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
) to reduce binging.