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Treatment of Bulimia Nervosa

  • Chapter
Handbook of Effective Psychotherapy

Part of the book series: The Plenum Behavior Therapy Series ((PBTS))

Abstract

Although symptoms of bulimia have been described for centuries (Parry-Jones & Parry-Jones, 1991), in modern times bulimia nervosa was first defined as a syndrome distinct from anorexia nervosa in the late 1970s (Boskind-Lodahl & White, 1978; Russell, 1979). Bulimia nervosa refers to a severe eating disorder in which normal-weight individuals, the vast majority women, habitually vomit or abuse laxatives after binge eating or after eating even minimal amounts of “forbidden” foods. Vomiting is self-induced, and the mean purging frequency per week reported in the treatment literature is usually between 10 and 15 times. The major complaint of patients with bulimia nervosa is that they cannot control their eating, that they binge eat and therefore “have to” vomit or otherwise purge to prevent themselves from becoming fat. People with this disorder typically have a negative body image and feel that various parts of their body are too fat even if they are in the lower end of the normal weight range. Most importantly they are terrified of gaining any weight and believe they cannot eat normally without purging or they will inexorably and very rapidly become obese.

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  1. Department of Psychology, University of Vermont, Burlington, Vermont, 05405, USA

    Harold Leitenberg

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    Thomas R. Giles

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Leitenberg, H. (1993). Treatment of Bulimia Nervosa. In: Giles, T.R. (eds) Handbook of Effective Psychotherapy. The Plenum Behavior Therapy Series. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2914-9_12

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