Bulimia Nervosa

Bulimia nervosa is a serious eating disorder that involves repeatedanxiety, stress, disordered eating, eating disorders, mental health, therapy episodes of binge eating. After the out of control eating, behaviors are used to prevent weight gain. These behaviors might be self-induced vomiting, misuse of laxatives or diuretics, fasting, or excessive exercise.

Understanding the complexities of bulimia nervosa is crucial for individuals struggling with the disorder and their loved ones. We at Evolve Wellness are experts in treating bulimia. We are here for you or your loved one to help you navigate treatment. As you learn more and have questions, we welcome you to reach out. 

What is Bulimia Nervosa?

Bulimia nervosa is more than just occasional overeating or purging. It’s a psychiatric disorder with severe physical and psychological consequences. Individuals with bulimia experience a cycle of binge eating. A binge is a large quantity of food consumed in a short period of time.  This is followed by feelings of guilt, shame, or disgust. Then, one engages in behaviors to rid the body of the excess calories and prevent weight gain.


  1. Binge Eating Episodes: Consuming large amounts of food in a discrete period, often accompanied by a feeling of lack of control.
  2. Compensatory Behaviors: Purging (self-induced vomiting), misuse of laxatives, diuretics, or enemas, fasting, or excessive exercise to compensate for binge eating.
  3. Concern with Body Shape and Weight: Individuals with bulimia typically place an excessive emphasis on body shape and weight and may have a distorted perception of their body.
  4. Secretive Behavior: Many individuals with bulimia go to great lengths to hide their binge eating and purging behaviors from others.
  5. Physical Health Issues: Bulimia can lead to a range of physical complications, including electrolyte imbalances, dehydration, gastrointestinal problems, dental issues, and cardiac complications.
  6. Psychological Symptoms: Depression, anxiety, low self-esteem, and mood swings are common.


The exact cause of bulimia nervosa is unknown. Yet, like other eating disorders, it likely involves a combination of genetic, biological, environmental, and psychological factors.

  1. Genetic Factors: Individuals with a family history of eating disorders may be at a higher risk of developing bulimia.
  2. Biological Factors: Imbalances in neurotransmitters such as serotonin, which regulates mood and appetite, may contribute to the development of bulimia.
  3. Psychological Factors: Low self-esteem, perfectionism, and a desire for control are common.
  4. Environmental Factors: Societal pressures emphasizing thinness, cultural attitudes toward body image, and traumatic experiences such as childhood abuse or bullying can all play a role in the development of bulimia.

Treatment Options

Treatment for bulimia nervosa typically involves a combination of medical, nutritional, and psychological interventions:

  1. Medical Intervention: Medical monitoring is essential to address the physical complications of bulimia, including electrolyte imbalances and dehydration.
  2. Therapy: Psychotherapy, particularly cognitive-behavioral therapy (CBT), has been shown to be effective in treating bulimia by helping individuals challenge their distorted beliefs about food, weight, and body image.
  3. Nutritional Counseling: Working with a registered dietitian can help individuals develop a healthy relationship with food and establish balanced eating patterns.
  4. Medication: Antidepressant medications, like selective serotonin reuptake inhibitors (SSRIs), may be prescribed to address co-occurring mood disorders such as depression or anxiety.


Bulimia nervosa is a complex and potentially life-threatening eating disorder that requires comprehensive treatment and support. By raising awareness, challenging stigma, and access to effective treatment, individuals with bulimia can recover 100%.

If you or someone you know is struggling with bulimia, it’s essential to seek professional help and support. Recovery is possible, and no one has to face it alone.


Reach out to us today. We are happy to discuss treatment options that are right for you.