Bulimia to be Slim at any price

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Bulimia to be Slim at any price


The Bulimia nervosa is a regular binge eating tagged eating disorder. During a Essanfalls large quantities are consumed in food. The victims experience a feeling of loss of Control (the feeling of not being able to stop eating or to not have a handle on the quantities that may be eaten). Due to the high energy intake during a Essanfalls be used against measures to gain weight. This can be: auto h led to vomiting, abuse of laxatives and/or drainage medications, fasting or excessive physical activity.

Who is affected by bulimia?

The bulimia along with anorexia one of the most common eating disorders. Typically it occurs in 15 – to 30-year-old women. The Affected are usually of normal weight or slightly over – or underweight. Less than ten percent of those Affected are men.

A variety of people suffering from a bulimia, but shows an approach similar behaviors. The majority of women and men is unhappy with their figure, and a large part of especially the women want to lose weight and follow diet rules. Also binge eating, auto h led to vomiting, as well as the occasional intake of appetite suppressants and laxatives are widely used.

Causes of bulimia

An important trigger of bulimia (and anorexia) is the current ideal of Slimness. This “demands” of the women, to be slim. The pursuit of the “dream figure” is supported by fashion magazines and other media. Since many adolescents experience the physical and emotional changes of puberty as unsettling, they are particularly vulnerable to such a Model.

Also the change of gender roles is considered to be a potential trigger for the emergence of eating disorders: The “ideal woman” must be employed as a professional, a housewife and mother, as well as as an attractive partner at the same time in different roles to be successful. This pressure can in particular cases lead to considerable conflicts.

Personal problems and conflicts are important for the individual development of a eating disorder, if you disturb the mental balance of a Person. Whether it is problems in partnership, school, or workplace, or other types of problems varies from case to case.

Low self-esteem than the bulimia-trigger

The more the self-esteem of a woman affected, the more important the test can be for you, deficiencies in the management of difficulties with the help of a (unnecessary) weight reduction to compensate. The pursuit of the ideal figure wins a disproportionately large importance. The goal of weight loss has a function of low self-esteem to compensate.

People who want to lose weight, experience the Occurrence of Essanfällen often as a “failure”. It would make you feel bad. The auto h led to vomiting in this Situation, some relief, because the “forbidden food” eliminated and the “failure” is reversed. Nevertheless, the vomiting is often accompanied by feelings of shame and guilt.

Self-esteem is weakened additionally, the patients respond with an even greater Effort to Adhere to the diet measure. Sooner or later, a circuit in which the frequency of the Binges and of vomiting, as well as the downcast mood increases.

Symptoms, diagnostics and course of bulimia

The sole eating large amounts of food and the subsequent trial, the high calorie intake by, for example, a smaller dinner to compensate, it does not mean that someone is suffering from bulimia. The following are the characteristics of an Ess crushing Addiction:

  • Regular episodes of Essanfällen, in which in a short time a far larger amount of food is consumed, than other people would eat under similar conditions.
  • To control during the Essanfällen often the feeling of loss of Control (unable to what or how much is eaten).
  • Re-application of so-called repeated measures (to counteract the weight gain). These can be: self-precipitated vomiting, abuse of drainage and/or discharge medications, fasting, excessive physical activity.
  • The figure and the body weight have an excessive influence on the self-assessment.

Counter-measures (Purging behaviors) in the case of bulimia

Depending on the application of counter-measures (Purging behaviors), is divided into the bulimia, into two groups:

  • “Purging type”: auto h led vomiting or the misuse of laxatives and/or drainage drugs
  • “Nonpurging type”: bulimic Binges with fasting or excessive physical activity, but without auto h led to vomiting, without abuse of laxatives or drainage drugs

Binge eating also occur in another eating disorder, Binge Eating Disorder, however, the absence of the counter-measures to gain weight. For Bulimia nervosa belonging to the counter-measures represent an adequate strategy of weight control, but are to be understood as a characteristic of the disease.

Health consequences of bulimia

Unbalanced diets, fasting, vomiting and use of laxatives and drainage medications can lead to a lack of vital salts (electrolytes) such as sodium salt, potassium or Magnesium. Electrolyte disturbances (for example, potassium or sodium deficiency) are therefore the most common physical complications of bulimia -.

Moreover, it can lead to enlargement of the salivary glands. Since the vomiting, the teeth always come back with the stomach acid in contact, favors the formation of dental caries; a further consequence of the removal of tooth enamel. The long-term use of laxatives does not improve the digestion. The opposite is the case, increasing constipation (constipation) is the result.

Performing unbalanced diets leads to long-term deficiency States, the Affected, in addition to the already mentioned electrolyte or too little of the vitamins, minerals and folic acid ströungen.

Psychological effects of bulimia

Apart from the physical complications of bulimia can have health serious consequences: the longer the eating disorder is, the higher its importance in everyday life. Considerations and actions related to food and diet in relation, to dominate more and more about other interests. Social contacts are increasingly being avoided, which can lead to Isolation.

Many of those Affected will show at the same time increasing performance orientation and increased involvement in sporting or intellectual. This can serve to compensate for social deficits. Anxiety and depression can add to the Experience of the patient. Especially after Essanfällen and in case of vomiting, guilt and feelings of shame occur.

Treatment of bulimia

The aim of the therapy is the diet to reduce the hold, and a normal eating pattern. The basis of normal Eating habits, a diet with a balanced ratio of carbohydrates, proteins and fats. Bulimiker inside prefer low-fat, protein-rich foods.

Another treatment aspect is the regularity of food intake. Thus, longer periods can be avoided food and adequate nutrient and energy supply guaranteed.

The long-term goal of the treatment of an eating pattern that is not characterized by one-sidedness and the absence of pleasure, but through a variety of food and focus on the appetite for certain foods (in contrast to the typically existing guidance on dietary considerations). Among the psycho-therapeutic treatment approaches are primarily cognitive-behavioral therapeutic treatment measures that have been investigated scientifically.

Central components of the therapy for bulimia

The Central components within a cognitive-behavioral therapeutic treatment are:

  • Self-observation of Eating behavior (including binge eating and vomiting).
  • Identify triggers for binge eating and vomiting.
  • Mediation of information (in connection with the eating disorder).
  • Construction of controlled meals (including the previously “forbidden” foods).
  • Change in the distorted attitudes and Beliefs about body and weight.
  • The prevention of relapse.

The treatment can take place in many cases on an outpatient basis, and is available both as individual or group treatment.

Other forms of therapy for bulimia

Similar results with cognitive-behavioral therapeutic approaches to treatment will be achieved with interpersonal psychotherapy. The focus of this method is the improvement of the current human-to-human relationships, without reference to the eating habits and the distorted settings to body and weight.

Drug treatment can also be helpful. Here, have proven, however, only drugs from the group of antidepressants. In comparison with cognitive-behavioral therapeutic approaches to treatment of the drug to achieve treatments but it has less success.

Preventive Measures

Question the ideal of Beauty: The current ideal of beauty that is propagated by very slender to emaciated Models in the media, is reach for the average women and men with unhealthy measures to. This Ideal takes no account of the natural physique or weight Set-Point. In order to meet the desired dream figure, should average people lose a considerable amount of body weight.

Avoid rigid diets The range of diets is increasing continuously. Many don’t seem to be quite logical, but is often a long-term basis. They do not take into account the Set-Point, emotional reactions to diets, individual differences in the normal weight, the unreasonable ideal of Slimness. Diets, the effect of which on the Basis of an unbalanced diet in a short period of time, a relatively high weight loss, represent a risk to health.

Eating binges can be a direct result of Hunger. The more attempts are made to restrict food intake, the stronger the tendency for binge eating. Often the error started after a Week for a meal (within the meaning of the “compensation”) omit. As a result, the next loss of control is inevitable.