Materiały źródłowe

• #1 Bulimia Nervosa – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK562178/

  Bulimia nervosa is a disorder that is characterized by binge eating and inappropriate compensatory behavior to control weight with potentially dangerous sequelae. It is essential to identify and diagnose this condition promptly and to treat the patient effectively while monitoring progress and potential medical complications. This activity describes the evaluation and management of bulimia nervosa and highlights the role of the interprofessional team in the care of patients with this condition. […] The primary objective of treatment is a cessation of the binging and purging behavior. Selective serotonin reuptake inhibitors such as fluoxetine, citalopram, and sertraline have shown to reduce symptoms of bulimia nervosa. Fluoxetine is the only FDA approved medication for bulimia nervosa. It appears that a higher dose (60 mg) is significantly better than a placebo in decreasing the frequency of binge and vomiting episodes.

• #2 State of the Art: The Therapeutic Approaches to Bulimia Nervosa

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7902447/

  Bulimia nervosa (BN) is an eating disorder characterized by binge eating, inappropriate compensatory behaviors, and body image concerns in persons at or above a healthy body weight. BN is a serious disorder with medical sequelae and marked psychosocial impairment. To reduce and eliminate symptoms of BN, psychological and pharmacological treatments for BN have been developed. Here, we review the current state-of-the-art treatments for BN. […] At present, the first-line, state-of-the-art treatment for adults with BN is cognitive-behavioral therapy (CBT). Interpersonal therapy is a second-line evidence-based treatment for adults with BN, and dialectical behavior therapy and integrative cognitive-affective therapy show initial promise. For adolescent BN, family-based treatment for BN or CBT are evidence-based approaches. Pharmacotherapy is best considered adjunctive to psychotherapy in adults with BN, but may be helpful depending on the type of psychotherapy and whether psychotherapy is ineffective or unavailable. Fluoxetine 60 mg/day is the medication of choice for adults with BN.

• #3 Bulimia: Symptoms, diagnosis and treatments – Harvard Health

  https://www.health.harvard.edu/mind-and-mood/bulimia-symptoms-diagnosis-and-treatments

  Bulimia can lead to dehydration. Repeated vomiting can cause stomach acids to dissolve protective tooth enamel, making teeth much more vulnerable to decay. Overuse of laxatives can cause chronic gastrointestinal problems. Severe bulimia can lead to heart problems, and sometimes can be deadly. […] Treatment usually aims to address all of these problems by: reducing or eliminating binge eating and purging, treating physical complications caused by bulimia, helping the individual understand and change harmful thought patterns related to bulimia, identifying and treat any associated mental health disorders such as depression or anxiety, encouraging and developing family support. […] Nutritional counseling helps the individual develop a structured meal plan and learn to recognize, and resist, body cues and urges to binge and purge.

• #4 Bulimia nervosa – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/bulimia/diagnosis-treatment/drc-20353621

  When you have bulimia, you may need one or more types of treatment. Treatment includes proven therapies and medicines that may help you get better. […] Treatment generally involves a team approach that includes you, your family, your primary healthcare professional, a mental health professional and sometimes a dietitian who knows how to treat eating problems. […] Here’s a look at bulimia treatment options. […] Talk therapy, also known as psychotherapy, involves talking to a mental health professional about your bulimia and related issues. […] Studies show that these types of talk therapy can reduce symptoms of bulimia: Enhanced cognitive behavioral therapy, also known as CBT-E, to help teenagers and adults with bulimia create healthy-eating patterns and replace unhealthy, negative beliefs and behaviors with healthy, positive beliefs and behaviors.

• #5 Initial Evaluation, Diagnosis, and Treatment of Anorexia Nervosa and Bulimia Nervosa | AAFP

  https://www.aafp.org/pubs/afp/issues/2015/0101/p46.html

  Family-based treatment is helpful for adolescents with anorexia nervosa, whereas short-term psychotherapy, such as cognitive behavior therapy, is effective for most patients with bulimia nervosa. […] The use of psychotropic medications is limited for anorexia nervosa, whereas treatment studies have shown a benefit of antidepressant medications for patients with bulimia nervosa. […] An interdisciplinary team approach is needed for the treatment of eating disorders, and often includes a family physician, a psychotherapist or psychiatrist, a dietitian, an eating disorder specialist, and school personnel. […] Most patients with bulimia nervosa benefit from psychotherapy such as cognitive behavior therapy and/or treatment with a selective serotonin reuptake inhibitor. […] Treatment success may be dependent on developing a therapeutic alliance with the patient, involvement of the patient’s family, and close collaboration within the treatment team. […] Clinical trials have shown significant improvement in bulimia nervosa with cognitive behavior therapy and interpersonal psychotherapy. […] In patients with bulimia nervosa, studies have suggested SSRIs may be beneficial in decreasing the frequency of binge eating and purging.

• #6 Bulimia Nervosa Treatment & Management: Approach Considerations, Medical Care, Nonpharmacologic Interventions

  https://emedicine.medscape.com/article/286485-treatment

  The American Psychiatric Association (APA) recommends that adults with BN be treated with eating disorder-focused cognitive behavioral therapy (CBT) and that a serotonin reuptake inhibitor (eg, 60 mg fluoxetine daily) may also be prescribed, either initially or if there is minimal or no response to psychotherapy alone by 6 weeks of treatment. […] The APA suggests that adolescents and emerging adults with BN who have an involved caregiver be treated with eating disorder-focused family-based treatment (FBT). […] BN is best managed using an interdisciplinary approach. Care providers who should be involved include the primary care provider, psychiatrist, psychotherapist, and nutritionist/dietitian. […] The goals of treatment are as follows: Reduce and, where possible, eliminate binge eating and purging; Treat physical complications and restore nutritional health; Enhance patients’ motivation to cooperate in the restoration of healthy eating patterns and participate in treatment; Provide education regarding healthy nutrition and eating patterns; Help patients reassess and change core dysfunctional thoughts, attitudes, motives, conflicts, and feelings related to bulimia nervosa; Treat associated psychiatric conditions and psychological difficulties, including deficits in mood and impulse regulation, and factors contributing to poor self-esteem; Enlist family support and provide family counseling and therapy where appropriate; Prevent relapse.

• #7 Bulimia nervosa – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/bulimia/diagnosis-treatment/drc-20353621

  When you have bulimia, you may need one or more types of treatment. Treatment includes proven therapies and medicines that may help you get better. […] Treatment generally involves a team approach that includes you, your family, your primary healthcare professional, a mental health professional and sometimes a dietitian who knows how to treat eating problems. […] Here’s a look at bulimia treatment options. […] Talk therapy, also known as psychotherapy, involves talking to a mental health professional about your bulimia and related issues. […] Studies show that these types of talk therapy can reduce symptoms of bulimia: Enhanced cognitive behavioral therapy, also known as CBT-E, to help teenagers and adults with bulimia create healthy-eating patterns and replace unhealthy, negative beliefs and behaviors with healthy, positive beliefs and behaviors.

• #8 State of the Art: The Therapeutic Approaches to Bulimia Nervosa

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7902447/

  Bulimia nervosa (BN) is an eating disorder characterized by binge eating, inappropriate compensatory behaviors, and body image concerns in persons at or above a healthy body weight. BN is a serious disorder with medical sequelae and marked psychosocial impairment. To reduce and eliminate symptoms of BN, psychological and pharmacological treatments for BN have been developed. Here, we review the current state-of-the-art treatments for BN. […] At present, the first-line, state-of-the-art treatment for adults with BN is cognitive-behavioral therapy (CBT). Interpersonal therapy is a second-line evidence-based treatment for adults with BN, and dialectical behavior therapy and integrative cognitive-affective therapy show initial promise. For adolescent BN, family-based treatment for BN or CBT are evidence-based approaches. Pharmacotherapy is best considered adjunctive to psychotherapy in adults with BN, but may be helpful depending on the type of psychotherapy and whether psychotherapy is ineffective or unavailable. Fluoxetine 60 mg/day is the medication of choice for adults with BN.

• #9 Bulimia Treatment Therapy | Plans With Proven Results

  https://withinhealth.com/learn/articles/treatment-of-bulimia-nervosa

  Exposure therapy operates similarly to how it sounds. It helps people by getting them to directly face their fears. […] Nutrition counseling and meal support are included in most levels of care for bulimia nervosa. […] Experiential treatments for bulimia nervosa help a person heal by getting them out of their mind and into their body. […] It is entirely possible to stop bulimia in its tracks and start down the path to healing. […] Our bulimia treatment program consists of two levels of care: Partial hospitalization program and Intensive outpatient program. […] The level of care required for an individual living with bulimia will be determined depending on the severity of restricting and purging, overall health and wellbeing, and a persons specific needs. […] Cognitive behavioral therapy is widely considered the leading treatment for bulimia nervosa, with a history of helping patients curb binge eating episodes and improve mental health.

• #10 The Most Effective Treatments for Bulimia Nervosa | The Bulimia Project

  https://bulimia.com/bulimia-treatment/effective-methods/

  Bulimia nervosa (BN) is a serious mental health condition that can have dangerous and long-lasting impacts on physical, mental, and emotional well-being. […] Treating eating disorders like bulimia nervosa is possible through the right kind of support and care, along with patience and time. Many methods can help you or a loved one find recovery from bulimia nervosa. […] A multi-faceted approach to treatment is often the best way to address these various issues. […] As such, psychological care is usually the primary method of bulimia treatment. […] Some of the most common types of psychotherapy to help treat bulimia include: […] Often considered the most effective treatment for bulimia nervosa, CBT helps people change unhelpful behavioral patterns by recognizing and changing the unhelpful thought patterns that drive them.

• #11 Assessment and Treatment of Bulimia Nervosa | AAFP

  https://www.aafp.org/pubs/afp/issues/1998/0601/p2743.html

  Despite differences in the application of techniques, the skill level of clinicians and the duration of the illness, controlled studies have clearly established the superiority of cognitive-behavioral therapy for the treatment of bulimia nervosa. […] The relative benefits of medications and cognitive-behavioral therapy have been assessed and compared. Study results indicate that cognitive-behavioral therapy is superior to medication alone and that the combination of cognitive-behavioral therapy and medication is more effective than the use of medication alone. […] Although cognitive-behavioral therapy is the first-line treatment of choice for bulimia nervosa, its effectiveness is limited. Approximately 50 percent of patients who receive this therapy stop binge eating and purging.

• #12 Bulimia nervosa – Wikipedia

  https://en.wikipedia.org/wiki/Bulimia_nervosa

  Cognitive behavioral therapy (CBT) is considered the gold standard for the treatment of bulimia nervosa. This approach focuses on helping patients identify and change distorted thought patterns related to eating, body image, and self worth. […] CBT helps patients identify and challenge the distorted thinking individuals might have about food, weight and body image. It also helps by offering the chance to identify the unhelpful thoughts about food and body image. […] By using CBT people record how much food they eat and periods of vomiting with the purpose of identifying and avoiding emotional fluctuations that bring on episodes of bulimia on a regular basis, as a component of this therapy is food journaling. […] CBT is necessarily good for those with bulimia as it targets the binge-purge cycle, which is the hallmark of bulimia.

• #13 Bulimia: Symptoms, diagnosis and treatments – Harvard Health

  https://www.health.harvard.edu/mind-and-mood/bulimia-symptoms-diagnosis-and-treatments

  Cognitive behavior therapy can help an individual with bulimia improve her or his body image, understand and deal with emotions, modify obsessive thinking and compulsive behaviors related to food, and create healthy eating behaviors. Family and group psychotherapy can also be helpful. […] Medications such as antidepressants can sometimes reduce the urge to binge and purge, particularly in the short term. But medication generally doesn’t work alone, and is best when combined with psychotherapy and other kinds of support. […] But even after successful treatment, bulimia can return, which is why experts often recommend maintenance treatment.

• #14 Bulimia nervosa: treatment for adults | Information for the public | Eating disorders: recognition and treatment | Guidance | NICE

  https://www.nice.org.uk/guidance/ng69/ifp/chapter/Bulimia-nervosa-treatment-for-adults

  The practitioner should support and encourage you to adopt regular eating habits. They should help you address the difficult thoughts and feelings that trigger your binge-eating, and the way you feel about your weight and shape. They should show you how to stick to your new eating habits after your therapy ends, including at times when this feels very difficult (this is called relapse prevention). […] Your body weight is unlikely to change much during your therapy because it is not designed to help you lose or gain weight. If you need to reach a healthy weight, you should expect this to be a longer-term part of your recovery. Your practitioner can give you more advice about this.

• #15 Bulimia Nervosa Information and Treatment- Ellern Mede

  https://ellernmede.org/eating-disorders-information/bulimia-information/

  A strong focus of the treatment is on the particular causes of the bulimic behaviour in each patient. This could be linked to underlying psychological issues and so psychological therapy explores the thoughts that trigger the behaviour. […] The cycle of bingeing and purging can be similar to an addiction; breaking the cycle is essential to begin to restore normal eating patterns. […] Some patients may be recommended antidepressant medication. […] Ellern Mede outpatient treatment consultations for psychiatry, psychology and dietetics may be found to help post discharge from other providers’ inpatient care. […] Research reported in UK statistics portal ‘Statista’ indicates that 45% of people who experience bulimia will make a full recovery and 27% a partial recovery. […] Dr Gregg Jantz, an author on eating disorders, writes: “staying connected to you is the key to bulimia recovery” and offers five tips for maintaining your recovery after treatment: […] Finally Dr Jantz says: “It is okay if you stumble. It is okay if you fall. What matters most is that you get back up and stay on the road to recovery that belongs to you and you alone.”

• #16 Bulimia Nervosa Treatment & Management: Approach Considerations, Medical Care, Nonpharmacologic Interventions

  https://emedicine.medscape.com/article/286485-treatment

  The American Psychiatric Association (APA) recommends that adults with BN be treated with eating disorder-focused cognitive behavioral therapy (CBT) and that a serotonin reuptake inhibitor (eg, 60 mg fluoxetine daily) may also be prescribed, either initially or if there is minimal or no response to psychotherapy alone by 6 weeks of treatment. […] The APA suggests that adolescents and emerging adults with BN who have an involved caregiver be treated with eating disorder-focused family-based treatment (FBT). […] BN is best managed using an interdisciplinary approach. Care providers who should be involved include the primary care provider, psychiatrist, psychotherapist, and nutritionist/dietitian. […] The goals of treatment are as follows: Reduce and, where possible, eliminate binge eating and purging; Treat physical complications and restore nutritional health; Enhance patients’ motivation to cooperate in the restoration of healthy eating patterns and participate in treatment; Provide education regarding healthy nutrition and eating patterns; Help patients reassess and change core dysfunctional thoughts, attitudes, motives, conflicts, and feelings related to bulimia nervosa; Treat associated psychiatric conditions and psychological difficulties, including deficits in mood and impulse regulation, and factors contributing to poor self-esteem; Enlist family support and provide family counseling and therapy where appropriate; Prevent relapse.

• #17 The Most Effective Treatments for Bulimia Nervosa | The Bulimia Project

  https://bulimia.com/bulimia-treatment/effective-methods/

  Dialectical behavior therapy focuses on helping patients improve their emotional regulation, distress tolerance, and interpersonal relationships and cultivate a greater sense of mindfulness. […] Rather than focusing on thoughts that may be harmful, ACT teaches patients to let those thoughts go. […] Treatment methods addressing physical ailments are also sometimes necessary. […] Nutritional care is another keystone of bulimia nervosa treatment. […] Medications are generally not considered a first-line treatment for eating disorders, but some patients use them in tandem with psychotherapy. […] In general, however, cognitive behavioral therapy is considered the treatment of choice for BN. […] Recently, an enhanced cognitive behavioral therapy method (CBT-E) has been developed, which incorporates the same techniques as CBT but addresses additional issues, such as low self-esteem, mood regulation, and perfectionism.

• #18

  https://www2.hse.ie/conditions/bulimia/treatment/

  You may also be offered CBT-E. This is a specific form of CBT for people with eating disorders. […] Treatment for bulimia can include an antidepressant, such as fluoxetine (Prozac). […] Antidepressants can work with therapy or self-help treatment to help you manage other conditions such as anxiety, depression, social phobia, obsessive compulsive disorder (OCD). […] Most people with bulimia will be able to stay at home during treatment. You will usually have appointments at your clinic and then be able to go home. […] Your doctors will keep a very careful eye on your weight and health in hospital. They will help you to reach a healthy weight over time. When you are in hospital you can start or continue any therapy you are having.

• #19 Bulimia nervosa: treatment for adults | Information for the public | Eating disorders: recognition and treatment | Guidance | NICE

  https://www.nice.org.uk/guidance/ng69/ifp/chapter/Bulimia-nervosa-treatment-for-adults

  If you have bulimia you may be offered a guided self-help programme. This means working through a book about bulimia, and having short sessions with a practitioner (such as a therapist) to check how you are doing. People generally have between 4 and 9 sessions that last about 20 minutes each. However, you and your practitioner should agree how many sessions to have and how long they will last, depending on what works for you. […] Guided self-help is often helpful but it is not right for everyone. If you feel it has not helped after 4 weeks, you may be offered cognitive behavioural therapy (CBT). […] If you’re offered CBT you should expect to have up to 20 sessions over 20 weeks (4 to 5 months). To start with you should see your practitioner twice a week. You can also choose to involve people close to you in your therapy.

• #20 Bulimia Nervosa – Psychiatric Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/psychiatric-disorders/eating-disorders/bulimia-nervosa

  Bulimia nervosa is characterized by recurrent episodes of binge eating followed by some form of inappropriate compensatory behavior such as purging (self-induced vomiting, laxative or diuretic abuse), fasting, or driven exercise; episodes occur, on average, at least once/week for 3 months. […] Treatment is with psychologic therapy and antidepressants. […] Cognitive behavioral therapy is the treatment of choice for bulimia nervosa. […] Therapy usually involves 16 to 20 individual sessions over 4 to 5 months, although it can also be done as group therapy. […] Treatment aims to increase motivation for change, replace dysfunctional eating with a regular and flexible pattern, decrease undue concern with body shape and weight, and prevent relapse. […] Cognitive behavioral therapy eliminates binge eating and purging in about 30 to 50% of patients.

• #21 Bulimia nervosa – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/bulimia/diagnosis-treatment/drc-20353621

  When you have bulimia, you may need one or more types of treatment. Treatment includes proven therapies and medicines that may help you get better. […] Treatment generally involves a team approach that includes you, your family, your primary healthcare professional, a mental health professional and sometimes a dietitian who knows how to treat eating problems. […] Here’s a look at bulimia treatment options. […] Talk therapy, also known as psychotherapy, involves talking to a mental health professional about your bulimia and related issues. […] Studies show that these types of talk therapy can reduce symptoms of bulimia: Enhanced cognitive behavioral therapy, also known as CBT-E, to help teenagers and adults with bulimia create healthy-eating patterns and replace unhealthy, negative beliefs and behaviors with healthy, positive beliefs and behaviors.

• #22 State of the Art: The Therapeutic Approaches to Bulimia Nervosa

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7902447/

  IPT is an efficacious treatment for BN, as evidenced by results from two randomized-controlled trials. […] DBT for BN commences with commitment and orientation, in which the patient commits to ceasing bulimic behaviors. […] Evidence for ICAT-BN is preliminary and is comprised of one randomized-controlled trial. […] Current clinical guidelines recommend FBT-BN for adolescent BN and three randomized-controlled trials have evaluated the efficacy of FBT-BN to date. […] Current clinical guidelines recommend FBT-BN for adolescent BN and individual CBT is an acceptable alternative. Fluoxetine 60 mg/day appears to have benefit and is acceptable to adolescents with BN. […] At present, the first-choice treatment for BN is outpatient psychotherapy. For adults with the disorder, clinical guidelines informed by empirical research recommend therapist-led CBT.

• #23 Involving parents in therapy doubles success rates for bulimia treatment – UChicago Medicine

  https://www.uchicagomedicine.org/forefront/news/2007/september/involving-parents-in-therapy-doubles-success-rates-for-bulimia-treatment

  In the first randomized controlled trial for adolescent bulimia nervosa to be completed in the US, researchers show that mobilizing parents to help an adolescent overcome the disorder can double the percentage of teens who were able to abstain from binge eating and purging after six months. […] In family-based treatment, parents and at times even siblings attend clinic sessions with the patient. Parents play an active follow-up role at home, encouraging their adolescents to eat as normally as possible, then monitoring them during and after meals to make sure they eat and are not tempted to purge. […] „For years parents have been left out of the treatment process,” Le Grange said. They often feel guilty about intervening. „But what parent would step aside and play a minimal role in treatment if their child was diagnosed with cancer? Nor should they if a child has an eating disorder. Eating disorders pose serious health hazards.”

• #24 For teens with bulimia, family-based therapy works best | News Center

  https://med.stanford.edu/news/all-news/2015/09/for-teens-with-bulimia-family-based-therapy-works-best.html

  Recovery from the eating disorder is faster if adolescents receive a treatment that enlists their parents, according to a new study. The best therapy for teenagers with bulimia is different than the one for adults, according to the first large study to provide a head-to-head comparison of two well-regarded treatments for adolescents with the eating disorder. Conducted by researchers at the Stanford University School of Medicine and the University of Chicago, the study also shows that teens’ families can play a big role in helping them recover from bulimia. At the end of six months of treatment, adolescents who received family-based therapy were more likely to have stopped their abnormal eating behaviors than those who received the standard treatment for adults, the study found. The big take-home message is that families can really help their kids with bulimia nervosa. Although the research did not test why family-based therapy worked better for teens, the finding is not surprising. The cognitive and developmental context is very different for teens than for adult patients. The big take-home message is that families can really help their kids with bulimia nervosa.

• #25 Bulimia nervosa – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/bulimia/diagnosis-treatment/drc-20353621

  Family-based treatment, also known as FBT, to help the parents of children and teenagers with bulimia learn what to do about unhealthy-eating behaviors and help their child regain control over what is eaten. […] Dialectical behavioral therapy, to help people better tolerate distress, become more emotionally balanced, be more mindful and get along better with others. […] Ask your mental health professional which type of therapy will be used and how that therapy helps treat bulimia. […] Specific antidepressants may reduce the symptoms of bulimia. The only antidepressant that the U.S. Food and Drug Administration (FDA) has approved specifically to treat bulimia is fluoxetine (Prozac). […] This medicine works better when it’s used with talk therapy. […] Dietitians with special training in treating eating disorders can help. They can design an eating plan to help you eat healthier, manage feelings of being overly hungry or having too many cravings, and provide good nutrition.

• #26 Involving parents in therapy doubles success rates for bulimia treatment – UChicago Medicine

  https://www.uchicagomedicine.org/forefront/news/2007/september/involving-parents-in-therapy-doubles-success-rates-for-bulimia-treatment

  In the first randomized controlled trial for adolescent bulimia nervosa to be completed in the US, researchers show that mobilizing parents to help an adolescent overcome the disorder can double the percentage of teens who were able to abstain from binge eating and purging after six months. […] In family-based treatment, parents and at times even siblings attend clinic sessions with the patient. Parents play an active follow-up role at home, encouraging their adolescents to eat as normally as possible, then monitoring them during and after meals to make sure they eat and are not tempted to purge. […] „For years parents have been left out of the treatment process,” Le Grange said. They often feel guilty about intervening. „But what parent would step aside and play a minimal role in treatment if their child was diagnosed with cancer? Nor should they if a child has an eating disorder. Eating disorders pose serious health hazards.”

• #27 Involving parents in therapy doubles success rates for bulimia treatment – UChicago Medicine

  https://www.uchicagomedicine.org/forefront/news/2007/september/involving-parents-in-therapy-doubles-success-rates-for-bulimia-treatment

  In the first randomized controlled trial for adolescent bulimia nervosa to be completed in the US, researchers show that mobilizing parents to help an adolescent overcome the disorder can double the percentage of teens who were able to abstain from binge eating and purging after six months. […] In family-based treatment, parents and at times even siblings attend clinic sessions with the patient. Parents play an active follow-up role at home, encouraging their adolescents to eat as normally as possible, then monitoring them during and after meals to make sure they eat and are not tempted to purge. […] „For years parents have been left out of the treatment process,” Le Grange said. They often feel guilty about intervening. „But what parent would step aside and play a minimal role in treatment if their child was diagnosed with cancer? Nor should they if a child has an eating disorder. Eating disorders pose serious health hazards.”

• #28 For teens with bulimia, family-based therapy works best | News Center

  https://med.stanford.edu/news/all-news/2015/09/for-teens-with-bulimia-family-based-therapy-works-best.html

  Recovery from the eating disorder is faster if adolescents receive a treatment that enlists their parents, according to a new study. The best therapy for teenagers with bulimia is different than the one for adults, according to the first large study to provide a head-to-head comparison of two well-regarded treatments for adolescents with the eating disorder. Conducted by researchers at the Stanford University School of Medicine and the University of Chicago, the study also shows that teens’ families can play a big role in helping them recover from bulimia. At the end of six months of treatment, adolescents who received family-based therapy were more likely to have stopped their abnormal eating behaviors than those who received the standard treatment for adults, the study found. The big take-home message is that families can really help their kids with bulimia nervosa. Although the research did not test why family-based therapy worked better for teens, the finding is not surprising. The cognitive and developmental context is very different for teens than for adult patients. The big take-home message is that families can really help their kids with bulimia nervosa.

• #29 What Forms of Treatment are Effective for Bulimia Nervosa?

  https://www.honeylake.clinic/blog/what-forms-of-treatment-are-effective-for-bulimia-nervosa/

  Bulimia nervosa is a well-known eating disorder. Typical treatments for bulimia combine psychotherapy, antidepressants, and nutritional counseling. Finding a treatment program which includes a psychologist or psychiatrist, medical doctors, and licensed nutritionists, all experienced in dealing with eating disorders is important. Psychological treatments for bulimia may involve individual, family, and/or group psychotherapy. Antidepressants such as selective serotonin reuptake inhibitors (SSRIs) in combination with psychotherapies have been effective in treating bulimia. A healthy approach to eating and nutrition is integral to bulimia recovery and your life beyond eating disorders. Bulimia is treatable. Most who receive treatment for bulimia recover and resume a healthy lifestyle. It is important for you to seek treatment as early as possible.

• #30 State of the Art: The Therapeutic Approaches to Bulimia Nervosa

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7902447/

  Bulimia nervosa (BN) is an eating disorder characterized by binge eating, inappropriate compensatory behaviors, and body image concerns in persons at or above a healthy body weight. BN is a serious disorder with medical sequelae and marked psychosocial impairment. To reduce and eliminate symptoms of BN, psychological and pharmacological treatments for BN have been developed. Here, we review the current state-of-the-art treatments for BN. […] At present, the first-line, state-of-the-art treatment for adults with BN is cognitive-behavioral therapy (CBT). Interpersonal therapy is a second-line evidence-based treatment for adults with BN, and dialectical behavior therapy and integrative cognitive-affective therapy show initial promise. For adolescent BN, family-based treatment for BN or CBT are evidence-based approaches. Pharmacotherapy is best considered adjunctive to psychotherapy in adults with BN, but may be helpful depending on the type of psychotherapy and whether psychotherapy is ineffective or unavailable. Fluoxetine 60 mg/day is the medication of choice for adults with BN.

• #31 Bulimia nervosa – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/bulimia/diagnosis-treatment/drc-20353621

  When you have bulimia, you may need one or more types of treatment. Treatment includes proven therapies and medicines that may help you get better. […] Treatment generally involves a team approach that includes you, your family, your primary healthcare professional, a mental health professional and sometimes a dietitian who knows how to treat eating problems. […] Here’s a look at bulimia treatment options. […] Talk therapy, also known as psychotherapy, involves talking to a mental health professional about your bulimia and related issues. […] Studies show that these types of talk therapy can reduce symptoms of bulimia: Enhanced cognitive behavioral therapy, also known as CBT-E, to help teenagers and adults with bulimia create healthy-eating patterns and replace unhealthy, negative beliefs and behaviors with healthy, positive beliefs and behaviors.

• #32 The Most Effective Treatments for Bulimia Nervosa | The Bulimia Project

  https://bulimia.com/bulimia-treatment/effective-methods/

  Dialectical behavior therapy focuses on helping patients improve their emotional regulation, distress tolerance, and interpersonal relationships and cultivate a greater sense of mindfulness. […] Rather than focusing on thoughts that may be harmful, ACT teaches patients to let those thoughts go. […] Treatment methods addressing physical ailments are also sometimes necessary. […] Nutritional care is another keystone of bulimia nervosa treatment. […] Medications are generally not considered a first-line treatment for eating disorders, but some patients use them in tandem with psychotherapy. […] In general, however, cognitive behavioral therapy is considered the treatment of choice for BN. […] Recently, an enhanced cognitive behavioral therapy method (CBT-E) has been developed, which incorporates the same techniques as CBT but addresses additional issues, such as low self-esteem, mood regulation, and perfectionism.

• #33 Evidence-based eating disorder treatment – Eating Disorders Victoria

  https://eatingdisorders.org.au/my-eating-disorder-recovery-journey/evidence-based-eating-disorder-treatment/

  Interpersonal Therapy (IPT) for Bulimia Nervosa and Binge Eating Disorder: Interpersonal therapy is a form of psychotherapy based on exploring and addressing issues in relationships (family and peers). […] Interpersonal therapy has been found to be effective in treating bulimia nervosa and binge eating disorder but it is not recommended as a treatment for anorexia nervosa. […] Dialectical Behavioural Therapy (DBT) for Bulimia Nervosa and Binge Eating Disorder: Dialectical behavioural therapy is a skills-based therapy designed to teach healthy coping strategies. […] Most suitable for: Adults with bulimia nervosa and binge eating disorder. Not recommended for those with anorexia nervosa.

• #34 Bulimia nervosa | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/mental-health/eating-disorders/bulimia-nervosa/

  Your GP may refer you for treatment to an eating disorder service. An eating disorder service will usually offer a structured programme of treatment which may include physical monitoring, dietetic advice and psychological treatment. […] The main type of psychological treatment for bulimia nervosa is cognitive behavioural therapy (CBT). CBT starts with the idea that thoughts, feelings, and behaviour are linked and affect one another. CBT aims to improve your eating behaviours. It tries to help you see how the ways you think, affect how you feel, and what you do. […] One alternative to CBT is interpersonal psychotherapy (IPT). IPT explores the way your relationships with people close to you impact the way you feel and how to improve these relationships. […] Antidepressants like selective serotonin reuptake inhibitors (SSRIs) may be used to treat bulimia. They can reduce the urges to binge and purge and improve how you feel.

• #35 The Most Effective Treatments for Bulimia Nervosa | The Bulimia Project

  https://bulimia.com/bulimia-treatment/effective-methods/

  Dialectical behavior therapy focuses on helping patients improve their emotional regulation, distress tolerance, and interpersonal relationships and cultivate a greater sense of mindfulness. […] Rather than focusing on thoughts that may be harmful, ACT teaches patients to let those thoughts go. […] Treatment methods addressing physical ailments are also sometimes necessary. […] Nutritional care is another keystone of bulimia nervosa treatment. […] Medications are generally not considered a first-line treatment for eating disorders, but some patients use them in tandem with psychotherapy. […] In general, however, cognitive behavioral therapy is considered the treatment of choice for BN. […] Recently, an enhanced cognitive behavioral therapy method (CBT-E) has been developed, which incorporates the same techniques as CBT but addresses additional issues, such as low self-esteem, mood regulation, and perfectionism.

• #36 Common Types of Therapy Involved in Eating Disorder Treatment – Rosewood Centers for Eating Disorders

  https://www.rosewoodranch.com/common-types-eating-disorder-treatment/

  Cognitive Behavioral Therapy (CBT) has been proven useful in treating other forms of mental health illness such as addiction and depression and has become a central component of many eating disorder recovery programs. […] Acceptance and Commitment Therapy (ACT) is similar to CBT in that it involves identifying certain negative emotions, however, it is less focused on altering negative emotions. […] This type of therapy is useful in treating anxiety disorders as well as EDs like anorexia nervosa and bulimia nervosa. […] These treatments are proven effective for virtually all forms of eating disorders; they are indeed used across a wide spectrum of mental health treatments from depression to substance use disorder. […] If you or a loved one is struggling with an eating disorder, reach out as soon as you can. Recovery is possible.

• #37 Bulimia Treatment Therapy | Plans With Proven Results

  https://withinhealth.com/learn/articles/treatment-of-bulimia-nervosa

  Exposure therapy operates similarly to how it sounds. It helps people by getting them to directly face their fears. […] Nutrition counseling and meal support are included in most levels of care for bulimia nervosa. […] Experiential treatments for bulimia nervosa help a person heal by getting them out of their mind and into their body. […] It is entirely possible to stop bulimia in its tracks and start down the path to healing. […] Our bulimia treatment program consists of two levels of care: Partial hospitalization program and Intensive outpatient program. […] The level of care required for an individual living with bulimia will be determined depending on the severity of restricting and purging, overall health and wellbeing, and a persons specific needs. […] Cognitive behavioral therapy is widely considered the leading treatment for bulimia nervosa, with a history of helping patients curb binge eating episodes and improve mental health.

• #38 Bulimia nervosa in adults: Pharmacotherapy – UpToDate

  https://www.uptodate.com/contents/bulimia-nervosa-in-adults-pharmacotherapy

  Pharmacotherapy is efficacious for bulimia nervosa and may be included in the treatment regimen as part of multimodal therapy. Antidepressants have been most widely studied, and are typically the drugs of choice due to their demonstrated efficacy and tolerability. […] Pharmacotherapy for bulimia nervosa is reviewed here. The epidemiology, neurobiology, clinical features, assessment, diagnosis, other treatments and outcome, and medical complications of bulimia nervosa and their management are discussed separately.

• #39 Bulimia nervosa

  https://womenshealth.gov/mental-health/mental-health-conditions/eating-disorders/bulimia-nervosa

  Nutritional counseling. A registered dietitian or counselor can help you eat in a healthier way than binging and purging. […] Support groups can be helpful for some people with bulimia when added to other treatment. In support groups, girls or women and sometimes their families meet and share their stories. […] Medicine. Fluoxetine (Prozac) is the only medicine approved by the Food and Drug Administration (FDA) for treating bulimia, but only in adults. It may help reduce binging and purging and improve your thoughts about eating. Some antidepressants may help girls and women with bulimia who also have depression or anxiety. […] Most girls and women do get better with treatment and are able to eat and exercise in healthy ways again. Some may get better after the first treatment. Others get well but may relapse and need treatment again.

• #40 Bulimia Nervosa – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK562178/

  Bulimia nervosa is a disorder that is characterized by binge eating and inappropriate compensatory behavior to control weight with potentially dangerous sequelae. It is essential to identify and diagnose this condition promptly and to treat the patient effectively while monitoring progress and potential medical complications. This activity describes the evaluation and management of bulimia nervosa and highlights the role of the interprofessional team in the care of patients with this condition. […] The primary objective of treatment is a cessation of the binging and purging behavior. Selective serotonin reuptake inhibitors such as fluoxetine, citalopram, and sertraline have shown to reduce symptoms of bulimia nervosa. Fluoxetine is the only FDA approved medication for bulimia nervosa. It appears that a higher dose (60 mg) is significantly better than a placebo in decreasing the frequency of binge and vomiting episodes.

• #41 State of the Art: The Therapeutic Approaches to Bulimia Nervosa

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7902447/

  The pharmacotherapy of choice for BN is fluoxetine prescribed at 60 mg/day. Pharmacotherapy should generally be considered adjunctive to psychotherapy, but standalone pharmacotherapy may be indicated when psychotherapy is unavailable or ineffective and may depend on the type of psychotherapy available.

• #42 Bulimia Nervosa: Signs, Causes, and Treatment

  https://www.healthline.com/health/bulimia-nervosa

  Treatment focuses on food and nutrition education as well as mental health treatment. It requires development of a healthy view of yourself and a healthy relationship with food. […] Treatment options can include: […] Antidepressants. Currently, fluoxetine (Prozac) is the only antidepressant approved by the Food and Drug Administration (FDA) to treat bulimia. This selective serotonin reuptake inhibitor may also help with depression and anxiety. Fluoxetine is only approved for treating bulimia in adults. […] Psychotherapy. Also called talk therapy, this type of counseling can include cognitive behavioral therapy, family-based therapy, and interpersonal psychotherapy. The goal is to help you work through potentially harmful thoughts and behaviors that contribute to your condition. Group talk therapy may also be helpful.

• #43 Bulimia nervosa – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/bulimia/diagnosis-treatment/drc-20353621

  Family-based treatment, also known as FBT, to help the parents of children and teenagers with bulimia learn what to do about unhealthy-eating behaviors and help their child regain control over what is eaten. […] Dialectical behavioral therapy, to help people better tolerate distress, become more emotionally balanced, be more mindful and get along better with others. […] Ask your mental health professional which type of therapy will be used and how that therapy helps treat bulimia. […] Specific antidepressants may reduce the symptoms of bulimia. The only antidepressant that the U.S. Food and Drug Administration (FDA) has approved specifically to treat bulimia is fluoxetine (Prozac). […] This medicine works better when it’s used with talk therapy. […] Dietitians with special training in treating eating disorders can help. They can design an eating plan to help you eat healthier, manage feelings of being overly hungry or having too many cravings, and provide good nutrition.

• #44 Initial Evaluation, Diagnosis, and Treatment of Anorexia Nervosa and Bulimia Nervosa | AAFP

  https://www.aafp.org/pubs/afp/issues/2015/0101/p46.html

  Family-based treatment is helpful for adolescents with anorexia nervosa, whereas short-term psychotherapy, such as cognitive behavior therapy, is effective for most patients with bulimia nervosa. […] The use of psychotropic medications is limited for anorexia nervosa, whereas treatment studies have shown a benefit of antidepressant medications for patients with bulimia nervosa. […] An interdisciplinary team approach is needed for the treatment of eating disorders, and often includes a family physician, a psychotherapist or psychiatrist, a dietitian, an eating disorder specialist, and school personnel. […] Most patients with bulimia nervosa benefit from psychotherapy such as cognitive behavior therapy and/or treatment with a selective serotonin reuptake inhibitor. […] Treatment success may be dependent on developing a therapeutic alliance with the patient, involvement of the patient’s family, and close collaboration within the treatment team. […] Clinical trials have shown significant improvement in bulimia nervosa with cognitive behavior therapy and interpersonal psychotherapy. […] In patients with bulimia nervosa, studies have suggested SSRIs may be beneficial in decreasing the frequency of binge eating and purging.

• #45 Bulimia nervosa

  https://womenshealth.gov/mental-health/mental-health-conditions/eating-disorders/bulimia-nervosa

  Nutritional counseling. A registered dietitian or counselor can help you eat in a healthier way than binging and purging. […] Support groups can be helpful for some people with bulimia when added to other treatment. In support groups, girls or women and sometimes their families meet and share their stories. […] Medicine. Fluoxetine (Prozac) is the only medicine approved by the Food and Drug Administration (FDA) for treating bulimia, but only in adults. It may help reduce binging and purging and improve your thoughts about eating. Some antidepressants may help girls and women with bulimia who also have depression or anxiety. […] Most girls and women do get better with treatment and are able to eat and exercise in healthy ways again. Some may get better after the first treatment. Others get well but may relapse and need treatment again.

• #46 Bulimia Nervosa – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK562178/

  Bulimia nervosa is a disorder that is characterized by binge eating and inappropriate compensatory behavior to control weight with potentially dangerous sequelae. It is essential to identify and diagnose this condition promptly and to treat the patient effectively while monitoring progress and potential medical complications. This activity describes the evaluation and management of bulimia nervosa and highlights the role of the interprofessional team in the care of patients with this condition. […] The primary objective of treatment is a cessation of the binging and purging behavior. Selective serotonin reuptake inhibitors such as fluoxetine, citalopram, and sertraline have shown to reduce symptoms of bulimia nervosa. Fluoxetine is the only FDA approved medication for bulimia nervosa. It appears that a higher dose (60 mg) is significantly better than a placebo in decreasing the frequency of binge and vomiting episodes.

• #47 Bulimia Nervosa Treatment – Medications, Therapies, Self-Care, and Specialists

  https://www.webmd.com/mental-health/eating-disorders/bulimia-nervosa/understanding-bulimia-treatment

  The primary treatment for bulimia often combines psychotherapy, antidepressants, and nutritional counseling. […] Psychological treatments for bulimia may involve individual, family, or group psychotherapy. […] Antidepressants, such as selective serotonin reuptake inhibitors (SSRIs) — including Celexa, Lexapro, Prozac, and Zoloft — in combination with psychological therapies, are now a mainstay in bulimia therapy. […] Most alternative therapies for bulimia do not address the root causes of the disorder, but they can be helpful in relieving some of the physical distress resulting from it. […] A nutrient-dense, sugar-free diet may help reduce binge eating. […] Remember that treatment probably will include some retraining on how you think about food, eating, and your body. Treatment may be needed over a long period to try to win control over the binge-purge habits.

• #48 Bulimia nervosa – Symptoms, diagnosis and treatment | BMJ Best Practice

  https://bestpractice.bmj.com/topics/en-gb/441

  Bulimia nervosa is an eating disorder, characterised by severe preoccupation about weight and body shape. Includes recurrent episodes of binge eating with compensatory mechanisms, such as self-induced vomiting, to prevent weight gain. […] Cognitive behavioural therapy (CBT) is considered optimal primary treatment for bulimia, but it may not always be available. […] Selective serotonin-reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs) may be used adjunctively to CBT, or as an alternative when CBT is not available. […] Treatment of comorbid psychiatric disorders, such as major depressive disorder and obsessive-compulsive disorder, is necessary to optimise the chance of recovery from bulimia nervosa. SSRIs are effective in additional treatment of comorbid psychiatric disease.

• #49 Bulimia Nervosa: Symptoms and Treatment | Doctor

  https://patient.info/doctor/bulimia-nervosa-pro

  NICE guidelines recommend bulimia-nervosa-focused family therapy as first-line management. This involves 18-20 sessions over six months with a therapist and involves the family in supporting and monitoring, and encouraging regular eating and reducing compensatory behaviours. If this is ineffective or not an option then the alternative is individual CBT-ED. This typically involves 18 sessions over six weeks, initially with more frequent sessions. Some sessions would involve the person’s parent(s) or carer(s). […] NICE guidelines currently recommend that medication should not be offered as a sole treatment for bulimia. The evidence review found no evidence that pharmacological therapy is effective. Comorbid mental health problems may require pharmacological treatment. […] The evidence base for optimal treatment of bulimia nervosa remains weak. Cochrane reviews seem to demonstrate efficacy of CBT, although quality of evidence is noted to be variable.

• #50 Bulimia nervosa – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/bulimia/diagnosis-treatment/drc-20353621

  Family-based treatment, also known as FBT, to help the parents of children and teenagers with bulimia learn what to do about unhealthy-eating behaviors and help their child regain control over what is eaten. […] Dialectical behavioral therapy, to help people better tolerate distress, become more emotionally balanced, be more mindful and get along better with others. […] Ask your mental health professional which type of therapy will be used and how that therapy helps treat bulimia. […] Specific antidepressants may reduce the symptoms of bulimia. The only antidepressant that the U.S. Food and Drug Administration (FDA) has approved specifically to treat bulimia is fluoxetine (Prozac). […] This medicine works better when it’s used with talk therapy. […] Dietitians with special training in treating eating disorders can help. They can design an eating plan to help you eat healthier, manage feelings of being overly hungry or having too many cravings, and provide good nutrition.

• #51 Bulimia: Symptoms, diagnosis and treatments – Harvard Health

  https://www.health.harvard.edu/mind-and-mood/bulimia-symptoms-diagnosis-and-treatments

  Bulimia can lead to dehydration. Repeated vomiting can cause stomach acids to dissolve protective tooth enamel, making teeth much more vulnerable to decay. Overuse of laxatives can cause chronic gastrointestinal problems. Severe bulimia can lead to heart problems, and sometimes can be deadly. […] Treatment usually aims to address all of these problems by: reducing or eliminating binge eating and purging, treating physical complications caused by bulimia, helping the individual understand and change harmful thought patterns related to bulimia, identifying and treat any associated mental health disorders such as depression or anxiety, encouraging and developing family support. […] Nutritional counseling helps the individual develop a structured meal plan and learn to recognize, and resist, body cues and urges to binge and purge.

• #52 Bulimia Nervosa: Signs, Symptoms & Treatment | Nationwide Children’s Hospital

  https://www.nationwidechildrens.org/conditions/bulimia-nervosa

  Proper treatment for bulimia requires professional help from a multidisciplinary team of specialists. […] Treatment may include: […] Nutrition therapy. A dietitian creates an eating plan to restore healthy eating habits and treat dehydration and electrolyte imbalance. […] Counseling. A therapist or psychiatrist who specializes in eating disorders talks to the child about his or her thoughts and feelings in an effort to change the child’s behavior. Counseling may take place with the child’s parent there or one-on-one. […] Medicine. A psychiatrist may prescribe an antidepressant if the child is also diagnosed with depression or anxiety. […] Hospitalization. Severe complications of bulimia may require hospitalization. […] Recovery from an eating disorder takes time and full support from loved ones. Relapse is possible. But with love and thoughtful guidance from parents, a child can recover.

• #53 Bulimia Treatment Goals – Alternative Options

  https://altoptions.com/bulimia-treatment-goals/

  Reduce binge-purge behaviors: Another of the bulimia treatment goals is to reduce or eliminate binge-purge behaviors. This may involve developing coping strategies to manage urges to binge or purge. […] Address medical complications: Individuals with bulimia may experience a range of medical complications. These may include electrolyte imbalances and so on. Therefore, one of the critical bulimia treatment goals is to address these complications. […] Practice self-care: This may involve engaging in activities that promote relaxation. They include meditation or deep breathing exercises. This also involves setting reasonable bulimia treatment goals for yourself and achieving them. […] Build a support system: Have a strong support system. It can help you achieve your bulimia treatment goals. This may involve seeking support from friends and family, joining a support group, or working with a mental health professional.

• #54 Bulimia nervosa – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/bulimia/diagnosis-treatment/drc-20353621

  Family-based treatment, also known as FBT, to help the parents of children and teenagers with bulimia learn what to do about unhealthy-eating behaviors and help their child regain control over what is eaten. […] Dialectical behavioral therapy, to help people better tolerate distress, become more emotionally balanced, be more mindful and get along better with others. […] Ask your mental health professional which type of therapy will be used and how that therapy helps treat bulimia. […] Specific antidepressants may reduce the symptoms of bulimia. The only antidepressant that the U.S. Food and Drug Administration (FDA) has approved specifically to treat bulimia is fluoxetine (Prozac). […] This medicine works better when it’s used with talk therapy. […] Dietitians with special training in treating eating disorders can help. They can design an eating plan to help you eat healthier, manage feelings of being overly hungry or having too many cravings, and provide good nutrition.

• #55 Bulimia nervosa

  https://womenshealth.gov/mental-health/mental-health-conditions/eating-disorders/bulimia-nervosa

  Nutritional counseling. A registered dietitian or counselor can help you eat in a healthier way than binging and purging. […] Support groups can be helpful for some people with bulimia when added to other treatment. In support groups, girls or women and sometimes their families meet and share their stories. […] Medicine. Fluoxetine (Prozac) is the only medicine approved by the Food and Drug Administration (FDA) for treating bulimia, but only in adults. It may help reduce binging and purging and improve your thoughts about eating. Some antidepressants may help girls and women with bulimia who also have depression or anxiety. […] Most girls and women do get better with treatment and are able to eat and exercise in healthy ways again. Some may get better after the first treatment. Others get well but may relapse and need treatment again.

• #56 Holistic Bulimia Treatment | Alsana®

  https://www.alsana.com/conditions-treated/bulimia/

  Our approach to bulimia treatment is rooted in reducing shame and fostering self-compassion. We understand that recovery is not just about changing eating habits; its about nurturing a healthier relationship with oneself and ones body. […] This approach to bulimia treatment helps clients hone the recovery skills needed to sustain recovery post-treatment. […] Treating bulimia clients requires a collaborative, multi-disciplinary approach. […] During the assessment process, Alsana dietitians gain a thorough understanding of clients eating and nourishment challenges and work with our eating disorder-informed culinary team to create custom meal plans that meet bulimia clients where they are in recovery. […] Our goal is to create food neutrality by taking out the moral judgment of food and focusing on nourishment, flexibility, and pleasure in the nutritional healing process.

• #57 Treatment for Bulimia Nervosa – Clarity Clinic – Chicago, IL

  https://www.claritychi.com/treatment-areas/eating-disorders/bulimia-nervosa

  Our Bulimia Nervosa treatment equips you with practical tools and skills to support your journey toward lasting recovery: Meal Support and Planning: Receive guidance and support surrounding meal times to overcome anxiety and establish a healthy relationship with food. […] If you’re ready to break free from the grip of bulimia nervosa and embrace a life of balance and well-being, Clarity Clinic is here for you.

• #58 Bulimia Treatment Therapy | Plans With Proven Results

  https://withinhealth.com/learn/articles/treatment-of-bulimia-nervosa

  Bulimia nervosa (BN) is a dangerous and potentially deadly disorder, affecting someones mental, physical, and emotional health. Thankfully, there are many treatments for bulimia. A number of therapeutic techniques and modalities have been developed to help people with eating disorders of all kinds, including bulimia nervosa. Cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT) have been found especially helpful, but a number of other therapies can help ease mental and physical symptoms of BN. […] The type of care a patient receives at an inpatient program includes: individual, group, or family therapy sessions. […] Residential treatment is often considered a step down from inpatient care due to its lower intensity. Its best suited for patients who: could still benefit from around-the-clock medical care and monitoring.

• #59 Types of Eating Disorder Treatment | Levels of Care | The Alliance

  https://www.allianceforeatingdisorders.com/types-of-eating-disorder-treatment-levels-of-care/

  Eating disorder treatment can be delivered in a variety of settings and approaches and is generally categorized into different levels of care. […] Eating disorder treatment is very individualized and there is no one size fits all. […] The individual remains medically stable but requires more intensive, structured programming to reduce eating disorder behaviors and achieve progress in recovery. […] Residential treatment provides 24-hour care/supervision for individuals who are medically stable but still engaging in eating disorder behaviors. […] Inpatient treatment is most appropriate for individuals whose eating disorder is either not responding to treatment in a less intensive setting or clinical evidence strongly indicates that the individual requires a higher level of care. […] Acute Medical Stabilization is the highest level of care for individuals with eating disorders.

• #60 Bulimia – NHS

  https://www.nhs.uk/mental-health/conditions/bulimia/

  Treatment for bulimia takes time, but you can recover. Depending on how long you’ve had bulimia and how severe it is, treatment can last several months or years. […] Your treatment will be tailored to you and include any other support you might need, such as for depression or anxiety. You may be referred to an eating disorder specialist. […] The main treatments are: talking therapies this usually includes a self-help booklet or online programme which you may do by yourself or with a therapist (your family may also be involved if you’re under 18), medicines, such as antidepressants, if you have another condition closely linked to bulimia, such as anxiety or depression, support from a nutrition specialist (dietitian). […] If you have bulimia, you can get support from your GP, they are there to listen and help. They’ll refer you to an eating disorder specialist or another expert who will also support you with your recovery.

• #61 Bulimia Treatment Therapy | Plans With Proven Results

  https://withinhealth.com/learn/articles/treatment-of-bulimia-nervosa

  Partial hospitalization programs (PHPs) are sometimes known as day programs, due to their structure: a patient commutes to a hospital for treatment, often between five or six days a week, then returns home in the evenings, after their sessions. […] Intensive outpatient care (IOP) programs feature the same type of meal planning, nutrition education, and medication management options as PHPs. […] Most patients seeking treatment for bulimia nervosa will undergo some type of psychotherapy. […] Cognitive behavioral therapy (CBT) centers on the idea of changing unhelpful or distorted thinking patterns. […] Acceptance and commitment therapy has also been known to increase mental flexibility. […] Dialectical behavior therapy (DBT) focuses on promoting acceptance of and tolerance for distressing circumstances.

• #62 Bulimia Treatment Therapy | Plans With Proven Results

  https://withinhealth.com/learn/articles/treatment-of-bulimia-nervosa

  Partial hospitalization programs (PHPs) are sometimes known as day programs, due to their structure: a patient commutes to a hospital for treatment, often between five or six days a week, then returns home in the evenings, after their sessions. […] Intensive outpatient care (IOP) programs feature the same type of meal planning, nutrition education, and medication management options as PHPs. […] Most patients seeking treatment for bulimia nervosa will undergo some type of psychotherapy. […] Cognitive behavioral therapy (CBT) centers on the idea of changing unhelpful or distorted thinking patterns. […] Acceptance and commitment therapy has also been known to increase mental flexibility. […] Dialectical behavior therapy (DBT) focuses on promoting acceptance of and tolerance for distressing circumstances.

• #63 Bulimia Treatment Therapy | Plans With Proven Results

  https://withinhealth.com/learn/articles/treatment-of-bulimia-nervosa

  Bulimia nervosa (BN) is a dangerous and potentially deadly disorder, affecting someones mental, physical, and emotional health. Thankfully, there are many treatments for bulimia. A number of therapeutic techniques and modalities have been developed to help people with eating disorders of all kinds, including bulimia nervosa. Cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT) have been found especially helpful, but a number of other therapies can help ease mental and physical symptoms of BN. […] The type of care a patient receives at an inpatient program includes: individual, group, or family therapy sessions. […] Residential treatment is often considered a step down from inpatient care due to its lower intensity. Its best suited for patients who: could still benefit from around-the-clock medical care and monitoring.

• #64 Bulimia nervosa – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/bulimia/diagnosis-treatment/drc-20353621

  Usually, bulimia can be treated outside of the hospital. But if symptoms are severe and you have serious health complications, you may need to be treated in a hospital. […] Although most people with bulimia get better, some find that symptoms don’t go away entirely. […] If you find yourself back in the binge eating-purge cycle, get help. […] Follow-up sessions with your primary healthcare professional, dietitian or mental health professional may help you before your eating disorder gets out of control again. […] If you’ve had an eating disorder in the past and you notice your symptoms returning, seek help from your medical team right away.

• #65 Bulimia: Symptoms, diagnosis and treatments – Harvard Health

  https://www.health.harvard.edu/mind-and-mood/bulimia-symptoms-diagnosis-and-treatments

  Bulimia can lead to dehydration. Repeated vomiting can cause stomach acids to dissolve protective tooth enamel, making teeth much more vulnerable to decay. Overuse of laxatives can cause chronic gastrointestinal problems. Severe bulimia can lead to heart problems, and sometimes can be deadly. […] Treatment usually aims to address all of these problems by: reducing or eliminating binge eating and purging, treating physical complications caused by bulimia, helping the individual understand and change harmful thought patterns related to bulimia, identifying and treat any associated mental health disorders such as depression or anxiety, encouraging and developing family support. […] Nutritional counseling helps the individual develop a structured meal plan and learn to recognize, and resist, body cues and urges to binge and purge.

• #66 Bulimia nervosa – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/bulimia/diagnosis-treatment/drc-20353621

  Usually, bulimia can be treated outside of the hospital. But if symptoms are severe and you have serious health complications, you may need to be treated in a hospital. […] Although most people with bulimia get better, some find that symptoms don’t go away entirely. […] If you find yourself back in the binge eating-purge cycle, get help. […] Follow-up sessions with your primary healthcare professional, dietitian or mental health professional may help you before your eating disorder gets out of control again. […] If you’ve had an eating disorder in the past and you notice your symptoms returning, seek help from your medical team right away.

• #67

  https://www2.hse.ie/conditions/bulimia/treatment/

  You may also be offered CBT-E. This is a specific form of CBT for people with eating disorders. […] Treatment for bulimia can include an antidepressant, such as fluoxetine (Prozac). […] Antidepressants can work with therapy or self-help treatment to help you manage other conditions such as anxiety, depression, social phobia, obsessive compulsive disorder (OCD). […] Most people with bulimia will be able to stay at home during treatment. You will usually have appointments at your clinic and then be able to go home. […] Your doctors will keep a very careful eye on your weight and health in hospital. They will help you to reach a healthy weight over time. When you are in hospital you can start or continue any therapy you are having.

• #68 Bulimia nervosa Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/condition/bulimia-nervosa

  People with bulimia may need a combination of treatment including: […] It is important for the person with bulimia to be actively involved in their treatment. Studies show cognitive behavioral therapy is remarkably effective in treating bulimia. […] Psychotherapy is a crucial part of bulimia treatment. Many people with bulimia have good results from cognitive behavioral therapy, which teaches you to replace negative thoughts and behaviors with healthy ones. Other psychotherapy approaches include interpersonal therapy, motivational enhancement therapy, and focal psychodynamic therapy. Family therapy is also an important component of recovery. […] Physical therapy approaches, including massage, yoga, and relaxation techniques can be effective as adjunct treatments of bulimia nervosa. […] Bright light therapy (BLT) has repeatedly been tested as a potential therapy. Several studies demonstrated that BLT is effective in improving eating behaviors and mood in patients with bulimia nervosa.

• #69 What treatments are used for bulimia nervosa? | Bulimia Nervosa Signs, Symptoms, and Treatment Guide

  https://bulimiaguide.org/what-treatments-are-used-for-bulimia-nervosa/

  A course of individual CBT for bulimia nervosa usually involves 16- to 20-hour-long sessions over 4 to 5 months. […] CBT is now also delivered in groups, via self-help manuals, and more recently, via telemedicine systems, e-mail, and online. […] When used to treat bulimia nervosa, BT focuses on teaching relaxation techniques and coping strategies that individuals can use instead of binge eating and purging or excessively exercising or fasting. […] Many interventions are used as adjuncts or supportive therapy. […] Some people consider some of these options to be alternative or complementary therapy. […] We found few or no well-conducted clinical studies on adjunct or alternative interventions, so no one really knows what role these play in helping recovery for patients. […] Nonetheless, many of these adjunct therapies pose little to no risk to patients using them.

• #70 Bulimia nervosa

  https://womenshealth.gov/mental-health/mental-health-conditions/eating-disorders/bulimia-nervosa

  Nutritional counseling. A registered dietitian or counselor can help you eat in a healthier way than binging and purging. […] Support groups can be helpful for some people with bulimia when added to other treatment. In support groups, girls or women and sometimes their families meet and share their stories. […] Medicine. Fluoxetine (Prozac) is the only medicine approved by the Food and Drug Administration (FDA) for treating bulimia, but only in adults. It may help reduce binging and purging and improve your thoughts about eating. Some antidepressants may help girls and women with bulimia who also have depression or anxiety. […] Most girls and women do get better with treatment and are able to eat and exercise in healthy ways again. Some may get better after the first treatment. Others get well but may relapse and need treatment again.

• #71 Bulimia nervosa Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/condition/bulimia-nervosa

  People with bulimia may need a combination of treatment including: […] It is important for the person with bulimia to be actively involved in their treatment. Studies show cognitive behavioral therapy is remarkably effective in treating bulimia. […] Psychotherapy is a crucial part of bulimia treatment. Many people with bulimia have good results from cognitive behavioral therapy, which teaches you to replace negative thoughts and behaviors with healthy ones. Other psychotherapy approaches include interpersonal therapy, motivational enhancement therapy, and focal psychodynamic therapy. Family therapy is also an important component of recovery. […] Physical therapy approaches, including massage, yoga, and relaxation techniques can be effective as adjunct treatments of bulimia nervosa. […] Bright light therapy (BLT) has repeatedly been tested as a potential therapy. Several studies demonstrated that BLT is effective in improving eating behaviors and mood in patients with bulimia nervosa.

• #72 Treatment for Bulimia

  https://www.beateatingdisorders.org.uk/get-information-and-support/about-eating-disorders/types/bulimia/treatment/

  Most treatment for bulimia will take place in outpatient services. […] Therapy can be recommended as part of the treatment for bulimia in order to tackle the underlying thoughts and feelings that cause the illness and encourage healthier ways of coping. […] For adults, NICE recommends guided self-help focused on bulimia. This should use self-help materials based on CBT, and should involve supportive sessions over the course of the programme to help ensure its effectiveness. If guided self-help isnt acceptable or effective for you, it recommends individual CBT focused on eating disorders. […] For children and young people, NICE recommends family therapy focused on bulimia. If this is unacceptable or ineffective it recommends individual CBT focused on eating disorders. […] For adults with bulimia in Scotland, SIGN recommends CBT tailored to eating disorders or bulimia as a first-line therapy. If this is unsuitable, ineffective or inappropriate it says other treatment options could be considered, such as interpersonal therapy, integrative cognitive-affective therapy, or schema therapy. […] For adolescents with bulimia in Scotland, SIGN recommends CBT or family-based treatment adapted for bulimia. If these treatments are not acceptable it says that psychodynamic therapy could be considered.

• #73 Bulimia Self-Help and Recovery | Tips On How to Support Yourself

  https://withinhealth.com/learn/articles/bulimia-self-help-recovery

  Research is showing that bulimia nervosa self-help can be an effective way to address symptoms and reduce their impact. […] It is important to note, though, that self-help alone may not be enough support for some people. Those with severe symptoms of BN should primarily focus on getting professional help. Self-help is not a substitute for qualified treatment. […] This seems to point to self-help being a viable supplemental recovery option to help people with aftercare support. […] Although self-help methods for BN can be quite healing, people must remember that each self-help tool could be very different from the others. […] For most people, self-help options for bulimia nervosa are not a substitute for professional eating disorder treatment. […] If you are in need of treatment for bulimia nervosa, reach out to our team at Within to learn more. […] Bulimia nervosa (BN) is a dangerous and potentially deadly disorder, affecting someone’s mental, physical… […] As any healing process commences, it is important to have goals in mind as they can… […] The role of professional help in eating disorder recovery should not be discounted.

• #74 Bulimia nervosa Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/condition/bulimia-nervosa

  People with bulimia may need a combination of treatment including: […] It is important for the person with bulimia to be actively involved in their treatment. Studies show cognitive behavioral therapy is remarkably effective in treating bulimia. […] Psychotherapy is a crucial part of bulimia treatment. Many people with bulimia have good results from cognitive behavioral therapy, which teaches you to replace negative thoughts and behaviors with healthy ones. Other psychotherapy approaches include interpersonal therapy, motivational enhancement therapy, and focal psychodynamic therapy. Family therapy is also an important component of recovery. […] Physical therapy approaches, including massage, yoga, and relaxation techniques can be effective as adjunct treatments of bulimia nervosa. […] Bright light therapy (BLT) has repeatedly been tested as a potential therapy. Several studies demonstrated that BLT is effective in improving eating behaviors and mood in patients with bulimia nervosa.

• #75 Bulimia: Symptoms, diagnosis and treatments – Harvard Health

  https://www.health.harvard.edu/mind-and-mood/bulimia-symptoms-diagnosis-and-treatments

  Cognitive behavior therapy can help an individual with bulimia improve her or his body image, understand and deal with emotions, modify obsessive thinking and compulsive behaviors related to food, and create healthy eating behaviors. Family and group psychotherapy can also be helpful. […] Medications such as antidepressants can sometimes reduce the urge to binge and purge, particularly in the short term. But medication generally doesn’t work alone, and is best when combined with psychotherapy and other kinds of support. […] But even after successful treatment, bulimia can return, which is why experts often recommend maintenance treatment.

• #76 Bulimia nervosa | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/mental-health/eating-disorders/bulimia-nervosa/

  Recovery from bulimia nervosa can take a long time but treatments are effective for many people. Symptoms may return after treatment. This is often called a relapse, and is more likely during times of stress. If relapse happens, the approach to getting treatment is the same. The first step is to go to your GP. Using the strategies you found useful before are likely to be helpful. […] People with bulimia nervosa can be anxious about seeking treatment but its important to get help as soon as possible. […] If you have eating problems or think you may have bulimia nervosa, its important to seek help as soon as possible.

• #77

  https://www2.hse.ie/conditions/bulimia/treatment/

  Treatment takes time but you can recover from bulimia. […] Your treatment plan is individual to you. It should include other support you might need, for example, for depression or anxiety. […] Cognitive behavioural therapy (CBT) helps you manage problems by thinking in a more balanced way. It can help you identify unhelpful patterns of behaviour. […] Your therapist will find out how you think and feel about your weight and body shape. They will also try to understand what led you to think and feel this way. They will help you to adopt regular eating habits and show you how to stick to them. […] They will show you ways to manage difficult feelings and situations. This will reduce your risk of a relapse after your therapy ends. […] They will also help you develop a relapse-prevention plan for when therapy ends.

• #78 Bulimia nervosa – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/bulimia/diagnosis-treatment/drc-20353621

  Usually, bulimia can be treated outside of the hospital. But if symptoms are severe and you have serious health complications, you may need to be treated in a hospital. […] Although most people with bulimia get better, some find that symptoms don’t go away entirely. […] If you find yourself back in the binge eating-purge cycle, get help. […] Follow-up sessions with your primary healthcare professional, dietitian or mental health professional may help you before your eating disorder gets out of control again. […] If you’ve had an eating disorder in the past and you notice your symptoms returning, seek help from your medical team right away.

• #79 Bulimia nervosa – causes, symptoms, treatments, and when to get help | healthdirect

  https://www.healthdirect.gov.au/bulimia-nervosa

  The earlier you get treatment, the greater your chance of recovery. […] Getting professional help is important. […] You can learn more about yourself and what may trigger your symptoms if you do have a relapse. […] Its also important to stay in touch with family and friends who care about you. This can help you feel connected.

• #80 How to Recover from Bulimia

  https://centerfordiscovery.com/blog/how-to-recover-from-bulimia/

  One of the key symptoms of bulimia is a pattern of binging on food and then purging, either through inducing vomiting, restricting food and/or dieting, exercising or using substances to try to offset (or compensate) for the food eaten. […] A common trigger for a binge is deprivation. Restricting your food intake, whether it’s denying a craving or not meeting your body’s basic nutritional needs, can trigger a natural response to your body perceiving “starvation” and this can lead to a binge. […] Many people who experience bulimia can point to experiences that trigger binging and purging. […] Work with your team to address your anxiety. Talk therapy, cognitive behavioral therapy (CBT), and dialectical behavior therapy (DBT) can all be effective treatments for anxiety. […] Most people who recover from bulimia don’t do it alone. They have a network of support that helps them along the way. Building your network of support is a crucial step in recovering from bulimia. […] Hope, help and healing are here. Reach out to one of our caring admissions counselors today to start your recovery in a supportive, non-judgmental environment.

• #81 Bulimia nervosa – causes, symptoms, treatments, and when to get help | healthdirect

  https://www.healthdirect.gov.au/bulimia-nervosa

  The earlier you get treatment, the greater your chance of recovery. […] Getting professional help is important. […] You can learn more about yourself and what may trigger your symptoms if you do have a relapse. […] Its also important to stay in touch with family and friends who care about you. This can help you feel connected.

• #82 Assessment and Treatment of Bulimia Nervosa | AAFP

  https://www.aafp.org/pubs/afp/issues/1998/0601/p2743.html

  Despite differences in the application of techniques, the skill level of clinicians and the duration of the illness, controlled studies have clearly established the superiority of cognitive-behavioral therapy for the treatment of bulimia nervosa. […] The relative benefits of medications and cognitive-behavioral therapy have been assessed and compared. Study results indicate that cognitive-behavioral therapy is superior to medication alone and that the combination of cognitive-behavioral therapy and medication is more effective than the use of medication alone. […] Although cognitive-behavioral therapy is the first-line treatment of choice for bulimia nervosa, its effectiveness is limited. Approximately 50 percent of patients who receive this therapy stop binge eating and purging.

• #83 Bulimia Nervosa Information and Treatment- Ellern Mede

  https://ellernmede.org/eating-disorders-information/bulimia-information/

  A strong focus of the treatment is on the particular causes of the bulimic behaviour in each patient. This could be linked to underlying psychological issues and so psychological therapy explores the thoughts that trigger the behaviour. […] The cycle of bingeing and purging can be similar to an addiction; breaking the cycle is essential to begin to restore normal eating patterns. […] Some patients may be recommended antidepressant medication. […] Ellern Mede outpatient treatment consultations for psychiatry, psychology and dietetics may be found to help post discharge from other providers’ inpatient care. […] Research reported in UK statistics portal ‘Statista’ indicates that 45% of people who experience bulimia will make a full recovery and 27% a partial recovery. […] Dr Gregg Jantz, an author on eating disorders, writes: “staying connected to you is the key to bulimia recovery” and offers five tips for maintaining your recovery after treatment: […] Finally Dr Jantz says: “It is okay if you stumble. It is okay if you fall. What matters most is that you get back up and stay on the road to recovery that belongs to you and you alone.”

• #84 Bulimia Nervosa – Psychiatric Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/psychiatric-disorders/eating-disorders/bulimia-nervosa

  Bulimia nervosa is characterized by recurrent episodes of binge eating followed by some form of inappropriate compensatory behavior such as purging (self-induced vomiting, laxative or diuretic abuse), fasting, or driven exercise; episodes occur, on average, at least once/week for 3 months. […] Treatment is with psychologic therapy and antidepressants. […] Cognitive behavioral therapy is the treatment of choice for bulimia nervosa. […] Therapy usually involves 16 to 20 individual sessions over 4 to 5 months, although it can also be done as group therapy. […] Treatment aims to increase motivation for change, replace dysfunctional eating with a regular and flexible pattern, decrease undue concern with body shape and weight, and prevent relapse. […] Cognitive behavioral therapy eliminates binge eating and purging in about 30 to 50% of patients.

• #85 Assessment and Treatment of Bulimia Nervosa | AAFP

  https://www.aafp.org/pubs/afp/issues/1998/0601/p2743.html

  Despite differences in the application of techniques, the skill level of clinicians and the duration of the illness, controlled studies have clearly established the superiority of cognitive-behavioral therapy for the treatment of bulimia nervosa. […] The relative benefits of medications and cognitive-behavioral therapy have been assessed and compared. Study results indicate that cognitive-behavioral therapy is superior to medication alone and that the combination of cognitive-behavioral therapy and medication is more effective than the use of medication alone. […] Although cognitive-behavioral therapy is the first-line treatment of choice for bulimia nervosa, its effectiveness is limited. Approximately 50 percent of patients who receive this therapy stop binge eating and purging.

• #86 Bulimia Nervosa Information and Treatment- Ellern Mede

  https://ellernmede.org/eating-disorders-information/bulimia-information/

  A strong focus of the treatment is on the particular causes of the bulimic behaviour in each patient. This could be linked to underlying psychological issues and so psychological therapy explores the thoughts that trigger the behaviour. […] The cycle of bingeing and purging can be similar to an addiction; breaking the cycle is essential to begin to restore normal eating patterns. […] Some patients may be recommended antidepressant medication. […] Ellern Mede outpatient treatment consultations for psychiatry, psychology and dietetics may be found to help post discharge from other providers’ inpatient care. […] Research reported in UK statistics portal ‘Statista’ indicates that 45% of people who experience bulimia will make a full recovery and 27% a partial recovery. […] Dr Gregg Jantz, an author on eating disorders, writes: “staying connected to you is the key to bulimia recovery” and offers five tips for maintaining your recovery after treatment: […] Finally Dr Jantz says: “It is okay if you stumble. It is okay if you fall. What matters most is that you get back up and stay on the road to recovery that belongs to you and you alone.”

• #87 When to Seek Bulimia Treatment Immediately | Selah House

  https://selahhouse.com/resources/urgent-warning-signs-when-to-seek-bulimia-treatment-immediately/

  Even if you notice just one of these symptoms, seeking immediate help can save you or your loved one’s life. […] Recovery from an eating disorder like bulimia is difficult and not something to do without support. There are no home remedies for bulimia, and specialized treatment is necessary for a successful, long-term recovery. […] Many treatment programs exist for all types of eating disorders, including bulimia nervosa. These include inpatient, residential, partial hospitalization, and outpatient programs. […] Treatment may include the following: Psychotherapy, Cognitive-behavioral therapy, Family-based treatment, Medication treatment such as an antidepressant or an anti-anxiolytic, Nutrition education and meal planning. […] Regardless of which treatment option you choose, you can recover completely. Early treatment can help reduce the risk of long-term physical and mental health consequences.

• #88 Bulimia nervosa | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/mental-health/eating-disorders/bulimia-nervosa/

  Recovery from bulimia nervosa can take a long time but treatments are effective for many people. Symptoms may return after treatment. This is often called a relapse, and is more likely during times of stress. If relapse happens, the approach to getting treatment is the same. The first step is to go to your GP. Using the strategies you found useful before are likely to be helpful. […] People with bulimia nervosa can be anxious about seeking treatment but its important to get help as soon as possible. […] If you have eating problems or think you may have bulimia nervosa, its important to seek help as soon as possible.

• #89 Bulimia nervosa: Symptoms, treatment, and risk factors

  https://www.medicalnewstoday.com/articles/105102

  Antidepressants, antipsychotics, and mood stabilizers may help treat eating disorders, as well as anxiety and depression. […] The Food and Drug Administration (FDA) have approved Fluoxetine (Prozac) as a treatment for bulimia nervosa, but experts call for the development of more targeted therapies. […] In some cases, the person may need to spend time in the hospital. This might be necessary if the physical complications of bulimia have become severe, or if there is a risk of self-harm or suicide. […] With treatment, many people recover from eating disorders. However, the recovery can take months or years, and relapses are common. […] The sooner a person seeks treatment, the more likely they are to recover and avoid complications. Support from family and friends can be key. […] Help is available for anyone who may have bulimia, as well as for their loved ones. Seeking treatment and support early can improve the chances of a full recovery without complications.

• #90 State of the Art: The Therapeutic Approaches to Bulimia Nervosa

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7902447/

  IPT is an efficacious treatment for BN, as evidenced by results from two randomized-controlled trials. […] DBT for BN commences with commitment and orientation, in which the patient commits to ceasing bulimic behaviors. […] Evidence for ICAT-BN is preliminary and is comprised of one randomized-controlled trial. […] Current clinical guidelines recommend FBT-BN for adolescent BN and three randomized-controlled trials have evaluated the efficacy of FBT-BN to date. […] Current clinical guidelines recommend FBT-BN for adolescent BN and individual CBT is an acceptable alternative. Fluoxetine 60 mg/day appears to have benefit and is acceptable to adolescents with BN. […] At present, the first-choice treatment for BN is outpatient psychotherapy. For adults with the disorder, clinical guidelines informed by empirical research recommend therapist-led CBT.

• #91 Bright Spots: Recent Breakthroughs in Eating Disorder Treatment Options – National Alliance for Eating Disorders

  https://www.allianceforeatingdisorders.com/bright-spots-recent-breakthroughs-in-eating-disorder-treatment-options/

  Treating eating disorders requires a comprehensive and compassionate approach that recognizes the interplay of mental and physical health. The diversity of causes from genetic to environmental means that individualized treatments are often essential for effective recovery. Combining therapy, medication, and other treatment modalities offers hope for those struggling with these disorders.

• #92 ​​Bulimia Nervosa Treatment | Galen Hope

  https://www.galenhope.com/bulimia-nervosa-treatment/

  With treatment, individuals can fully recover from bulimia. […] To help our clients free themselves from the cycle of binging and purging, its crucial to address distorted body image, stabilize nutrition and food intake to help clients reconnect to their natural hunger and fullness cues, and address co-occurring conditions that may drive the binge-purge cycle.

• #93 Bulimia Nervosa: Signs, Symptoms, and Treatment

  https://www.helpguide.org/mental-health/eating-disorders/bulimia-nervosa

  Are you or a loved one struggling with bulimia? Explore the warning signs, symptoms, and treatment options for this eating disorder—along with the causes, side effects, and health risks. […] With treatment and support, you can break the cycle, learn to manage unpleasant emotions in a healthier way, and regain control of your life. […] The treatment of choice for bulimia is cognitive-behavioral therapy. Cognitive-behavioral therapy targets the unhealthy eating behaviors of bulimia and the unrealistic, negative thoughts that fuel them. […] To stop the cycle of bingeing and purging, it’s important to seek professional help early, follow through with treatment, and resolve the underlying emotional issues that caused your bulimia in the first place. […] The advice and support of trained eating disorder professionals can help you regain your health, learn to eat normally again, and develop healthier attitudes about food and your body.

• #94 State of the Art: The Therapeutic Approaches to Bulimia Nervosa

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7902447/

  Despite decades of treatment-development research in BN, there is room for improvement, as nearly 60% of those with BN do not achieve remission with specialty treatment, and strikingly few randomized-controlled trials for adolescent BN exist. Moreover, the field should address issues related to treatment dissemination, access, and cost. […] CBT-BN uses a staged approach to introduce behavioral techniques and cognitive strategies to target symptoms delineated in the cognitive-behavioral model of BN. […] The evidence for CBT-BN is robust. For instance, recent meta-analyses of randomized-controlled trials for BN treatment found that therapist-led CBT-BN was more significantly efficacious than inactive comparisons (i.e., no treatment, waitlist control) and other active psychotherapies (e.g., Interpersonal Therapy, supportive psychotherapy), but not pharmacotherapy, in promoting abstinence of symptoms at end-of-treatment.

• #95 Bright Spots: Recent Breakthroughs in Eating Disorder Treatment Options – National Alliance for Eating Disorders

  https://www.allianceforeatingdisorders.com/bright-spots-recent-breakthroughs-in-eating-disorder-treatment-options/

  Finding the right eating disorder treatment is a very individualized process. Treatment often requires an approach that prioritizes both the patients physical safety and treats the psychological distress that can be both a symptom and an underlying issue. […] Eating disorder treatment usually involves a type of therapy. This cornerstone of care can help address both the behavioral and psychological aspects of these disorders. Through various therapeutic approaches, individuals can explore the underlying issues surrounding their eating disorder, work through challenging distorted thoughts, and develop healthier coping mechanisms. […] Psychotherapy, or talk therapy, is a comprehensive term for treatments that use evidence-based practices to help someone identify and modify maladaptive thoughts and behaviors. […] Here are some of the common therapeutic modalities used to treat eating disorders. Cognitive Behavioral Therapy (CBT): CBT is based on the principle that unhelpful thinking patterns and learned behaviors can lead to psychological distress. The process involves helping the patient identify and challenge their distorted thoughts and beliefs related to food, body image, and self-worth. […] Bulimia Nervosa involves cycles of binge eating followed by compensatory behaviors such as purging. Common treatments for BN may include Dialectical Behavior Therapy (DBT), Interpersonal Psychotherapy (IPT), and some antidepressant medications, like Prozac, may be helpful. These treatment approaches can help patients regulate their emotions and manage their response to distress.

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