Reference
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Bulimia NervosaBulimia nervosa is an eating disorder characterized by binge eating and engaging in inappropriate ways of counteracting the binging (using laxatives, for example) to prevent weight gain. The word “bulimia” is the Latin form of the Greek word boulimia, which means “extreme hunger.” A binge is consuming a larger amount of food within a limited period of time than most people would eat under similar circumstances. Most people with bulimia report feelings of loss of control associated with binging. and some have mildly dissociative experiences in the course of a binge, which means that they feel disconnected from themselves and from reality when they binge.
The handbook that mental health professionals use to aid in diagnosis is the Diagnostic and Statistical Manual of Mental Disorders. The fifth edition, also known as the DSM-5, categorizes bulimia nervosa as a feeding and eating disorder, along with anorexia nervosa.
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Recovering: Anorexia Nervosa and Bulimia NervosaEating disorders anorexia nervosa and bulimia nervosa afflict people of all ages and race, especially young women, and are serious medical conditions that can be deadly if left untreated. Join documentary filmmaker and host Larkin McPhee (Dying to Be Thin) as she uncovers the challenges of coping with an eating disorder. Meet some experts and people in recovery who offer an honest appraisal of their struggles to overcome their eating disorders. Topics and themes discussed include: Who is at risk? What sustains an eating disorder? Why are eating disorders dangerous? How are eating disorders treated?
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Recovering: Anorexia Nervosa and Bulimia NervosaEating disorders such as anorexia nervosa and bulimia nervosa are serious medical conditions that can be deadly if left untreated, and they afflict people of all ages and races, especially young women. This video follows Peabody- and Emmy-winning documentary filmmaker Larkin McPhee (Dying to Be Thin) as she uncovers facts about eating disorders and the many challenges of coping with them. Viewers meet health and psychology experts as well as patients in recovery who offer honest appraisals of their struggles to overcome debilitating eating disorders. Topics and themes include: Who is at risk? What causes and perpetuates an eating disorder? Why are eating disorders dangerous? How are they treated? A viewable/printable worksheet is available online. (30 minutes)
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"OX HUNGER": PSYCHOANALYTIC EXPLORATIONS OF BULIMIA NERVOSA.Bulimia, a term derived from Greek words meaning "ox" and "hunger," is a food obsession characterized by repeated overeating binges followed by purges of forced vomiting, prolonged fasting, or abuse of laxatives, enemas, diuretics and amphetamines. It provides temporary relief to emotional pain. If untreated, bulimia causes serious medical and dental problems. In this paper, I first present an overview of the historical development of bulimia nervosa as a clinical entity and then explore the syndrome from a psychoanalytic perspective, focusing on the Freudian drive-conflict model, the pathology of early object relations, and attachment theory. A case is presented and treatment implications are discussed.
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Family-Based Treatment for Adolescents With Bulimia Nervosa.Family-based treatment has for at least two decades now come to be seen as the treatment of choice for adolescents with anorexia nervosa (AN).Yet, involving the parents in the treatment for adolescents with bulimia nervosa (BN) have remained largely unexplored. We have recently adapted manualised family-based treatment for adolescent AN (FBT-AN) to a large group of adolescents with BN (FBT-BN). This manuscript will highlight the key tenets of manualised FBT-BN, briefly describe the three treatment phases, and summarise the main differences of this model in its application for AN versus BN. Finally, reference will be made to the first randomised controlled trial of FBT-BN showing preliminary support for the parents' involvement in the treatment of adolescent BN.
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Interpersonal Group Therapy for Women Experiencing Bulimia.Bulimia Nervosa (BN) is a chronic disorder that results in a high degree of psychological impairment for many women. This article presents a description of Interpersonal Therapy for Group (IPT-G), an evidence-based approach for the treatment of BN. The author presents a rationale for the use of IPT-G, an outline of the group model, and provides considerations for using IPT-G in clinical practice.
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The Prevalence of Bulimia Nervosa in the US College Student Population.Abstract: A phone survey to determine the prevalence of bulimia nervosa was conducted with a national probability sample of 1,007 male and female students from a stratified sample of 53 universities and colleges in the continental United States. Using the revised (DSM IIIR) diagnostic criteria, 1 per ¢ of the women and 0.2 per ¢ of the men were classified as bulimic. Bulimia was most prevalent (2.2 per ¢ prevalence rate) among undergraduate women living in group housing on campus.
Perspectives
Treating Bulimia Nervosa and Binge Eating
Treating Bulimia Nervosanbsp;and Binge Eating explains how cognitive therapy can be used to treat those suffering from bulimia nervosa. The manual provides a step-by-step treatment guide, incorporating a number of case examples offering detailed explanations of the treatment process, questionnaires, worksheets and practical exercises for the client, which will provide a framework and focus for therapy. The authors use existing techniques, as well as new integrated cognitive and metacognitive methods developed from their recent research, to take the therapist from initial assessment to the end of treatment and beyond, with chapters covering: engagement and motivation case formulation and socialisation detached mindfulness strategies positive and negative beliefs. This practical guide will allow those treating patients with bulimia nervosa to take advantage of recent developments in the field and will be an essential tool for all therapists working with this eating disorder.
Overcoming Your Eating Disorder
Cognitive-Behavioral Therapy (CBT) has been proven effective for treating Bulimia Nervosa and Binge Eating Disorder. However, this type of program requires at least 6 months of weekly sessions with a qualified mental health professional. If you suffer from an eating disorder and want to get treatment, but have little time to devote to therapy, a shorter, time-limited program may be right for you.This workbook outlines a Guided Self-Help (GSH) program based on the principles of CBT. Although sessions with a therapist or clinician are required, there are usually no more than 12 and each one is only 25 minutes long. You will do much of the treatment on your own using the workbook as your guide. You will learn and practice the skills you need to overcome your eating disorder and establish healthy habits, while consulting with your therapist for encouragement and support. Through daily self-monitoring of your eating patterns, and strategies such as challenging negative thoughts and formal problem-solving, you will reduce your desire to binge and purge. GSH is hard work, but the benefits are well worth it. If you have the desire and the drive, you can use this workbook to eliminate your eating disorder once and for all.TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! · All programs have been rigorously tested in clinical trials and are backed by years of research · A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date · Our books are reliable and effective and make it easy for you to provide your clients with the best care available · Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated · A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources · Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)
The Psychobiology of Bulimia Nervosa
Research and Treatment in the Psychobiology of Bulimia Nervosa 1 2 K. M. Pirke and W. Vandereycken When we were preparing this book, the main purpose was to gather the latest in sights from both basic and clinical research in bulimic disorders. The burgeoning scientific interest in eating disorders forced us to restrict the focus in such a way that attention was only paid to psychobiological aspects of (disturbed) nutrition and be havior. This implied that other important aspects, like sociocultural and familial fac tors, had to be excluded. But it turned out that even with such a restricted scope the subject was not an easy one. A review of the contributions to this volume clearly shows that our present understanding of bulimia nervosa is still very small. Reviewing the hypothalamic and especially neuroendocrine regulation of nutrient balance, Bray has emphasized the importance of the autonomic nervous system in regulating food intake and energy expenditure. The role of insulin, adrenal steroids, gonadal steroids, and growth hormone in modulating nutrient intake and storage were discussed. The studies by Jimerson et aI. , Schweiger et aI. , and Fichter et al. show that all these factors are altered in bulimic patients, indicating that the whole system of regulating food intake and storage is severely disturbed in bulimia nervosa. Evidence has been presented that neurotransmitter alterations may occur in bulimia: Jimerson et al.