Treatment of Bulimia
Treatment of bulimia focuses on breaking the binge-purge cycle, addressing the underlying psychological issues, and restoring healthy eating behaviours. Successful treatment of bulimia is usually a combination of psychotherapy, nutritional support, medical monitoring, and sometimes medication.
The most effective therapy for bulimia is Cognitive Behavioural Therapy (CBT), particularly a version known as CBT-E (enhanced). This approach helps individuals identify and change distorted thinking patterns around food, body image, and self-worth. It also includes structured meal planning, behavioural experiments, and relapse prevention strategies.
Nutritional counselling is essential. A registered dietitian works with the person to develop balanced meal plans, normalise eating patterns, and reduce food-related anxiety. Education about hunger cues and the dangers of dieting can help prevent relapse.
Doctors may prescribe medication in some cases. Fluoxetine (Prozac), an antidepressant, reduces binge-purge episodes in people with bulimia—even those without clinical depression. Other medications may be used to treat co-occurring depression, anxiety, or mood disorders.
In more severe cases — especially when physical health is compromised — hospitalisation or intensive outpatient programmes may be necessary. Medical monitoring ensures that electrolyte imbalances, dehydration, or heart issues are safely managed.
Treatment of Bulimia
Therapists may recommend family-based therapy for adolescents, involving parents to support healthier habits at home during recovery.
Support groups and peer recovery communities can also play a valuable role, offering connection, understanding, and encouragement.
Recovery takes time and commitment. Relapses may happen but are part of the process. The goal of treatment of bulimia is not only to stop disordered behaviours but to improve emotional regulation, self-esteem, and overall mental health.
With the right support system, personalised care, and compassion, individuals with bulimia can achieve long-term recovery and live fulfilling lives.
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