Historical background
Definition
Binge Purge Cycle
Age of onset
Signs and Symptoms
DSM V Criteria
Comorbidity
Prevelance and Epidemiology
Etiology and Pathogenesis
Treatment
Conclusion
Famous Celebrities
Case study
A presentation about panic attacks and panic disorder. this presentation composed of the definition, causes, symptoms, diagnosis, treatment, prevention and prognosis of panic disorder.
A presentation about panic attacks and panic disorder. this presentation composed of the definition, causes, symptoms, diagnosis, treatment, prevention and prognosis of panic disorder.
hii guys this is my ongoing presentation from my speciality class i hope u guys lije that please so i hope it is been useful for u in ur specialities by getting little help with that
mania is an alteration in mood that is characterized by extreme happiness, extreme irritability, hyperactivity, little or no need for sleep. the main etiological factors include biological factors, biochemical influences, physiological factors, and psycho social theories. mania is broadly classified into three categories- hypo mania, acute mania and delirious mania. there are three types of treatment for mania- pharmacological treatment, psycho-social treatment and ECT.
ADHD also known as hyperkinetic disorder is a common childhood disorder among school aged children that is characterised by persistent patterns of inattention, hyperactivity and impulsivity resulting in an underachievement in the school or work performance.
Schizophrenia is a group of severe brain disorders in which people interpret reality abnormally. Schizophrenia may result in some combination of hallucinations, delusions, and disordered thinking and behaviour.
Contrary to some popular belief, schizophrenia is not split personality or multiple personality. The word “schizophrenia” does mean “split mind,” but it refers to a disruption of the usual balance of emotions and thinking (Mayo, 2013).
Schizophrenia is a chronic condition, requiring lifelong treatment.
Personality disorder ppt MENTAL HEALTH NURSINGvihang tayde
Most definition of normal personality includes some or all of the following features,
Present since adolescence.
Stable overtime despite fluctuations in mood.
Manifest in different environment.
Recognizable to friends and acquaintance.
hii guys this is my ongoing presentation from my speciality class i hope u guys lije that please so i hope it is been useful for u in ur specialities by getting little help with that
mania is an alteration in mood that is characterized by extreme happiness, extreme irritability, hyperactivity, little or no need for sleep. the main etiological factors include biological factors, biochemical influences, physiological factors, and psycho social theories. mania is broadly classified into three categories- hypo mania, acute mania and delirious mania. there are three types of treatment for mania- pharmacological treatment, psycho-social treatment and ECT.
ADHD also known as hyperkinetic disorder is a common childhood disorder among school aged children that is characterised by persistent patterns of inattention, hyperactivity and impulsivity resulting in an underachievement in the school or work performance.
Schizophrenia is a group of severe brain disorders in which people interpret reality abnormally. Schizophrenia may result in some combination of hallucinations, delusions, and disordered thinking and behaviour.
Contrary to some popular belief, schizophrenia is not split personality or multiple personality. The word “schizophrenia” does mean “split mind,” but it refers to a disruption of the usual balance of emotions and thinking (Mayo, 2013).
Schizophrenia is a chronic condition, requiring lifelong treatment.
Personality disorder ppt MENTAL HEALTH NURSINGvihang tayde
Most definition of normal personality includes some or all of the following features,
Present since adolescence.
Stable overtime despite fluctuations in mood.
Manifest in different environment.
Recognizable to friends and acquaintance.
Ingestión, en un período determinado (p. ej., dentro de un período cualquiera de dos horas), de una cantidad de alimentos que es claramente superior a la que la mayoría de las personas ingerirían en un período similar en circunstancias parecidas
Trastorno de la conducta alimentaria y de la ingesta de alimentos donde el individuo muestra , falta de interés aparentemente por comer o alimentarse; evitación a causa de las características organolépticas de los alimentos;
Preocupación acerca de las consecuencias repulsivas de la acción de comer que se pone de manifiesto por el fracaso persistente para cumplir las adecuadas necesidades nutritivas y energéticas asociadas a uno (o más) de los
Presentación en POWER POINT. Incluye imágenes, análisisis e información muy útil sobre esta enfermedad alimentaria que es tan preocupante en los últimos tiempos... la bulimia
Eating Disorders
Eating Disorder Statistics
• 30 million Americans suffer from an eating disorder
• The rate of development of new cases of eating
disorders has been increasing since 1950 (Hudson et
al., 2007; Streigel-Moore & Franko, 2003; Wade et al.,
2011).
• There has been a rise in incidence of anorexia in
young women 15-19 in each decade since 1930
(Hoek& van Hoeken, 2003).
• The incidence of bulimia in 10-39 year old women
TRIPLED between 1988 and 1993 (Hoek& van
Hoeken, 2003).
Risk factors for Eating Disorders
• they often occur with one or more other psychiatric
disorders, which can complicate treatment and
make recovery more difficult.
• Among those who suffer from eating disorders:
– Alcohol and other substance abuse disorders are 4 times
more common than in the general populations (Harrop
& Marlatt, 2010).
– Depression and other mood disorders co-occur quite
frequently (Mangweth et al., 2003; McElroy, Kotwal, &
Keck, 2006).
– There is a markedly elevated risk for obsessive-
compulsive disorder (Altman & Shankman, 2009).
Biological risk factors
• Scientists are still researching possible
biochemical or biological causes of eating
disorders. Current research indicates that there
are significant genetic contributions to eating
disorders. (NEDA, 2017)
– In some individuals with eating disorders, certain
chemicals in the brain that control hunger,
appetite, and digestion have been found to be
unbalanced. The exact meaning and implications of
these imbalances remain under investigation.
– Eating disorders often run in families.
Diagnosing Anorexia Nervosa
(APA, 2013)
• Anorexia nervosa is a mental health disorder
characterized by distorted body image and
excessive dieting that leads to severe weight
loss with a pathological fear of becoming fat.
– Females- more likely to focus on weight loss
– Males- more likely to focus on muscle mass
• Diagnostic criteria
– restriction of calorie intake resulting in a below normal body
weight level for age and height
Diagnosing Anorexia Nervosa
(APA, 2013)
• There are Two subtypes of AN:
1. Restricting type: a reduction in total food intake without binge-
eating or purging behavior
2. Binging eating/purging type: regularly engaging in self-induced
vomiting or the misuse of laxatives, diuretics, or enemas
3. Can also be characterized by a combination of the 2:
• An individual with anorexia has an appetite; he/she just tries to control it.
It is very difficult when a person is starving not to want to eat. What
happens to many individuals is that they lose control
• Other characteristics
– significant disturbance in the perception of the shape or size of his or
her body
– exercising compulsively
– developing unusual habits such as refusing to eat in front of others
Diagnosing Bulimia Nervosa
(APA, 2013)
• A serious, potentially life-threatening mental
health disorder characterized by:
1. frequent episodes of binge eat ...
Running Head INDIVIDUAL PROGRAMMATIC ASSESSMENT1INDIVIDUAL PR.docxcharisellington63520
Running Head: INDIVIDUAL PROGRAMMATIC ASSESSMENT 1
INDIVIDUAL PROGRAMMATIC ASSESSMENT 11
Individual Programmatic Assessment
Mary Oliver
PSYCH / 630
Mr. Adam Castleberry
January 12, 1015
Individual Programmatic Assessment:
Bulimia Nervosa
Psychological disorders occur frequently. A common psychological disorder selected for the purpose of this paper is bulimia nervosa. Bulimia nervosa has several therapeutic interventions that can help when treating the disorder. Therapeutic interventions can be helpful, but have different measures of effectiveness. The measures of effectiveness consist of validity, efficacy, symptom, behavior management, and recidivism. These measures should be identified, prior to deciding which therapeutic interventions can be most helpful to the individuals diagnosed with the psychological disorder. Many common symptoms are associated with bulimia nervosa. Rates of symptom reduction or management have been reported with the three treatments. Furthermore, the neurophysiological underpinnings of diseases and disorders have to be identified, along with the contemporary attitudes towards the three treatments chosen.
Psychological Disorder: Bulimia Nervosa
Bulimia nervosa is known as an eating disorder. This disorder typically affects females and is most often done by binge-and-purge eating patterns. This eating disorder brings about the effects of bingeing and purging, and using laxative. People, suffering from bulimia nervosa, frequently eat a lot of food at one time. A short period after eating the food, the person, then, attempts to remove the food from his or her system by vomiting, through medication that creates bowl movements, or by working out. Excess working out has been known to lead one to throw up. People diagnosed with bulimia nervosa, often lack self-esteem. Many are self-conscious about their body image and preoccupied by food. Majority of individuals, suffering from bulimia nervosa, have normal weight or believe that they have weight problems. Bulimia is associated with other illnesses, as well. For example, some suffer from depression. Bulimia nervosa shares many characteristics of anorexia nervosa. Anorexia nervosa is a psychological eating disorder that impacts many people, as well. However, instead of purging or bingeing, people with anorexia nervosa, simply, do not eat. People, diagnosed with bulimia nervosa, have a difficult time maintaining a set weight like other individuals. Furthermore, more critically, they are able to hide the fact that they have bulimia nervosa. If bulimia nervosa goes untreated, it can create critical issues, along with a nutritional downfall. “Bulimia nervosa can be extremely harmful to the body. The recurrent binge-and-purge cycles can damage the entire digestive system and purging behaviors can lead to electrolyte and chemical imbalances in the body that affect the heart and other major organ functions” (NEDA, 2012).
The cause of bulimia nervosa has not .
February 1st to 7th is Eating Disorder Awareness Week (EDAW), a week dedicated to make echo of the relevance of Eating Disorders, the dangers and risk of people struggling with them and the resources available to help.
Increasing number of individuals is being diagnosed with eating disorders, as social media and western culture portray thinness as signs of happiness and well-being. Individuals with eating disorders are obsessed with food, body image, and weight loss. Depending on the severity and duration of their illness, they may display physical symptoms such as weight loss, amenorrhea, loss of interest in sex, low blood pressure, depressed body temperature, chronic and unexplained vomiting and the growth of soft, fine hair on the body and face.
The clinical definition of binge eating disorder is recurrent bouts of eating excessive amounts of food in a short period of time while feeling out of control. People with BED frequently consume their meals at an accelerated rate, eat until they are physically uncomfortable, and then continue eating even when they are not hungry. Distress, remorse, or shame often accompany binge episodes, along with disgust or self-disgust. Binge eating disorder (BED) is a separate pattern of behavior that significantly harms a person’s physical and emotional well-being, so it should not be confused with occasional overeating.
Historical background
Definition
Age of onset
Signs and Symptoms
DSM V Criteria
Comorbidity
Prevelance and Epidemiology
Etiology and Pathogenesis
Treatment
Conclusion
Definition
Subtype of specific phobia
Age of onset
Signs and Symptoms
DSM V Criteria
Comorbidity
Prevelance and Epidemiology
Etiology and Pathogenesis
Treatment
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
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Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
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Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
2. Historical Background
Gerald Russell, was first to name and describe
“bulimia nervosa” in 1979.
The word “bulimia” comes from the Greek word
“boulīmia” (meaning “ravenous hunger”), literally
bulimia nervosa means disease of hunger affecting
nervous system (Stanley, 1999).
3. Definition
It is an eating disorder marked by binge eating i.e. out
of control eating, followed by purging, such as vomiting,
taking laxative, and/or excessive activity to prevent the
individual from gaining weight (Stanley, 1999).
5. Age of Onset
The onset of bulimia nervosa is often during
adolescence, between 13 and 20 years of age.
Dieting efforts and body dissatisfaction, however, often
occur in the teenage years. Therefore, it is often
described as a developmental disorder (Eliot & Baker,
2001).
6. Signs and Symptoms
Physical Signs:
– Frequent changes in weight (loss or gains)
– Signs of damage due to vomiting including swelling around the
cheeks or jaw, calluses on knuckles, damage to teeth and bad
breath
– Feeling bloated, constipated or developing intolerances to food
– Loss of or disturbance of menstrual periods in girls and women
– Fainting or dizziness
– Feeling tired and not sleeping well (Smith, & Segal, 2014)..
7. Signs and Symptoms (Cont..)
Psychological:
– Preoccupation with eating, food, body shape and weight
– Sensitivity to comments relating to food, weight, body shape
or exercise
– Low self esteem and feelings of shame, self loathing or guilt,
particularly after eating
– Having a distorted body image
– Obsession with food and need for control
– Depression, anxiety or irritability (Stanley, 1999).
8. Signs and Symptoms (Cont..)
Behavioral:
– Evidence of binge eating
– Eating in private
– Repetitive or obsessive behaviors relating to body shape and
weight
– Excessive exercising
– Dieting behavior
– Frequent trips to the bathroom during or shortly after meals
which could be evidence of vomiting or laxative use (Burby,
1998).
9. DSM Criteria
Recurrent episodes of binge eating characterized by
both:
– 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.
– A sense of lack of control over eating during the episode,
(such as a feeling that one cannot stop eating or control what
or how much one is eating).
Recurrent inappropriate compensatory behavior to
prevent weight gain, such as self-induced vomiting,
misuse of laxatives, diuretics, or other medications,
fasting, or excessive exercise (APA, 2000).
10. DSM Criteria (Cont..)
The binge eating and inappropriate compensatory
behavior both occur, on average, at least twice a week
for 3 months.
Type
– Purging Type: During the current episode of Bulimia
Nervosa, the person has regularly engaged in self-induced
vomiting or the misuse of laxatives, diuretics, or enemas.
– Non-purging Type: During the current episode of Bulimia
Nervosa, the person has used other inappropriate
compensatory behavior but has not regularly engaged in self-
induced vomiting or misused laxatives, diuretics, or enemas
(APA, 2000).
11. Comorbidity
The bulimics commonly meet criteria for not just one,
but several co-morbid psychiatric disorders and other
conditions.
These include:
– affective disorders such as depression or general anxiety
disorder,
– obsessive compulsive disorder,
– mood disorder,
– substance abuse disorder,
– social phobia, and
– other medical issues (like gastrointestinal issues) (Duncan et
al., 2005).
12. Prevalence and Epidemiology
Adil, Naeem and Ali (2012) reported that 22.75%
individuals are at high-risk of eating disorders, with
87.9% females and 12.1% males.
Furthermore, almost all of the epidemiological studies
that have been conducted so far have yielded that
females are nine times more likely than males to have
bulimia nervosa (Veague, 2010).
13. Etiology and Pathogenesis
Bulimia nervosa is understood to be a complex disorder
with multiple factors contributing to its development.
Neurobiological Mechanism:
Abnormal levels of many hormones, notably serotonin,
have been shown to be responsible for some disordered
eating behaviors.
Particularly, neurotransmitters endorphins and
encephalin are responsive to binges (Ploog & Walter,
2004).
14. Etiology (Cont..)
Genetic Factors:
Research suggests that people who have a close relative
who has or has had bulimia are four times more likely to
develop it than those who do not have a relative with the
condition (Ploog & Walter, 2004).
15. Etiology (Cont..)
Psychological Factors:
Sensation seeking may cause some individuals to gorge
for the pleasure of eating. Bulimics have a compulsion to
eat that resembles an addiction.
Bulimia can be triggered because of environmental
stress such as family dysfunction or traumatic stressful
life events such as divorce, or the death of a loved one
(Weltzin et al., 1993).
16. Etiology (Cont..)
Psychological Factors:
Another theory of etiology, suggests that the purging
may be result of guilt over eating too much and fear of
becoming fat.
The bulimics succumbs to the compulsion to eat, but this
temporary pleasure is followed by guilt and shame. To
allay guilt the bulimic purges and disposes of any
evidence of binge (Weltzin et al., 1993).
17. Etiology (Cont..)
Social factors:
Societal pressures are very influential in the
development of bulimia. These pressures come from an
increasingly wider range of sources such as
mass media,
parents, siblings, peers, and
may be direct messages (e.g., weight related teasing) or
indirect messages (e.g., hearing a friend obsess about
weight) (Johnson, 1987).
18. Etiology (Cont..)
Social factors:
It may be learned by modeling others who engage in
binge eating and purging. A mother or father who once
suffered from an eating disorder is more likely to put
pressure on his/her child to be thin. Even if they do not
put pressure on the child, the child may still observe the
pressure the adult puts on his/herself and learn from
observing (Johnson, 1987).
19. Treatment
Treating bulimia is not one-fit-all approaches. A bulimia
treatment plan is tailored to individual needs. Various
treatment approaches that can be used separately or in
combination include:
– Psychotherapy
– Medication
– Nutrition education
– Hospitalization
20. Treatment
Psychotherapy:
Most treatment for bulimia involved outpatient
individual, family and or group psychotherapy. There’s
evidence that these types of psychotherapy help improve
symptoms of bulimia:
I. Cognitive behavior therapy
II. Psychodynamic psychotherapy
III. Interpersonal psychotherapy
IV. Dialectical behavior therapy
V. Process interactional technique
VI. Family-based technique
VII. Healthy weight program
21. Treatment (Cont..)
• Cognitive-behavioral therapy (CBT):
The research consistently finds that CBT is the most effective
type of psychotherapy for adults with bulimia. This therapy
helps patients identify and change distorted thoughts
(about themselves and food) that underlie their compulsive
behavior, and find better ways to cope with life stresses.
It is divided into three stages. In the first stage, the
cognitive view on the maintenance of bulimia is
presented, and behavioral techniques are implemented to
replace binge eating with more stable eating patterns
(Waller et al. 1996).
22. Treatment (Cont..)
In the second stage, additional attempts are made to
establish healthy eating habits, and emphasis is placed upon
the elimination of dieting.
The final stage is concerned with maintaining the progress
made in therapy once treatment has been terminated, in order
to prevent relapse of the binge/purge cycle.
CBT can rapidly break the binge purge cycle, combining it
with medication or other types of psychotherapy in a stepped
fashion, as the patient improves, is more likely to help
patients deal with psychological symptoms and avoid relapse
(Waller et al. 1996).
23. Treatment (Cont..)
• Psychodynamic psychotherapy:
Psychodynamic strategies involve
– the exploration of the origins of the eating disorder
(particularly focusing the family);
– the factors maintaining the behavior, and
– developmental issues for instance, independence, intimacy,
loneliness, maturing, the importance of physical appearance,
and need for control.
The aim of this technique is to improve the insight of the
patient into the dynamics driving the eating disorder so
that these dynamics can be resolved and eradicated as
motivations for maladaptive behavior (Duncan et al.,
2005).
24. Treatment (Cont..)
• Interpersonal psychotherapy:
Interpersonal psychotherapy (IPT) is a short-term
psychotherapy in which the goal is to help patients
identify and modify current interpersonal problems,
which can draw focus away from eating.
IPT for bulimia nervosa encompasses three phases. The
first phase of IPT is devoted to identifying specific
interpersonal problematic areas currently affecting the
patient, and choosing which of these areas to focus on
for the remaining treatment (Fairburn, 1997).
25. Treatment (Cont..)
In the second phase, the therapist encourages the patient
to take the lead in facilitating change in the interpersonal
realm.
The third phase covers maintenance of interpersonal
gains and relapse prevention.
In clinical trials, IPT has been shown to have a slower
effect than CBT in achieving symptom improvement and
resolution (Fairburn, 1997).
26. Treatment (Cont..)
• Dialectical behavior therapy:
Dialectical behavior therapy (DBT) is a type of CBT
developed by Marsha Linehan.
DBT is used to treat illnesses with symptoms of
emotional dysregulation, including eating disorders.
The word “dialectical” refers to the concept of being
able to hold onto two seemingly different ideas at
once (Susan, 2014).
27. Treatment (Cont..)
For instance, it is considered important in DBT for
clients to accept themselves as they are and also to be
motivated to change.
The components of DBT typically consist of individual
therapy sessions and skills-training sessions (usually
done in a group therapy setting).
Results are promising for using DBT to treat eating
disorders (Susan, 2014).
28. Treatment (Cont..)
• Process-interactional technique:
Process-interactional technique includes group activities
such as role playing, psychodrama and use of group
interaction to facilitate insight into member’s
motivation to maladaptive behavior.
Group therapy has been very effective in relieving
symptoms in many bulimics (Yager, 1985).
29. Treatment (Cont..)
• Family-based technique:
Family-Based Treatment (FBT) for bulimia nervosa is
designed for adolescents.
FBT consists of three phases. In the first phase, parents
are placed in charge of helping their child reestablish
healthy eating patterns and prevent binge eating and
purging episodes from occurring (Lock, 2007).
30. Treatment (Cont..)
In the second phase of treatment, once the acute
symptoms have abated and a regular pattern of eating a
variety of foods is established, control over eating is
returned to the adolescent
The third phase of treatment addresses termination and
issues of family structure and normal adolescent
development.
The focus of FBT is not on what caused the bulimia
nervosa, but on what can be done to resolve this serious
disorder (Lock, 2007).
31. Treatment (Cont..)
• Healthy Weight Program:
The healthy weight program for bulimia nervosa consists
of six sessions designed to help the patient engage in
weight control strategies that do not pose the same
physiological and psychological liabilities as the
inappropriate compensatory behaviors inherent to the
disorder (e.g., purging, fasting, excessive exercise) (Stice
& Presnell, 2007).
32. Treatment (Cont..)
These healthier strategies include alerting food
consumption (like, cutting out high fat foods) and
increasing exercise to achieve a energy balance and a
slim, healthy figure.
Unlike CBT for bulimia nervosa, the pursuit of a thin
body is not challenged, binge eating and purging are not
directly targeted and dieting is encouraged rather than
discouraged (albeit in a healthier manner than bulimics
typically employ) (Stice & Presnell, 2007).
33. Treatment (Cont..)
Medications:
Antidepressants may help reduce the symptoms of
bulimia when used along with psychotherapy. The only
antidepressant specifically approved by the FDA to treat
bulimia is fluoxetine (Prozac), a type of selective
serotonin reuptake inhibitor (SSRI), which may help
even if not depressed.
Moreover, anticonvulsants (diphenylhydantoin) and
tricyclics (imipramine) have been tried as medication
for bulimia (Kaye, 2005).
34. Treatment (Cont..)
• Nutrition education and achieving healthy weight:
If underweight due to bulimia, the first goal of treatment
will be to start getting back to a healthy weight.
Dietitians and other health care providers can design an
eating plan to help achieve a healthy weight, normal
eating habits and good nutrition (Mayo-clinic, 2012).
35. Treatment (Cont..)
• Hospitalization:
Hospitalization for bulimia is less frequent and usually
occurs only in cases involving:
– significant medical complications,
– severe weight loss, or
– uncontrollable, constant binge–purging.
Some eating disorder programs may offer day treatment,
rather than inpatient hospitalization.
36. Treatment (Cont..)
Yager (1985) recommended hospitalization if either of
three conditions is met:
– Outpatient treatment fails and symptoms are health threatening,
– medication is being tried to control the symptoms, or
– the patient is suicidal.
37. Conclusion
Several types of treatment for bulimia are needed,
although combining psychotherapy with antidepressants
may be the most effective for overcoming the disorder.
Although most people with bulimia do recover, some
find that symptoms don't go away entirely. Periods of
bingeing and purging may come and go through the
years, depending on your life circumstances, such as
times of high stress.
Learning positive ways to cope, creating healthy
relationships and managing stress can help prevent a
relapse.
38. Famous Celebrities
• Princess Diana (British princess)
• Britney Spears (American singer)
• Lady Gaga (American singer)
• Kelly Clarkson (American singer, winner of American
Idol season 1)
39. Sarah’s Story
Sarah is on a liquid diet. “I’m going to stick with it,” she tells
herself. “I won’t give in to the cravings this time.” But as the day
goes on, Sarah’s willpower weakens. All she can think about is
food. Finally, she decides to give in to the urge to binge. She can’t
control herself any longer. She grabs a bowl of cornflakes,
inhaling it within a matter of minutes. Then it’s on to anything else
she can find in the kitchen. After 45 minutes of bingeing, she is so
stuffed that her stomach feels like it’s going to burst. She’s
disgusted with herself and terrified by the thousands of calories
she’s consumed. She runs to the bathroom to throw up.
Afterwards, she steps on the scale to make sure she hasn’t gained
any weight. She vows to start her diet again tomorrow: Tomorrow,
it will be different.
40. References
Adil, S., Naeem, K., & Ali, A. (2012). Eating disorders in medical
students of Karachi, Pakistan- a cross-sectional study. BMC
Research Notes, 2(58), 45-64.
American Psychiatric Association (2000). Diagnostic and
Statistical Manual of Mental Disorders (4th ed. text rev).
Washington, DC.
Burby, N. (1998). Bulimia nervosa: The secret cycle of bingeing
and purging (illustrated). London: Rosen Publishing Group.
Duncan, A., Neuman, R., Kramer, J., Kuperman, S., Hesselbrock,
V., Reich, T., & Bucholz, K. (2005). Are There Subgroups
of Bulimia Nervosa Based on Comorbid Psychiatric
Disorders?. International Journal of Eating Disorders, 37,
19-25.