and begins in adolescence or early adult life.eating, followed by self-induced vomiting and abuse of laxatives 4. Eating binges may be viewed as pleasurable but are followed 3. Following the binge, the individual engages in inappropriate 7. Extensive exercising is common.^ 8. Feelings of depression and anxiety often accompany this 2. After the binge has begun, there is often a feeling of loss of 9. May engage in the binge-and-purge syndrome from time to 1. Binges are usually solitary and secret, and the individual may Bulimia NervosaDefiSymptomatology (Subjective and Objective Data) Bulimia nervosa is an eating disorder (commonly called “the binge-and-purge syndrome”) characterized by extreme over- 5. Individuals with bulimia are usually within normal weight and diuretics. The disorder occurs predominantly in females emas; fasting; and extreme exercising).time (see following section on bulimia nervosa).disorder.control or inability to stop eating.compensatory measures to avoid gaining weight (e.g., self-induced vomiting; excessive use of laxatives, diuretics, or en-consume thousands of calories in one episode.by intense self-criticism and depressed mood. ned Eating Disorders ●^219
Excessive vomiting may lead to problems with dehydration 6. Obsession with body image and appearance is a predominant 7. Binges usually alternate with periods of normal eating and (^) 9. Gastric acid in the vomitus may contribute to the erosion of Predisposing Factors to Anorexia Nervosa and Bulimia Nervosa 1. tooth enamel.and electrolyte imbalance. appear to others.range, some a few pounds underweight, some a few pounds overweight.fasting.feature of this disorder. Individuals with bulimia display undue concern with sexual attractiveness and how they will Physiological a. Genetics:has been hypothesized on the basis of family histories and an apparent association with other disorders for which the likelihood of genetic inflmore common among sisters and mothers of those with A hereditary predisposition to eating disorders Factors uences exist. Anorexia nervosa is
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