Q.
A. it can go either way - it will tend to either increase or decrease your appetite - in my case it has reduced it to pretty much non-existant.
How to help bulimic son?
Q. My son is 20, and is bulimic of course. Its scary, I can hear him sometimes at night forcing it. He rarley eats and excersices like 4 straight hours before he goes off to school and work. He used to be a little big, but now he is thin and unhealthy looking. What can I do? He wont listen to me or anyone else.
A. treatment choices depend on the degree to which the bulimic behavior has resulted in physical damage and whether the person is a danger to him or herself. Hospital impatient care may be needed to correct severe electrolyte imbalances that result from repeated vomiting and laxative abuse. Electrolyte imbalances can result in heart irregularities and other potentially fatal complications. Most people with bulimia do not require hospitalization. The rate of hospitalization is much lower than that for people with anorexia nerv-osa because many bulimics maintain a normal weight.
Day treatment or partial hospitalization where the patient goes every day to an extensive treatment program provides structured mealtimes, nutrition education, intensive therapy, medical monitoring, and supervision. If day treatment fails, the patient may need to be hospitalized or enter a full-time residential treatment facility.
Outpatient treatment provides medical supervision, nutrition counseling, self-help strategies, and psychotherapy. Self-help groups receive mixed reviews from healthcare professionals who work with bulimics. Some groups offer constructive support in stopping the binge/purge cycle, while others tend to reinforce the behavior.
Drug therapy helps many people with bulimia. Selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine (Prozac) and sertraline (Zoloft) have been approved by the United States Food and Drug Administration (FDA) for treatment of bulimia. These medications increase serotonin levels in the brain and are thought to affect the bodyâs sense of fullness. They are used whether or not the patient shows signs of depression. Drug treatment should always be supplemented with psychotherapy.
Day treatment or partial hospitalization where the patient goes every day to an extensive treatment program provides structured mealtimes, nutrition education, intensive therapy, medical monitoring, and supervision. If day treatment fails, the patient may need to be hospitalized or enter a full-time residential treatment facility.
Outpatient treatment provides medical supervision, nutrition counseling, self-help strategies, and psychotherapy. Self-help groups receive mixed reviews from healthcare professionals who work with bulimics. Some groups offer constructive support in stopping the binge/purge cycle, while others tend to reinforce the behavior.
Drug therapy helps many people with bulimia. Selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine (Prozac) and sertraline (Zoloft) have been approved by the United States Food and Drug Administration (FDA) for treatment of bulimia. These medications increase serotonin levels in the brain and are thought to affect the bodyâs sense of fullness. They are used whether or not the patient shows signs of depression. Drug treatment should always be supplemented with psychotherapy.
BINGE eating info...?
Q. Binge eating....such as uncontrollable eating and consuming large quantities of food periodically, but NOT vomitting. What is this about? Where does this come from? Would like more info... Are there any mental disorders that are apart of binge eating? Do you know anyone that has a binge eating disorder? Thanks
A. Binge eating disorder is characterized by recurrent binge eating episodes during which a person feels a loss of control over his or her eating.
Unlike bulimia, binge eating episodes are NOT followed by purging (throw up laxative's etc.) or excessive exercises or fasting. As a result people with binge eating disorders are often over weight or obese. They also experience quilt, shame, and/or distress about binge eating which can cause more binge eating.
Obese people with binge eating disorders often have coexisting psychological illnesses including anxiety, depression, and personality disorders.
Treatment--are similar to those to treat bulimia,Fluoxetine and other antidepressants may reduce binge eating episodes and help alleviate depression in some people.
People with this may also be prescribed appetite suppressants,Psychotherapy especially CBT is also used to treat underlying psychological issues associated with binge eating in an individual.
Signs of binge eating--
weight gain
feeling out of control over eating
low self esteem
depression
anxiety
loss of sexual desire
hiding foods
guilt and shame
disgusted with self
many diets
secretive eating patterns
avoiding social events if food is present
suicidal thoughts
Physical/Medical Complications
obesity
menstrual irregularities
diabetes
high blood pressure
high cholesterol
osteoarthritis
decreased mobility
shortness of breath
heart disease
liver/kidney problems
cardic arrest/ and or death
Unlike bulimia, binge eating episodes are NOT followed by purging (throw up laxative's etc.) or excessive exercises or fasting. As a result people with binge eating disorders are often over weight or obese. They also experience quilt, shame, and/or distress about binge eating which can cause more binge eating.
Obese people with binge eating disorders often have coexisting psychological illnesses including anxiety, depression, and personality disorders.
Treatment--are similar to those to treat bulimia,Fluoxetine and other antidepressants may reduce binge eating episodes and help alleviate depression in some people.
People with this may also be prescribed appetite suppressants,Psychotherapy especially CBT is also used to treat underlying psychological issues associated with binge eating in an individual.
Signs of binge eating--
weight gain
feeling out of control over eating
low self esteem
depression
anxiety
loss of sexual desire
hiding foods
guilt and shame
disgusted with self
many diets
secretive eating patterns
avoiding social events if food is present
suicidal thoughts
Physical/Medical Complications
obesity
menstrual irregularities
diabetes
high blood pressure
high cholesterol
osteoarthritis
decreased mobility
shortness of breath
heart disease
liver/kidney problems
cardic arrest/ and or death
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