Bulimia Nervosa

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Sometimes when life feels out of control, we cling to things we can control, like our food intake. 

Bulimia Nervosa is characterized by recurrent episodes of binge eating followed by recurrent compensatory behaviors in order to prevent weight gain. These episodes may include self-induced vomiting, misuse of laxatives, diuretics, or other medications, and fasting or excessive exercise.

  • Mild: An average of 1–3 episodes of inappropriate compensatory behaviors per week.

  • Moderate: An average of 4–7 episodes of inappropriate compensatory behaviors per week.

  • Severe: An average of 8–13 episodes of inappropriate compensatory behaviors per week.

  • Dietitians can assess current nutritional intake, status of malnutrition, weight goals, gastrointestinal symptoms, and safe vs fear foods to create personalized nutrition recommendations.

  • RDs can provide education to clients and their families to challenge eating disorder thoughts and societal misinformation regarding food. RDs can help support clients to fact check thoughts on food to reduce anxiety experienced during mealtime. They can also provide education on the impacts of eating disorders on the body. Through counseling, clients can develop a healthier relationship with food.

  • Regular follow ups to track progress, adjust recommendations, and offer encouragement and support throughout recovery journey.

  • Dietitians can work with primary care physicians to determine appropriateness for level of treatment needed and to provide specific nutrition recommendations based on findings during PCP appointments.

    • Podcast: Peace Meal

    • Podcast: Eating Disorder Recovery Podcast

    • Book: When Your Teen Has an Eating Disorder: Practical Strategies to Help Your Teen Recover from Anorexia, Bulimia, and Binge Eating

    • Book: Sick Enough

    • Book: Cognitive Behavior Therapy for Adolescents with Eating Disorders

    • Video: https://www.youtube.com/watch?v=UEysOExcwrE

How Dietitians Can Help

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