimia. Office of sanitary inspection by the Food and Drug Administration (FDA). This antidepressant reduces the frequency of binge eating episodes, as well as the desire to free the stomach vomiting in patients with moderate to severe form of bulimia.