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Doctor insights on: Bulimia Feelings Of Guilt

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I have bulimia, how to fight the feeling?

I have bulimia, how to fight the feeling?

Get treatment: For help with bulimia, you need a treatment team that includes your primary care physician, psychiatrist, therapist(s), and nutritionist. Sometimes people need to begin treatment on an inpatient setting. Please start by seeing your family physician, and get help with this illness asap. It is a real health risk, and not a sustainable way to manage weight. Be well. ...Read more

Dr. Selby Jacobs
215 doctors shared insights

Guilt (Definition)

to say Guilt is any way I can control you and make you feel anxious doing it. Its an atypical anxiety state that you feel when you are accused of doing something you should not have done, or you didn't do something you should have. The underlying feeling you have is resentment, but that remains unexpressed as you ...Read more


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Why am I gaining a massive amount of weight after bulimia of 4 years. I was 120lb 62in now recovered 1 yr 157lb 62in? Feeling triggered.

Why am I gaining a massive amount of weight after bulimia of 4 years. I was 120lb 62in now recovered 1 yr 157lb 62in? Feeling triggered.

Calories in and out: This is a simple calories in calories out problem. You must be taking in more calories than you are burning off. Do you have emotional reasons for eating? Do you eat to improve stress? When you say " feeling triggered" this makes me think that emotional eating is a possibility. Continue in your counseling and try for 3 healthy meals daily with two high protein snacks. Limit sweets for sure. ...Read more

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19 female just been prescribed Prozac (fluoxetine) for depression anxiety and bulimia. On day two feeling like I have tons of energy? Is this possible? Normal?

19 female just been prescribed Prozac (fluoxetine) for depression anxiety and bulimia. On day two feeling like I have tons of energy? Is this possible? Normal?

Contact your doctor: Having "tons of energy" on day 2 of Prozac (fluoxetine) can mean different things. One is that you're experiencing relief from symptoms. Another is that Prozac (fluoxetine) is triggering a hypomanic or manic episode -- and this needs assessment pronto. Nothing is wrong with having energy, but usually Prozac (fluoxetine) does not act quite that quickly. Please call your doctor and tell him/her what's happening with you. Be well. ...Read more

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Why do you think bulimia nervosa was rare in women born before the 1950's?

Why do you think bulimia nervosa was rare in women born before the 1950's?

Great question!: One could speculate with the high level of comorbidity between clinical depression and bulimia nervosa(bn), as well as a higher incidence of major depression in the biological relatives of those with bn, that these individuals are predisposed to experiencing issues of self-worth. The 1960s brought the unrealistic body image into fashion resulting an a new way to express this internal turmoil. ...Read more

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What is bulimia?

What is bulimia?

Eating Disorder: Bulimia nervosa is an eating disorder involving periods of overeating followed by purging, sometimes through self-induced vomiting or using laxatives. ...Read more

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What is bulimia?

What is bulimia?

Bulimia: Bulimia is an illness which involves at least twice weekly consumption of large quantity of calories followed by compensatory behavior to "lose"/make up for those calories (purging/laxative/excessive exercise/restriction). As an eating disorder specialist, i believe it is primariy an anxiety disorder coped with by addictive body image/food behaviors initiated by feeling a lack of control in life. ...Read more

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What defines bulimia?

What defines bulimia?

See below: Bulimia nervosa presents with uncontrolled bingeing followed by purging or other behaviors to compensate for food intake. The loss of electrolytes can cause death. ...Read more

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How common is bulimia?

How common is bulimia?

2.3%: A 2009 nimh study found the lifetime prevalence of bulimia nervosa was 2.3%, with  a peak age of incidence between 16-20 years. ...Read more

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How to recover bulimia?

How to recover bulimia?

Psychodynamic: Bulimia is sometimes the result of a vicious internal struggle between self-indulgence and self-destructiveness. The cycle goes as follows: punitive self-denial, then feelings of deprivation and anger, followed by self-indulgence, then guilt and the need to self-punish, followed by punitive self-denial. A vicious cycle: denial, anger, indulgence, guilt. Psychotherapy can really help. ...Read more

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How is bulimia detectable?

How is bulimia detectable?

Signs of behavior: I think you are asking for evidence/signs of purging behaviors in patients. The person is very concerned about weight. Because of forced vomiting could be acrid smelling breath and tooth enamel eroded/brown due to stomach acid; knuckle calluses or worn away finger nails from forced gagging. Lots of empty laxative containers, visits to the bathroom or disappearances after eating, weight shifts. ...Read more

Dr. Heidi Fowler
725 doctors shared insights

Bulimia (Definition)

Bulimia nervosa or "bulimia" is a psychiatric disorder in which a person over eats a lot of food at one time (binging) and then vomits later to purge herself of ...Read more