There's no way to tell by looks alone whether a person is bulimic. Bulimia nervosa, also known as binge-purge disorder, is, like the related eating disorder anorexia, marked by severely restrictive eating, but the extreme dieting is punctuated by bouts of out-of-control binge-eating. Most often, they are followed by purging, or self-induced vomiting, and less often by the use of laxatives or diuretics, or other compensatory behaviors such as fasting or overexercising. The disorder typically begins during adolescence, and cognitive-behavioral psychotherapy is the treatment of choice.

Recent Posts on Bulimia Nervosa

In Defense of the Bagel

Americans have an endless obsession with diets and eating or not eating foods in an effort to lose weight, bloat or fat. Often the food restrictions or diet imposed serve to induce bingeing at some point. The gluten-free environment has left the friendly bagel maligned or at least misrepresented.

The Importance of Accepting Painful Emotions:

Getting good with feeling bad goes a long way in the recovery from an eating disorder. Patients often have pre-existing anxiety and/or depression. But, disengagement from emotions is different from an anxious or depressed mood. Feelings matter before, during and after recovery. Emotional awareness and expression in relationships are key in recovery and in bonding.

What Causes Out-Of-Control Eating?

Food cravings affect millions of Americans but for some, these cravings may be an indication of an addictive relationship with food.

What is an Addiction?

By Sam Louie MA, LMHC on October 20, 2015 Minority Report
The clinical and therapeutic communities have come a long way in understanding addictions yet questions still persist as to the root causes of addictions. Is it a disease rooted in genetics and/or biology, is it a disorder of mental or psychological suffering, or is it one of depravity where the origin is of a spiritual issue? The answer depends.

Manipulation in Families with Eating Disorders

It is extraordinarily difficult and wearing for family members to deal with a child with an eating disorder. When manipulation enters, it is easy to lose recovery ground. Understanding and responding to manipulation with compassion and authentic expression can be achieved.

Hormones Play Leading Role in Eating Disorder Risk

Every month, women face a recurring cycle that can throw our bodies out of whack and make some of us suffer in many ways. Not only can the ovarian hormones that drive the menstrual cycle makes us emotional, but they may be flipping switches on the genes that make some women more vulnerable to eating disorder symptoms.

5 Ways to Measure the Fitness of Your Exercise Mindset

Moderate exercise is associated with benefits on mood, anxiety, cognition, and sleep. But how much exercise is too much exercise? Here are 5 ways to evaluate your exercise pattern and mindset to ensure that you are working towards true physical and psychological health.

Do You Have an Undiagnosed Eating Disorder?

An eating disorder is a time bomb waiting to go off—and it may be about to go off in your life.

The Self "Loathsome Gluttony" of Binge-eating Disorder

Binge eating disorder (BED) is a new diagnostic category in psychiatry's DSM-5 although it was first described in 1959. Already pharmaceutical companies are heavily marketing their medications to this new population.

Anorexia Affects More Men Than Previously Thought

Anorexia and bulimia are traditionally seen as “female problems” but recent studies show that approximately one third of people with anorexia and about one half of those with bulimia are men.

3 Myths About Eating Disorders Debunked

By Nicole Avena Ph.D. on February 24, 2015 Food Junkie
Eating disorders can be very difficult to understand. In honor of National Eating Disorders Awareness Week, take some time to learn a bit more about these disorders and the truth behind a handful of myths that surround them.

Therapy and Weight Loss

How can mental health providers assist in your weight loss goals? Read on to learn more...

What's Wrong With 'Fat Shaming?'

By Gabriel C. S. Gavin on January 04, 2015 Wiring the Mind
Gabriel Gavin discusses the so-called 'Fat Acceptance' movement, who seek to counter negative portrayals which give rise to mental health problems, eating disorders and cause people to actually gain weight.

How To Do Christmas Better

By Emily T. Troscianko on December 12, 2014 A Hunger Artist
This post is for anyone who finds themselves somewhere between a restrictive eating disorder and full recovery – or who just generally struggles a bit with Christmas. It’s about finding ways of making Christmas happier, healthier, and more connected, and it invites you to share your own concrete plans for doing better this Christmas.

Eating Disorders in Boys and Young Men

By Alexis Conason Psy.D. on December 04, 2014 Eating Mindfully
How many men struggle with eating disorders? Traditional definitions of eating disorders don't always apply to men due to different body ideals for men and women, but this doesn't mean that men are unaffected by eating disorders. In fact, eating disorders in men are often under diagnosed.

Adolescent Girls and “Not-Quite" Eating Disorders

Do you encourage or freak out if your normal weight teen wants to diet? When it comes to the thin-line of adolescent girls' "not quite" eating disorders, parents face new challenges—even when childhood eating issues have been minimal or non-existent before.

Understanding Binge Eating Disorder

When people think of "eating disorders," anorexia and bulimia typically come to mind. Binge Eating Disorder is less well-known and less studied but an important diagnosis to understand and treat. Read on to learn more.

Filling the Hole in Your Heart: Recovering from Childhood

By Peg Streep on October 23, 2014 Tech Support
The human conundrum is that we are hardwired to need and want deep emotional connections with our mothers during infancy and childhood and that being deprived of those connections has lasting effects. But recovery is possible.

Are Emotions (and Their Regulation) Contagious?

By Amelia Aldao Ph.D. on October 20, 2014 Sweet Emotion
How others can play a central role in our emotions and mental health.

Men's Bodies

By Susan McQuillan M.S., RDN on October 09, 2014 Cravings
Many men have food and body image issues, but they are less likely than women to talk about them.

Disclosing One’s Own Disorder to Prove Recovery is Possible

By Nancy Matsumoto on October 08, 2014 Eating Disorders News
The anxiety surrounding giving up an eating disorder is immense.

Mystical Healing

Do you have anger problems, eating issues, relationship difficulties, or just too many regrets? Consider an ancient teaching that can wake you up to making changes that stick.

When Healthy Eating Turns Unhealthy: Orthorexia Nervosa

In this era in which overweight and obesity have reached epidemic proportions globally, is it possible to be too preoccupied with healthy eating? Are you a judgmental "righteous eater"?

Forever Young - Through Humor and Surgery

By Joan Ullman M.A. on September 26, 2014 Uncharted Customs
The late comic icon, Joan Rivers, like writer Daphne Merkin, and psychologist/blogger, Joan Ullman, have all voiced at times extreme unhappiness with their physical appearance - what in the DSM (Diagnostic and Statistical Manual of Mental Disorders) is termed Bodily Dysmorphic Disorder. But far from having been undone, each woman triumphed over her affliction.

"Remnants of a Life on Paper"–A Book Review

If you are looking for reasons to believe in God, they abound in this book. If you are looking for reasons not to believe in God, they abound in this book.

Duplicity, Lies, Manipulation, and Eating Disorders

Many patients with eating disorders lie about their symptoms to cover up. For some patients, manipulating and lying to others is painful and shameful. For other patients, deceiving others and covering up their symptoms is a way of life. Here are the recovery issues facing these different types of patients.

Eleven Ways REBT Can Help Anorexia

Because anorexia is fed by distressing and inaccurate thinking, therapies such as REBT, which teach patients how to think, may be useful to people with this condition.

Why the Clinical Scientist Model Fails

This blog explains why the clinical scientist model for training in clinical psychology fails. The short answer is that one cannot reduce the practice of psychology to the science.

Inside the Eating-Disordered Mind

Eating disorders are associated with have mild cognitive impairments that can have far-reaching consequences. These impairments do not necessarily go away when patients get healthy. Acknowledging these impairments can promote better heath for victims and better understanding for all involved.

Mental Illness in the Happiest Nation on Earth

It's high time we faced up to the fact that mental illness is commonplace and no more shameful than physical illness.