Anorexia

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Information on Bulimia

:. What is Bulimia?
:. Effects on the Body and Healt Consequences
:. Psychological Signs
:. Behaviour Changes
:. Things to do Instead of Binging
:. Body Image and Self Esteem
:. Treatment and Recovery
:. Treatment Strategies
:. Statistics
:. Bulimia and Pregnancy
:. The Difference between Anorexia and Bulimia
:. Helpful Books on Bulimia
:. Bulimia Article Library

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What is Bulimia?

Bulimia (literally translated means "hunger like an ox") is a psychological illness characterized by secret episodes of uncontrolled binge-eating followed by inappropriate methods of weight control such as self-induced vomiting, fasting, abuse of laxative, enemas, diuretic and diet pills, or excessive exercise.

Such bulimic behaviours can be very harmful and dangerous to an individual's body and over time may lead to serious medical complications or even death.

Bulimia can quickly become a vicious circle of dieting and bingeing of which it can be very hard to get out of.

"I was sitting on the floor in front of the fridge in the middle of the night and eating a loaf of bread, a box of cookies, a bag of chips and then some ice cream and juice to help it all go down. I felt so guilty afterwards that I threw it all up."

"I must have ate almost 10,000 calories in a single eating period!!!!"

"The only thing I really looked forward to was bingeing and purging. Instead of being with my friends, I was eating tons of food... and then throwing it all up."

"I vomit after every meal no matter how little food I had. My stomach and my throat hurt all the time."

"I am dependend so much on my bulimia. I know it has control over me but it is what makes me happy. Binging and purging is the only thing I look forward to."

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Effects on the Body and Health Consequences

  • frequent weight changes
  • sore throat, tooth decay and bad breath caused by excessive vomiting
  • loss of the enamel on the teeth (it is dissolved by the stomach acid in the vomit)
  • swollen salivary glands making the face rounder
  • poor skin condition
  • hair loss
  • irregular ‘periods’ or even loss of period
  • loss of interest in sex
  • lethargy and tiredness
  • increased risk of heart problems and problems with other internal organs
  • constipation
  • in extreme cases, bulimia can cause heart failure
  • an imbalance or dangerously low levels of the essential minerals in the body can significantly, even fatally affect the working of vital internal organs
  • rupture of the stomach
  • choking
  • erosion of tooth enamel
  • painful swallowing
  • laxative abuse can lead to serious bowel problems
  • unable to get pregnant

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Psychological Signs

  • uncontrollable urges to eat huge amounts of food
  • an obsession with food
  • feeling ‘out of control’ around food
  • difficulties to concentrate, or think clearly about anything other than food or calories
  • distorted perception of body weight and shape
  • emotional behaviour and mood swings
  • anxiety
  • depression
  • low self-esteem
  • shame
  • guilt
  • isolation
  • loss of interest in other people
  • feeling helpless
  • lonely

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Behaviour Changes

  • bingeing and vomiting
  • disappearing to the toilet after meals in order to vomit
  • abuse of laxatives, enemas, diuretics or diet pills
  • periods of fasting and very strict dieting
  • excessive exercise
  • secrecy and reluctance to socialise
  • shoplifting for food
  • abnormal amounts of money spent on food
  • food disappearing unexpectedly or being secretly hoarded

While normal food intake for a teenager is 2,000 to 3,000 calories in a day, bulimic binges average about 3,400 calories in a 1 1/4 hours, according to one study. Some bulimics consume up to 20,000 calories in binges lasting as long as eight hours. Some spend $50 or more a day on food and may resort to stealing food or money to support their obsession.

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Things To Do Instead Of Binging

What to do when you feel like losing control... Instead of binging, try to calm yourself down. Ask yourself "Do I really need to binge?"

The following tips may help you get the control back over your impuslive eating behaviour.

  • When you feel like being at risk of losing control: Wait ten minutes; count to 100 - waiting for a couple of minutes usually makes the cravings go away.
  • Have a big glass of water.
  • Call a friend.
  • Visit a friend.
  • Ask a friend to come over.
  • Call an Eating Disorder Hotline.
  • Call your therapist.
  • Call someone from your support group.
  • Write your journal. Write an e-mail to a friend.
  • Listen to music.
  • Listen to a comedy tape or video.
  • Dance to your faviourite songs.
  • Watch a movie.
  • Read a book.
  • Take a nap.
  • Pray.
  • Exercise.
  • Medidate.
  • Go to a tanning salon.
  • Paint a picture.
  • Clean your room.
  • Take a relaxing bath.
  • Go for a walk (don't take money with you!)
  • Spend time with your pet.
  • Plant flowers or pull weeds in a garden.
  • Colour your hair.
  • Paint your nails.
  • Go to eating disorder support websites and chat online with people who are going through the same as you are.
  • Plan regular activities for your most difficult time of day.
  • Give yourself permission to.... (Keep it safe)

Continue to be strong!!!

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Body Image and Self Esteem

Individuals with bulimia are very dissatisfied with their bodies and have extreme concerns with their body weight and shape - which are the key factors for them in determing how they feel about themselves. Their self esteem is very low and directly related to the way their body looks and how much they weigh.

Some sufferers with an eating disorder assume there is something wrong with their bodies when they cannot fit into some "standard" size and others will reject a pair of jeans simply because they won't wear a particular size.

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Treatment and Recovery

Bulimia can be treated and can be successfully overcome. People with this eating disorder can get well, can learn to eat normally again and can learn to respect and love themselves for whom they are. Bulimia involves the mind and the body, so psychological and medical help (provided from such as health doctors, psychologists, clinical social workers, dietitians) is beneficial and necessary in most cases. Hospitalization is very unlikley with bulimics and is generally only used for eating disorder victims whose weight is dangerously low. It is very unlikley for sufferers from bulimia to be able to successfully get out of the cycle without professional help.

"Somehow I want my family to find out so I can get help. I do need help... I throw up at least once a day. I know I need help but I don't know where to go. I know I can't do it on my own."

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Treatment Strategies

Eating disorders can be treated and a healthy weight restored. The sooner these disorders are diagnosed and treated, the better the outcomes are likely to be. Because of their complexity, eating disorders require a comprehensive treatment plan involving medical care and monitoring, psychosocial interventions, nutritional counseling and, when appropriate, medication management. At the time of diagnosis, the clinician must determine whether the person is in immediate danger and requires hospitalization.

The primary goal of treatment for bulimia is to reduce or eliminate binge eating and purging behavior. To this end, nutritional rehabilitation, psychosocial intervention, and medication management strategies are often employed. Establishment of a pattern of regular, non-binge meals, improvement of attitudes related to the eating disorder, encouragement of healthy but not excessive exercise, and resolution of co-occurring conditions such as mood or anxiety disorders are among the specific aims of these strategies. Individual psychotherapy (especially cognitive-behavioral or interpersonal psychotherapy), group psychotherapy that uses a cognitive-behavioral approach, and family or marital therapy have been reported to be effective. Psychotropic medications, primarily antidepressants such as the selective serotonin reuptake inhibitors (SSRIs), have been found helpful for people with bulimia, particularly those with significant symptoms of depression or anxiety, or those who have not responded adequately to psychosocial treatment alone. These medications also may help prevent relapse. The treatment goals and strategies for binge-eating disorder are similar to those for bulimia, and studies are currently evaluating the effectiveness of various interventions.

People with eating disorders often do not recognize or admit that they are ill. As a result, they may strongly resist getting and staying in treatment. Family members or other trusted individuals can be helpful in ensuring that the person with an eating disorder receives needed care and rehabilitation. For some people, treatment may be long term.

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Statistics

About ten percent of sufferers from bulimia are men. Up to ten percent of individuals with bulimia will die from either starvation, cardiac arrest, other medical complications, or suicide.

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Bulimia and Pregnancy

Eating disorders seriously affect the hormonal system and therefore make it extremely difficult to both conceive and carry a child to term. Women suffering from eating disoders put their lifes and the life their baby in danger and raise the risk of miscarriage, prematurity, postnatal depression. You should not attempt to get pregnant until you are well on your way to recovery, or recovered. It is important for all pregnant women to receive proper prenatal care and have regular pre-natal visits. In addition, an enrollment in a prenatal exercise class is a good idea.

For more detailed information on eating disorders and pregnancy - please click here.

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The Difference between Anorexia and Bulimia

Sufferers from bulimia eat large amounts of food and then make themselves throw up. Anorexics do not have this "binge and purge" behaviour.

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Helpful Books:

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Bulimia:
A Guide To Recovery

by Lindsey Hall and Leigh Cohn

 

Publisher: Gurze Books; 5th edition
Publication Date: August 1999
ISBN: 0-936-077-31X

Lindsey recovered from bulimia in the 1970's and has been involved with eating disorder education along with her husband Leigh Cohn who supported her through her recovery.

This self-help guide offers advice and resources for understanding and overcoming bulimia (the binge-purge cycle). The revised edition has updated information and additional material on men and bulimia, sexual trauma, body image, relationships, and much more. Includes recommendations from 400 recovered bulimics. Useful for therapists, educators, bulimics, and their loved-ones.

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Learning To Be Me: My Twenty-Three-Year Battle with Bulimia
by Jocelyn Golden

"Nobody told me
it was going to be like this."

Publisher: iUniverse, Inc.
Publication Date: October 18, 2005
ISBN: 0-595-369-146

"Learning To Be Me" tells the true story of my twenty-three-year battle with, and ultimate journey into recovery from, an extreme form of bulimia. I have lived with Bulimia for 23 years from the age 13. In the intervening years I have experienced first hand the basest of humiliations examining my own vomit for traces of everything I had eaten, and abusing so many laxatives for so many years to the point where I no longer had control over my body and slept in my own filth until my body finally gave up and I lost my large intestine forever. Gone, not because of an accident but because of what I had done to myself, deliberately and systematically for years. (Jocelyn Golden)

Personal Review:

I want to thank Jocelyn for her courage to write this brutally honest book about her long battle with bulimia and the courage to take on the challenge of informing the world and saving others. Her story has deeply touched me and reminds me in many ways of my own battles with bulimia. I strongly recommend this book to both young and older women.

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Wasted - A Memoir Of Anorexia
And Bulimia

by Marya Hornbacher

A brutaly honest autobiography
of an eating disorderderd girl.

Publisher: HarperCollins
Publication Date: January 15, 1999
ISBN: 0-060-930-934

At the age of five, she returned home from ballet class one day, put on a enormous sweater, curled up on her bed, and cried--because she thought she was fat. By age nine she was secretly bulimic, throwing up at home after school. She added anorexia to her repetoire a few years later and took great pride in her ability to starve. Marya's story gathers intensity with each passing year. She sustained both anorexia and bulimia through five lengthy hospitalizations, endless therapy, the loss of family, friends, jobs, and, ultimately, any sense of what it means to be "normal." Wasted is the story of one woman's travels to the darker side of reality, and her decision to find her way back again--on her own terms.

Personal Review:

This is the brutally honest story of a girl with an extreme form of anorexia and bulimia. I read "Wasted" a couple of years ago, when my eating disorder was at its worst point. Her story has helped me a lot with my own bulimia and it gave me hope that a woman with a much more extreme eating disorder was able to survive the many battles she fought. This book is definitely a must read for any girl and woman.

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Life Without ED -
How One Woman Declared Independence from Her Eating Disorder and How You Can Too
by Jenni Schaefer

Publisher: McGraw-Hill
Publication Date: December 26, 2003
ISBN: 0-071-422-986

Jenni had been in an abusive relationship with Ed for far too long. Ed's name comes from the initials E.D. - as in eating disorder. He controlled Jenni’s life, distorted her self-image, and tried to physically harm her throughout their long affair. Then Jenni met psychotherapist and author Thom Rutledge. He taught her how to treat her eating disorder as a relationship, not a condition. By thinking of her eating disorder as a unique personality separate from her own, Jenni was able to break up with Ed once and for all.

Inspiring, compassionate, and filled with practical exercises to help you break up with your own personal E.D., Life Without Ed provides new hope for the disorders that plague millions of women and young girls. Beginning with Jenni’s “divorce” from Ed, this supportive, lifesaving book combines a patient’s insights and experiences with a therapist’s prescriptions for success to help you live a healthier, happier life without Ed.

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Silent Screams
by Lori Henry

A Collection Of Poems

Publisher: Trafford
ISBN: 1-55369-881-9

'Silent Screams' Website

Silent Screams is a collection of poems at the core of Lori Henry's journey in recovering from bulimia. From her desparate lows to her ecstatic highs, one can always relate to the troubled heart.

"I am recovering from bulimia. All the feelings that I have been running away from, that I was scared of, that I thought too hideous to ever share, are collected inside of these pages, raw and charged with emotion. From being entirely resigned to ever fight back, the moments of anger, frustration, and desperation, to the amazing power of freedom I am beginning to find; I hope these poems will take the reader on a journey through the ups and downs of torment and happiness, the places where one can always find something to relate to. In my times of utter despair, these Silent Screams were all I could say to relieve even the smallest amount of pain." - Lori Henry

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Andrea's Voice
- Silenced by Bulimia
Her Story and Her Mother's
Journey Through Grief Toward Understanding

by Doris Schmeltzer
and Andrea Lynn Schmeltzer

Publisher: Gurze Books
Publication Date: May 15, 2006
ISBN: 0-936-077-018

After a one-year struggle with bulimia, Andrea Smeltzer died in her sleep at the age of 19, catapulting her mother, Doris, into a journey of self-discovery. By combining Andrea’s poetry and journal entries, mother and daughter tell the story together, capturing the bond that connected them. Doris’ honest exploration of the emotional issues surrounding her daughter’s development of bulimia provide insight and guidance not only to parents, but also to any young woman who is struggling to find her independence.

Vibrant, talented, strong, and beautiful, Andrea Smeltzer seemed destined for a great future. But after a one-year struggle with bulimia, she died in her sleep at age 19, catapulting her mother Doris into a wrenching but ultimately rewarding journey of discovery. This unabashed account not only speaks about one family’s tragedy, but also critiques the social and personal attitudes toward our bodies and appearance that create victims like Andrea. Andrea's poetry and journal entries, combined with her mother's reflections, offer insight and understanding about a crushing disorder that afflicts far too many young people.

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Bulimia Article Library:

The Diet/Binge/Purge Cycles - by Judy Lightstone - Let’s start by defining compulsive eating as any eating out of relation to physiological hunger and satiation. This means that anytime one eats for reasons other than hunger or ...

Bulimia Eating Disorder - by Michael Rad - Eating disorders might seem a negligible factor in their early stages, but they can develop over time and produce numerous negative effects to our bodies ...

Why Binges Take Place - by Karen Sessions - Being a former victim of an eating disorder I understand the fear of eating, the sudden binges and the feeling of being completely out of control and lonely.

How a Person Becomes Bulimic? - by Michael Sanford - Generally, there is no easy answer why people become bulimic. Reality is that every individual is unique so are the reasons why they become bulimic and the paths they have ...

Understanding Bulimia - by Thomas Morva - Bulimia is not exclusively caused by the changes of puberty, nor is it exclusive to women. Although 90 percent of bulimia cases occur in women, and most of these women begin ...

Bulimia Nervosa - symptoms, causes, and recovery - by Abigail H. Natenshon - What is a bulimic binge? What causes bulimia? What are the symptoms of bulimia? How easy is it to recognize bulimia? Who suffers from bulimia? Do people recover from bulimia?

Dieting to Death - by Cass Hope - It has been 15 years since I was diagnosed with Bulimia Nervosa and I have been recovered for 12 years. To this day if I head for the washroom after a meal my mother ...

Main Causes of Bulimia - by Thomas Morva - Bulimia may be caused by a genetic component. Certain genes may predispose a person to developing bulimia. Bulimia appears to run in families—people with relatives ...

What are the Symptoms of Bulimia? - by Thomas Morva - Bulimia is identified by two characteristic behaviors: bingeing and purging. The person with bulimia then purges him or herself by inducing vomiting, excessively ...

The Effects of Bulimia - by Thomas Morva - One of the most marked effects of bulimia is on the teeth and mouth. Frequent vomiting brings up stomach acid into the mouth, eroding teeth’s enamel. Cavities and gum ...

The Battle of Bulimia - by Anne Wolski - In a world where a person's worth tends to be measured by appearance, it is little wonder that we have so many young women falling into the trap of eating disorders. This obsession with achieving..

Bulimia Treatment: Advice and Options - by Thomas Morva -
Bulimia is completely treatable. The sooner a person begins bulimia treatment, the sooner the recovery. Successful recovery depends on the work of psychiatrists ...

The Bulimia Recovery Process - by Thomas Morva - Support groups for Bulimia have become a crucial step in bulimia recovery. Local support groups can be found online, in the phonebook, or through a mental health ...

The Harmful Emergence of Pro-Bulimia Attitudes - by Thomas Morva - Pro-bulimia and pro-anorexia groups reside on the Internet. Web sites and message boards run by mostly teenage girls are devoted to “Ana,” short for “anorexia,” and “Mia,” ...

Ana-Mia and the Mature Woman - by Jeannine Schenewerk -
Young women are not the only ones who may succumb to eating disorders. Anorexia and Bulimia are stretching out skeletal hands for the lives of mature women, as well.

The Link Between Anorexia and Bulimia - by Thomas Morva -
Young women and men sometimes starve themselves. It doesn’t matter how thin they may be— in their internal mirror, they are fat. Or they may so afraid of gaining ...

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A Self Help Guide
For Those Suffering From Bulimia

Click Here!

 

Eating Disorder Poems:

 

SILENT SCREAMS
by Lori Henry


Silent Screams is a collection of poems at the core of Lori Henry's journey in recovering from bulimia. From her desparate lows to her ecstatic highs, one can always relate to the troubled heart.

For more information on 'Silent Screams', please click here.

For more information on Lori Henry, please click here.

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