The psychological disorder associated with this research paper is bulimia nervosa. Bulimia nervosa is a critical psychological eating disorder; it is characterized by recurrent episodes of binge eating immediately followed by self-induced vomiting or purging by taking laxatives, diuretics, enemas and or taking part in excessive exercise as a way to compensate for the binge eating behaviors. In order to be diagnosed with bulimia nervosa, according to DSM-V criteria, the individual must exhibit recurrent episodes of binge eating associated with three or more factors such as eating more rapidly than usual, feeling disgusted with oneself when overeating, and eating until uncomfortably full; the binge eating must occur for at least once a week for
While many bulimia patients believe that the act of purging will make up for their compulsive binge eating episodes, purging actually only eliminates half of the calories, if not less calories, that the patient has consumed; it is for this reason that bulimia patients tend to either maintain their weight or many times end up being slightly overweight. According to the National Institute of Mental Health, Bulimia nervosa is said to target approximately 1-2% of women; although this eating disorder is not exclusive to women, approximately 80% of patients suffering with bulimia nervosa are female. Bulimia nervosa is an extremely dangerous eating disorder as it tends to affect more than just weight. According to Healthline, bulimia nervosa can lead to other detrimental health problems such as anemia, low blood pressure, tooth decay and mouth sores, broken vessels in the eyes, dry skin, ulcers, gastrointestinal problems, esophageal ruptures and stomach ruptures from excessive vomiting, irregular periods, and kidney failure due to chronically low levels of sodium (Hirsch,
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,
There are many types of treatments that attempt to mitigate the symptoms of bulimia and binge eating disorder. But what causes the binges in binge eating disorder and what causes the binge-purge cycle in bulimics? How can the symptoms of these disorders be reduced or eliminated? If the causes of these behaviors are discovered, the behaviors can be reduced. There are several therapies that have proven to be fairly effective in treating persons diagnosed with bulimia nervosa. Drug therapy has made great advances in recent years and goes straight to the root of the problem. Drug therapy attempts to uncover the biological causes of the symptoms of bulimia nervosa and binge eating disorder.
Bulimia nervosa is an eating disorder with psychological, physiological, developmental, and cultural components. The disorder is commonly characterized by binge eating followed by inappropriate compensatory behaviors, such as self-induced vomiting, excessive exercise, fasting, and the misuse of diuretics, laxatives or enemas. Patients properly diagnosed with bulimia nervosa endure many psychological and physiological problems. In order to alleviate these problems for the patient, usually some type of intervention is required. Considering the financial costs to the patient who seeks treatment, it is important to identify effective and efficient treatment programs. Due to the wide variety of individual patient differences, it would be unwise to proclaim one treatment method as the universal cure for bulimia nervosa. However, identifying what methods work under particular conditions may help therapists tailor an individualized treatment program after a careful assessment of the client. Having this knowledge would potentially save both the client and the therapist a lot of time and frustration; not to mention, the patient would be on the path to recovery sooner. Kaye et al (1999) stress the importance of making progress towards the understanding and treatment of anorexia and bulimia nervosa, in order to generate more specific and effective psychotherapies and pharmacologic interventions.
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).
Bulimia nervosa is a disease that predominately affects young females. Since the origination of its medical definition various studies have been implemented to examine the cause of onset and effects of bulimia nervosa. There have also been studies surveying the long-term outcome of bulimia nervosa. These long-term studies have analyzed such relationships as age, employment status, social status and marital status and bulimia nervosa. By using three scientific studies of long-term outcome of bulimia nervosa, this paper will try and evaluate the research obtained and offer critical suggestions to help further studies on this topic.
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...
Before treatment can begin, anorexic clients must undergo assessments that ensure they are physically capable of outpatient treatment. If these individuals are not ready for outpatient treatment, they must undergo hospitalization to stabilize their condition. For those clients who pass medical examinations, and are good candidates for outpatient care, it remains necessary for a physician and dietitian to be involved with treatment (Bowers, 2002). This ensures the client is cared for in a holistic manner by addressing “nutritional rehabilitation, possibly medical stabilization, and psychological interventions” (Bowers, 2002, p. 249). This multidimensional approach ensures the client’s physical wellbeing is addressed, in addition to the psychological aspects of the disorder.
Anorexia nervosa is a life threatening eating disorder defined by a refusal to maintain fifteen percent of a normal body weight through self-starvation (NAMI 1). Ninety-five percent of anorexics are women between the ages of twelve and eighteen, however, “…in the past twenty years, this disorder has become a growing threat to high school and college students”(Maloney and Kranz 60). Anorexia produces a multitude of symptoms, and if not treated, anorexia can lead to permanent physical damage or death.
Anorexia nervosa is characterized by refusal to maintain body weight over a minimum level considered normal for age and height, along with distorted body image, fear of fat and weight gain, and amenorrhea (absence of menstruation). Bulimia nervosa is characterized by binge eating followed by purging. These behaviors should occur at least twice a week for three months. Binge eating disorder typically occurs in patients who binge but do not purge. One must have bulimic episodes at least two days a week for six months but must not fit the criteria for bulimia nervosa. Eating disorders not otherwise specified (EDNOS) includes a wide array of eating disturbances that do not fall into the anorexia, bulimia, or binge eating diagnosis. Anorexia athletics features an intense fear of becoming fat even though one is at least 5 percent below the expected normal weight range. Also, excessive exercising, restrictive energy intake, use of laxatives or diuretics, as well as planned binge eating (even around training schedules) all classify anorexia athletics. (Sundgot-Borgen, 1994)
Anorexia has many negative effects as well. According to the University of Maryland Medical Centers article Eating Disorders, “Anorexia nervosa can increase the risk for serious health problems such as: hormonal changes including reproductive, thyroid, stress, and growth hormones, heart problems such as abnormal heart rhythm, electrolyte imbalance, fertility problems, bone density loss, anemia, and neurological problems.” Anorexia can severely affect a person internally. The continuous lack of nutrients can leave an anorexic person extremely frail. The heart in particular can grow so weak, that heart failure occurs. Eating disorders can lead too permanent health damages can stay with a person for the rest of their life.
Bulimia nervosa is a slightly less serious version of anorexia, but can lead to some of the same horrible results. Bulimia involves an intense concern about weight (which is generally inaccurate) combined with frequent cycles of binge eating followed by purging, through self-induced vomiting, unwarranted use of laxatives, or excessive exercising. Most bulimics are of normal body weight, but they are preoccupied with their weight, feel extreme shame about their abnormal behavior, and often experience significant depression. The occurrence of bulimia has increased in many Western countries over the past few decades. Numbers are difficult to establish due to the shame of reporting incidences to health care providers (Bee and Boyd, 2001).
Bulimia nervosa, more commonly known simply as bulimia or binge and purge disorder, is an eating disorder that affects 1 in 4 college-aged women in America, or 1 in 10,000 Americans. The most common misconception concerning bulimia is that it is simply a physical or mental problem. Many people do not understand that bulimia is a disease that affects both the mind and the body, and in its course can destroy both aspects of the diseased individual.
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 eating disorders, 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 both psychological disorders primarily prevalent in women, anorexia tend 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).