Bulimia Nervosa

Overview

Bulimia Nervosa is an eating disorder characterized by recurrent episodes of binge eating followed by compensatory behaviors such as vomiting, fasting, or excessive exercise. These behaviors can cause significant emotional distress and medical complications. Psychotherapy can help individuals reduce binge‑purge cycles, develop healthier coping strategies, and improve body image and self‑esteem.

Common Symptoms

  • Recurrent episodes of binge eating
  • Compensatory behaviors such as vomiting, fasting, or excessive exercise
  • Feeling out of control during binge episodes
  • Preoccupation with weight or body shape
  • Feelings of guilt, shame, or distress after eating
  • Fluctuations in weight

How Psychotherapy Helps

Psychotherapy helps individuals understand the emotional and behavioral patterns that maintain binge‑purge cycles, develop healthier coping strategies, and improve self‑esteem. Treatment focuses on reducing disordered eating behaviors and supporting long‑term recovery.

Treatment Approaches Used

  • Cognitive Behavioral Therapy (CBT‑E)
  • Skills for managing urges and emotional distress
  • Behavioral strategies to normalize eating patterns
  • Support for improving body image and reducing avoidance
  • Coordination with medical providers when appropriate

When to Seek Help

If binge eating, purging, or body image concerns are interfering with health, functioning, or daily life, a diagnostic evaluation may be helpful.

Please note that we do not provide emergency mental health services. If you are experiencing an emergency, please seek care at the nearest emergency department or contact the Suicide and Crisis Lifeline for immediate support by calling or texting 988.

Disclaimer

This page is for educational purposes only and is not a substitute for professional medical or mental health advice.

← Back to Psychology Services

Scroll to Top