Bulimia Nervosa and Antidepressant Drugs
WHAT IS BULIMIA NERVOSA?
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).
PRIMARY SYMPTOMS OF BULIMIA
The primary symptoms of bulimia are recurrent episodes of binge eating and compensatory measures to purge the calories. There is an excessive influence of the importance of the body and weight on one's self-evaluation (Negri).
Symptoms of bulimia can be quite invisible because the bulimic can maintain normal weight. Occasionally, patterns of behavior may signal a problem: Do they restrict certain food? Do they eat in a ritualistic way? Are they overly concerned with diet? Do they weigh themselves every day? Do large quantities of food disappear from the refrigerator? Do they visit the bathroom soon after meals or frequently? (Negri).
Some bulimics have a telltale scar on the first two knuckles of their hand from inducing vomiting. Some purge themselves up to several times a day. This can lead to serious medical consequences: dental cavities, electrolyte imbalances, disturbances in heart rhythm and dangerously low blood pressure (Negri).
ANTIDEPRESSANTS AND THE TREATMENT OF BULIMIA
Psychiatrist Linda Gochfield, who teaches brief psychotherapies to mental-health professionals, maintains that if people have a problem that responds to medication, that can be the briefest and most effective therapy of all (Davis).
While bulimia often occurs with comorbid mood disturbances, the treatment benefit found for antidepressants in bulimia may not be merely alleviation of depressive symptoms; the increased serotonin levels also help reduce food intake. Looking at results of 14 studies of treatment of bulimia with antidepressants, it has been noted that administration to bulimics agents that increase the availability of serotonin virtually always produces better results than placebo, regardless of the presence or absence of depression (Alexander).
There is now compelling evidence from double-blind, placebo-controlled studies that antidepressant medication is useful in the treatment of bulimia nervosa. What is less clear is which patients are most likely to benefit from antidepressant medications and how to best sequence the various therapeutic interventions available. The utility of antidepressant medications in bulimia nervosa has led to their evaluation in binge eating disorder. The limited information currently available suggests that antidepressant treatment may be associated with a reduction in binge frequency in obese patients with binge eating disorder, but does not lead to weight reduction.
Ever since 1979, the world became introduced to a different type of anorexia disorder called bulimia nervosa by Gerald Russell. In the similar attempt to lose weight like anorexia, bulimia nervosa is characterized by having episodes of binge eating, followed by intense efforts to avoid gaining weight. Some of the methods to avoid gaining the weight can be to induce self-vomiting, and consuming laxatives or diuretics. As a result of Russell studying theses eating disorders, he discovered that approximately 1/100 women in Western societies were affected in 1990 (Palmer, 2014). Ever since bulimia nervosa became a known eating disorder, more people have been able to effectively be diagnosed with it, and more useful information about the disorder
I am quite fascinated by generalized control mechanisms and the role they play in the nervous system. I am also quite curious about the relationship between different generalized control mechanisms. The concept of mood and depression in particular have always interested me. I have always wondered what actually causes depression. Why can some people be in a perfectly good mood one day and then less than a week later start exhibiting the signs of clinical depression? I have always been curious about the role that experience and chemical imbalances play in depression and other mood disorders. I donUt totally understand how chemical depression can originate as the result of severe outside stressors in a personUs life. How can this stress go from simply stress in the experiences and environment of a person to a chemical imbalance? I have also wondered why certain people are more susceptible to depression than others. I am curious about whether genetics play a role in depression and whether certain people are more susceptible to depression because of the environment they live in or because of pharmacological reasons and genes. Throughout our class this year, I have wondered about the role that the I-function plays in depression. I find it interesting that it is possible to wake up one morning and be in a nasty mood even if I want to be in a good mood and my I-function is thinking RhappyS thoughts. Through my research for this paper I wanted to find out more about the different kinds of depression and exactly what goes on chemically in the brain when a person is depressed. I also wanted to do a little research on how depression can be treated. I wanted to try and determine how and when the line of simp...
It is difficult to treat if patients don’t gain weight. This documentary film described that fifty percent of individuals will relapse in the first year if normal weight has not be achieved prior to leaving treatment. Treatment requires a multidisciplinary team approach. In addition to restriction many patients also increase activity levels. The film also examined individuals that have Exercise Anorexia. In conclusion the documentary pointed out the disorders have links to Anxiety. They stated that Prozac and Paxil have been found helpful in treating patients. They noted that Bulimia is linked to depression. The film also described a research study conducted to examine satiety related to food and CCK Cholecystokinin disturbed digestion in individuals with eating disorders. CCK is a digestive hormone that stimulates fat and protein digestion, and promotes the feeling of satiety. The film also stated that it takes years to fully recover from
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.
An option that copyright owners have considered toward protecting their works from circulating in P2P networks is to use a variety of technological tools to prevent piracy. Such tools would be capable of blocking, decoying and redirecting the connections of unauthorized copyrighted file transfers. However, federal and state laws such as the Computer Fraud and Abuse Act of ...
Jardin, Xeni. “P2P in the Legal Crosshairs”. WIRED March, 2004. http://www.wired.com/news/digiwood/0,1412,62665,00.html . accessed on November 16th 2004
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 is a serious psychiatric illness. People who suffer from bulimia binge eat regularly and try compensating for their behavior by over exercising, purging and fasting; according to the National Library of Medicine a significant number of people with bulimia also have anorexia (Nordqvist, 2009). There are many warning signs and symptoms that come along with bulimia such as: binge eating, purging, over exercising, constant change in bodyweight, disappearing after eating to the restroom, depression, and damaged teeth (Nordqvist, 2009). Not only does bulimia affect ones physical appearance but it also affects a persons state of health because there are many consequences that come along with this disorder such as: sto...
It is first beneficial to know the definition of piracy. Piracy has been characterized multiple ways from multiple disciplines. For the purpose of this paper, I will apply the definition of piracy from the 1982 United ...
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Eating disorders are a serious health problem. Personal Counseling & Resources says that eating disorders "are characterized by a focus on body shape, weight, fat, food, and perfectionism and by feelings of powerlessness and low self-esteem." Three of the most common eating disorders are anorexia nervosa, bulimia nervosa, and binge eating or compulsive eating disorder. According to Anorexia Nervosa and Related Eating Disorders, a person with anorexia "refuses to maintain normal body weight for age and height" and "weighs 85 percent or less than what is what is expected for age and height." A person diagnosed with bulimia has several ways of getting rid of the calories such as binge eating, vomiting, laxative misuse, exercising, or fasting. The person might have a normal weight for their age and height unless anorexia is present. The signs of a compulsive eater include eating meals frequently, rapidly, and secretly. This person might also snack and nibble all day long. The compulsive eater tends to have a history of diet failures and may be depressed or obese (Anred.com).
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