BULIMIA NERVOSA 307.51 (F50.2)
Introduction
Individuals diagnosed with bulimia nervosa undertake frequent binge eating, followed by expelling the food, typically by inducing vomiting, but also through exercising and the use of laxative agents, diuretics, and enemas (American Psychiatric Association, 2013). The binge eating occurrences are often prompted by a negative perception of one’s body image, temporarily alleviated by the binge eating episode. Since the individual with bulimia nervosa is overanxious about body weight, purging of the food is viewed as a necessity. This is in contrast to binge eating disorder, which does not involve the purging of food after an excess of food consumption (Bulik et al., 2012). Furthermore, although bulimia nervosa and anorexia nervosa are similar in some respects, the two are in no way identical eating disorders. Patients with anorexia nervosa are generally underweight (Steinglass et al., 2013), whereas bulimia nervosa patients are not necessarily underweight, and are often at a normal body weight (Bulik et al., 2012).
There is no definite age of onset of bulimia nervosa, but it is typically seen in adolescent males and females (Smink et al., 2012). Bulimia nervosa is somewhat more prevalent in females than in males, with 1.3% of females suffering from bulimia nervosa (in a national sample), and .5% of males (Swanson et al., 2011).
Symptoms
Bulimia nervosa is associated with various symptoms, detailed by the American Psychiatric Association (2013) and the peer-reviewed literature. Three crucial features that define bulimia nervosa have been articulated (American Psychiatric Association, 2013). These are, firstly, the repeated indulgence in binge eating; secondly, resorting to compensatory ...
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Recurrent episodes of binge eating is classified by eating large amounts of food in a discrete amount of time and a lack of control in over-consuming during an episode (Pomerantz, 2014). One then uses recurrent inappropriate purging behavior to prevent weight gain. DSM-5 has updated this occurrence to only once a week for three months. Those with the disorder cause self-evaluation to be strongly influenced by body shape and weight. These disturbances do not occur during episodes of anorexia nervosa, which is self starvation to limit calories and weight (American Psychiatric Association,
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Bulimia nervosa afflicts mostly women (about 6% of adolescent girls, and 5% of college women). Most individuals with bulimia engage in compensatory activities such as vomiting, laxative abuse, strict dieting, and vigorous exercise (Alexander).
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A variation of Anorexia, Bulimia ranges from excessive food intake, to an out of control compulsive cycle of binge eating where extraordinary amounts of any available food, usually of high carbohydrate content, may be consumed. Once having gorged, the victims are overcome with the urge to rd themselves of what they hate eaten by purging themselves, usually by vomiting, and sometimes by massive doses of laxatives. Between these obsessive bouts, most are able to accept some nutrition. Whereas the anorexic sufferer fears fatness from anticipated loss of eating control, and unlike the anorexic sufferer the typical bulimic individual is not emaciated, but usually maintains a normal body weight and appears to be fit and healthy.
Anorexia is an obsessive desire to control ones bodily appearance. It often starts with the refusal to obtain a healthy body weight. “This disorder is associated with under nutrition of varying severity with resulting secondary endocrine and metabolic changes and disruptions of bodily functions” (Kontic et al. 2013). An Anorexic person has a distorted view of themselves which can lead to devastating measures of self-starvation due to an immense fear of weight gain. In the same way, an individual suffering with Bulimia has a fear of weight gain, but goes about their technique in a different manner. Bulimia is an eating disorder characterized by binge eating or, consuming a large amount of food in a short time followed by guilt. This guilt is the leading factor to the purging stage where the individual will rid themselves of the physical and emotional discomfort. The ridding stage can invo...
Eating Disorders (EDs) are a series of often life-threatening mental health disorders which are commonly used as coping mechanisms or as ways to mask one’s problems. The causes of these illnesses are still being researched, and the effects they have on a person’s physical, mental, and emotional wellbeing can often be as long as the sufferer’s life.
Hoek, Hans Wijbrand, and Daphne Van Hoeken. "Review of the Prevalence and Incidence of Eating Disorders." International Journal of Eating Disorders 34.4 (2003): 383-96. Print.
Today, America is plagued with eating disorders such as Anorexia Nervosa, Bulimia Nervosa, and Compulsive Eating Disorders. Each has its own characteristics that distinguish the illness yet there are some similarities that they also share. According to the National Eating Disorders Association, as with most mental illnesses, eating disorders are not caused by just one factor but by a combination of behavioral, biological, emotional, psychological, interpersonal and social factors. Shockingly, they also report that in the United States, there are as many as 10 million females and 1 million males that are battling with eating disorders such as anorexia or bulimia. Additionally, another 25 million are struggling with binge eating disorders (www.NationalEatingDisorders.org). Typically, psychological factors such as depression and low self-esteem contribute to eating disorders...
Mazzeo, Suzanne E., and Cynthia M. Bulik. "Environmental and genetic risk factors for eating disorders: What the clinician needs to know."
Muise, A. M., Stein, D. G., and Arbess, G. (2003). Eating disorders in adolescent boys: A review of the adolescent and young adult literature. Journal of adolescent Health, 33, 427-435.
Anorexia nervosa and Bulimia nervosa are described as psychological eating disorders (Keel and Levitt, 1). They are both characterized by an over-evaluation of weight. Despite being primarily an eating disorder, the manifestations of bulimia and anorexia are different. They both present a very conspicuous example of dangerous psychological disorders, as according to the South Carolina Department of Health, “Eating disorders have the highest mortality rate of any mental illness” (Eating Order Statistics, 1). While Bulimia and anorexia are both psychological disorders primarily prevalent in women, anorexia tends to have different diagnostic complexities, symptoms and physiological effects as compared to bulimia.
Anorexia represents one percent of most prevalent eating disorder diseases. The word anorexia itself means, “ lack of appetite”. Anorexia is an all-encompassing pursuit of thinness. The person effected by Anorexia has an absolute fear of becoming obese (Matthew 4).
Johnson, Craig, and Cynthia Bulik. "Genetics Play a Significant Role in Eating Disorders." Eating Disorders. Ed. Roman Espejo. Detroit: Greenhaven Press, 2012. Opposing Viewpoints. Rpt. from "Brave New World: The Role of Genetics in the Prevention and Treatment of Eating Disorders." www.wpic.pitt.edu/research/pfanbn/genetics.html. 2002. 36-40. Opposing Viewpoints in Context. Web. 5 Dec. 2013.