1. Bulimia Nervosa
MARIA VAZQUEZ
P 4

2. Definition
An illness in which a person binges on food or has regular episodes of significant overeating and feels a loss of control. The affected person then uses various methods such as vomiting , laxative abuse and excessive exercise to prevent weight gain.

3. SYMPTOMS OF BULIMIA
Inability to stop eating or eating to the point of physical discomfort and pain
Alternating between overeating and fasting: Rarely eats normal meals. It’s all or nothing when it comes to food.
Going to the rest room after meals.
Using laxatives. Or Excessive exercising- works out strenuously , especially after eating.

4. PICTURES

5. Associated Features
What thoughts, feelings, and behaviors are characterized by the disorder?
Clauses or scars on the knuckles or hands: from sticking fingers down the throat to induce vomiting.
Discolored teeth: From exposure to stomach acid when throwing up. Teeth may look yellow

6. THE Effects Of Bulimia Weight Gain Abdominal pain , bloating
Swelling of the hands and feet
Chronic sore throat
Broken blood vessels in the eyes
Weakness & dizziness

7. DSM-IV-TR

(1) Eating, in a discrete period of time (e.g., within any 2- hour period), an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances.


(2) A sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating). 

B. Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting, misuse of laxatives, diuretics, enemas, or other medications; fasting, or excessive exercise. 

C. The binge eating and inappropriate compensatory behaviors occur, on average, at least twice a week for three months. 

D. Self-evaluation is unduly influenced by body shape and weight. 

E. The disturbance does not occur exclusively during episodes of Anorexia Nervosa.

8. ETIOLOGY / THE CAUSES
The potential cause of this disorder is not clear, but most of the time it results from family history, social values personality traits (such as perfectionism) and also living a stressful life.

9. Prevalence How common is bulimia nervosa?
Bulimia is highest among young woman who are aged between 12 to 25
Twins are somewhat more likely to share this disorder if they are identical rather than fraternal
In Massachusetts hospital there were 135 males hospitalized between 1980 and and 46% of this girls it was because of bulimia

10. Prevalence Cont. In gender, women and men think differently.
9 in 10 women said they would rather have a perfect body than have A mate with a perfect body.
6 of 10 men prefer to be with someone with a good body instead of them getting in shape.
In 100 girls 35% are bulimia

11. Treatments. Creative groups Recreational therapy with the family
Aftercare program
Body Image Groups.

12. Prognosis
The probable outcome of Bulimia Nervosa may cause many different kinds of problems for
example
psychological problems, mental , gastro-intestinal , cardio-vascular system , kidney , skin , bones , and hormonal problems. Most of the times even death.
The chances of recovering is all up to the patients as long as the person sees doctors , nutritionists , and therapists they would be okay.

14. The binge and purge cycle

16. video

17. References
Smith, M.M.A. & Kovatch, S. (2011). Bulimia nervosa: signs, symptoms, treatment, and help. Retrieved from: ms_causes_treatment.htm
Google bulimia symptoms .com ms_causes_treatment.h
1.htm

18. Discussion Question
What you rather have bulimia or anorexia ? Why ?