Doctor insights on:
Is It Possible To Not Gain Weight During Effective Bulimia Treatment
Sure: Often times, individuals with bulimia nervosa maintain the appropriate weight for their body size to begin with. Focussing on weight, is the opposite of what a person with an eating disordet should be doing. Focussing on a healthy lifestyle with a proper diet and exercise for the long haul is the way to go. ...Read more
Therapy + Meds: Individual, group, and family and/or marital therapy are the mainstay of treatment. Support groups modeled on 12-step programs may also help. Antidepressants have also been shown to help some (regardless of whether or not person is clinically depressed), perhaps through minimizing obsessive-compulsive elements of bulimia. I have had some success using topamax (topiramate) to reduce binging. ...Read moreSee 1 more doctor answer
Specialized : If you have bulimia, you should see specialists in this area, including eating disorder centers. Please discuss with your doctor to get you started in good health. Treatment can include counseling, medications, nutritional counseling, group therapy. ...Read moreSee 2 more doctor answers
Talk therapy - yes: I can't imagine a talk therapist that wouldn't work with you on both issues. I also don't know of any depression medication that would have an impact on bulimia patterns. It might be possible that with the depression relieved, the pattern of bulimia might decrease on its own, but i think cbt would be the best way to learn how to change those behaviors. ...Read more
The question of tx?: Not necessarily, first of all please be diagnosed properly by knowlegeable professionals that you do have bulimia nervosa. If you do.., hx, physical exam, labs, ekg etc.Need to be done to determine your health.Depending on the outcome of the degree of the disorder appropriate therapy wil be discussed, treatment could involve outpatient including hospitalization if needed. Bulimia can be deadly. ...Read moreSee 1 more doctor answer
Cutting : If the symptomology is severe enough and you are in danger of severe self harm, or death, your doctor has an ethical and professional responsibility to maintain your safety as top priority. If this means going inpatient until you are again safe which means no thoughts or actions of self harm or harm to others. Psychiatric and psychotherapeutic follow-up should also occur after being inpatient. ...Read moreSee 1 more doctor answer
Where should I begin with bulimia treatment? I have noticed that my health is deteriorating rapidly, but I am too afraid to go back to therapist...
Treatment team: For best results with bulimia, you need a treatment team that includes your physician, your therapist(s), nutritionist & psychiatrist. This complex illness involves body, mind, emotions, and spirit. What makes you afraid to return to your therapist? Is this person helping you understand and care for yourself better? Most therapists want to know of any problems, so they can be addressed. ...Read more
What happens if the psychologist suggested guided self-help as part of treatment does that mean my bulimia is not that bad?
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