Bulimia Nervosa (literally, ox like hunger of nervous origin) is a condition usually arising in females in late adolescence, characterised by recurrent episodes of binge eating with compensatory behaviours such as vomiting, taking laxatives or diuretics in order to prevent weight gain. Among bulimics, self-esteem is significantly influenced by ideas about weight and shape. A feature of the illness is that the sufferer is either normal weight or overweight; in underweight individuals a diagnosis of anorexia will usually prevail.
People with bulimia may be highly attached to their illness for a variety of reasons, but it is less valued than anorexia; also it is usually hidden due to shame about the behaviours of binge eating and purging. Like anorexia and binge eating disorder, it tends to arise in the context of dieting to lose weight. However, the dieting strategy fails due to a breakdown of restraint. In this respect the illness is said to be ego-dystonic with sufferers wishing to be rid of their symptoms. Thus they are more likely to seek help. There are many ways of being bulimic; binges vary in quantity both among individuals and for the same individual over time; purges may occur several times a day or more infrequently; eating may be chaotic or there may be many eating occasions which are normal.
The aim of bulimia treatment is to help the client have a relaxed and confident relationship with food and to stop the compulsive eating and purging behaviours.
Bulimia treatment will target the underlying issues behind the problem and this may involve confronting old issues or events within the past. The therapy is designed to help you move forward by developing a new sense of well being and self confidence and to provide you with the tools to deal with situations when negative feelings arise.
The treatment would start with a full personal assessment which would then be followed up with tailored personal one to one sessions which will provide simple techniques on how to maintain motivation to change, how to conquer cravings and control eating habits, how to cope with stressful situations, emotional strengthening, how to manage unhelpful thinking, obsessions, body image perceptions, self esteem and how to deal with any other issues which have been identified in your personal assessment.