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Bulimia Nervosa

Clinical features:
  1. Preoccupation with the food.
  2. Recurrent episodes of overeating .
  3. A sense of lack of control over eating.
  4. A sense of compulsion to eat.
  5. Attempt to compensate/counteract the fattening effect of food by—self induced vomiting, purging, alternate periods of starvation, exercise.
  6. A self perception of being too fat
Diagnostic Features of Bulimia Nervosa
  1. Recurrent episodes of binge eating, which is characterized by the consumption of a large amount of food in a short period of time and a feeling that the eating is out of control.
  2. Recurrent inappropriate behaviour to compensate for the binge eating, such as self-induced vomiting.
  3. The occurrence of both the binge eating and the inappropriate compensatory behaviour at least twice weekly, on average, for 3 months.
  4. Over concern with body shape and weight.
Treatment: Cognitive and behavior therapy & SSRI
Fluoxetine, imipramine, and MAOI all known to decrease the binge eating as well as taking care of symptoms of depression,
Non-pharmalogical methods
Include psychoeducation, self monitoring, counseling, restricting thoughts, altering thoughts of body image etc.

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