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

Why the "Eat Less, Move More" Approach Often Fails

Why the "Eat Less, Move More" Approach Often Fails. Not all calories are the same, By Susan Kolod, Ph.D.

Eating Disorders in the Orthodox Jewish Community

Eating Disorders: What Does Being an Orthodox Jew Have to do With It? Contradictory demands on women may result in disordered eating. By Caryn Gordon, Psy. D.

3 Myths About Eating Disorders Debunked

By Nicole Avena Ph.D. on February 24, 2015 in 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.

The 'Journey' of Psychotherapy

The “Journey” of Psychotherapy: On a voyage with an eating disordered patient. By Hilary Maddux, LCSW

Feeling Stuck in Your Battle Against an Eating Disorder?

By Nancy Matsumoto on February 20, 2015 in Eating Disorders News
"At some point we made pain a problem to be solved like a math problem. Pain can't be solved any more than a sunset can be solved."

Ten Surprising Facts about Brooding

By Guy Winch Ph.D. on February 15, 2015 in The Squeaky Wheel
We typically try to process painful or upsetting experiences by self-reflecting and thinking about them. While it is common to replay distressing events in our minds, there are healthy and unhealthy ways to do it. Do you know the difference?

New DSM-5 Disorder Spurs FDA Drug Approval, Expanded Market

By Christopher Lane Ph.D. on February 14, 2015 in Side Effects
A drug-maker's blunt challenge: “increase the numbers of patients diagnosed.”

Therapy and Weight Loss

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

10 Tips to Stop The Diet-Binge Cycle and Re-claim Your Body

It ‘s not easy to consciously choose to ignore the images and messages that tell you what you should and should not eat or how much you should weigh. But there are important steps you can take to help break the starve-binge cycle, re-claim your body, and achieve a true sense of self-worth.

How Family Becomes Food

There are many factors that contribute to eating disorders including family and relational issues. No blame....just all members accepting responsibility and learning how to change and grow.

Recovering from Anorexia: How and Why to Start

By Emily T. Troscianko on January 19, 2015 in A Hunger Artist
In this companion piece to my post on how and why not to stop halfway in recovery from anorexia, I focus on anorexia’s other halfway state, the one between first achieving insight and first taking action, and try to offer ways of both understanding and escaping this particular limbo.

What's Wrong With 'Fat Shaming?'

By Gabriel C. S. Gavin on January 04, 2015 in 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 in 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 in 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 in 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 in 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 in 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 in 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

By Sylvia R. Karasu M.D. on September 27, 2014 in The Gravity of Weight
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 in 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

By Pamela D. Garcy Ph.D. on June 23, 2014 in Fearless You
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

By Gregg Henriques on June 10, 2014 in Theory of Knowledge
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.

What Anorexics Really Feel About Food

By Emily T. Troscianko on May 15, 2014 in A Hunger Artist
What’s really going on when people suffering from anorexia refuse to eat? It isn’t usually as simple as not experiencing hunger, and a profound enjoyment of food is often also part of the illness. So what are the mechanisms driving the destructive and sometimes deadly abnormalities in how feeling hunger and liking food relate to wanting food and eating it?