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Bulimia Nervosa Treatment

Posted by on Sunday, October 11, 2009, 11:18
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There is a great deal more known about the treatment of  Bulimia Nervosa than about Anorexia Nervosa. A variety of different medications and psychotherapeutic techniques are helpful.

The antidepressant medications work well even in people who are not depressed. Although they were initially discovered for their efficacy in treating depression, it turns out that most antidepressants are also effective for a wide variety of other mental disorder including Panic Disorder, Social Phobia, Generalized Anxiety Disorder and even Cocaine Dependence.

In the treatment of bulimia, the help reduce the frequency of both binge eating and purging episodes, improve mood, and diminish the intensity of the disturbed attitudes regarding body shape and weight.

Psychotherapy is also very helpful on its own or when combined with medication. It is important for you to appreciate the binge eating is a “normal” response to starvation. Any attempt to sustain an unrealistic low weight by extreme dieting is a setup for breakup binge eating. You have to shoot to maintain a healthy weight range as determined by your weight, build, long term weight history, and family history. Looking like a model is not healthy and often is not even beautiful.

Normalize your eating pattern by making it more regular, moderate, and predictable, You probably deprive yourself of food during the day, and then have an evening of grazing and evacuating. Instead, eat three healthy average-sized meals a day to  break this pattern and reduce the urge to binge. It is a good idea to monitor the frequency of your binges and purges and to record in excruciating detail the amount and type of food you have consumed. Self monitoring by itself may be enough to significantly reduce binge frequency and will likely limit how much you ingest each time.

Behavioral interventions rely on the fact that binges are usually preceded by triggers The cue may be situational like being alone in the kitchen at night, or watching TV, or walking by a fast food restaurant or maybe emotional like feelings loneliness, self loathing, or boredom.

Behavioral modification can work by altering the cues or the responses to them, or both. To bypass the triggers, reduce physical number by eating frequent small snacks, avoid problematic situations, and learn other ways to deal with tension and painful emotions.

Substitute Other behaviors cal a friend, go for a walk, listen to a relaxation disc  to break the cycle of binges. Finally, prolonged exposure to your triggering cues without permitting yourself to respond to them in your usual way will gradually cut the connection between the cue and the response.

Cognitive interventions involve having you note your internal thoughts and feeling states immediately preceding, during, and subsequent to the binges or purges. Cognitive distortions are examined, dissected, and replaced with more rational alternatives. Similarly, the inevitable relentless dissatisfaction’s with one’s body shape and weight are labeled for what they are: pathological distortions in body image.

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