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Bulimia: Treatment, Procedure, Cost and Side Effects

What is the treatment? How is the treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the treatment?

Medicines. Antidepressants, such as fluoxetine (Prozac, for example), are sometimes used to reduce binge-purge cycles and relieve symptoms of depression that often occur along with eating disorders. They work best when combined with counseling. Psychological counseling. Two types of counseling are useful in treating bulimia. They are cognitive-behavioral therapy (CBT) and interpersonal psychotherapy (IPT). In CBT you learn how to change negative thoughts that you may have about food, your weight, your body, or beliefs about yourself. In IPT you learn how relationships-and feelings about those relationships-affect binge eating and purging. The goals of CBT are: To use nutritional counseling to help you learn how to eat three meals and two snacks a day and avoid unhealthy diets. To reduce concern about your body weight and shape. To understand and reduce triggers of binge eating by examining your relationships and emotions. To develop a plan to learn proper coping skills to prevent future relapses. The goals of IPT are: To identify relationships that are connected to binge eating and purging. To learn how emotions that come up from these relationships are related to binge eating and purging. To help correct these relationship patterns, so that you won't binge eat or purge in response to bad feelings.

How is the treatment done?

Since negative body image and poor self-esteem are often the underlying factors at the root of bulimia, it is important that therapy is integrated into the recovery process. Treatment for bulimia nervosa usually includes: Discontinuing the binge-purge cycle: The initial phase of treatment for bulimia nervosa involves breaking this harmful cycle and restoring normal eating behaviors. Improving negative thoughts: The next phase of bulimia treatment concentrates on recognizing and changing irrational beliefs about weight, body shape, and dieting. Resolving emotional issues: The final phase of bulimia treatment focuses on healing from emotional issues that may have caused the eating disorder. Treatment may address interpersonal relationships and can include cognitive behavior therapy, dialectic behavior therapy, and other related therapies.

Who is eligible for the treatment? (When is the treatment done?)

Treatment for an eating disorder will depend on the specifics of the disorder and will be tailored to each individual. Generally, the goals of eating disorder treatment are to restore the person to a healthy weight, treat any psychological problems related to or coexisting with the disorder, and reduce behaviors or thoughts that contribute to the eating disorder. Treatment must address all aspects of the disorder, including psychological and medical components. Continuing therapy may be needed to prevent relapse and treat related psychological problems.

Who is not eligible for the treatment?

There is no straightforward test for bulimia and no universally agreed treatment path or medication that provides a cure. The first step is taking with your doctor and asking for help. Eating disorders are complex. A person with an eating disorder will very often also experience depression, anxiety and a lack of self worth. While your doctor may not be an expert in treating eating disorders, they will be able to assess any physical problems resulting from your eating disorder and can also help you to contact specialist eating disorder services.

Are there any side effects?

The side effects include abnormal bowel functioning, bloating, dehydration, fainting, seizure, fatigue, dry skin, irregular heartbeat.

What are the post-treatment guidelines?

The post-treatment guidelines are suggested by the doctor and are usually a series of do's and don'ts for the patient to follow in order to not relapse.

How long does it take to recover?

The treatment differs form patient to patient and the recovery time can go from a year to 10 years, It all depends on the patient and the support the patient gets,

What is the price of the treatment in India?

Rs. 500 to Rs. 2,000

Are the results of the treatment permanent?

The results depend on the patient. If there is a complete change in the patient's mindset then the results are permanent. If not then there is a high chance of a relapse.

What are the alternatives to the treatment?

Most alternative therapies for bulimia do not address the root causes of the disorder, but they can be helpful in relieving some of the physical distress resulting from it. If you want to include this type of treatment in your recovery, it is important to consult practitioners who are experienced in dealing with eating disorders. Remember to tell your doctors and therapists about any complementary therapy you receive.

Popular Questions & Answers

Hello. Kafi maheeno sy mera kachy chawal khany ko bohat dill krta hai please suggest any solution or mery sar k baal b girty hain or weight b kum hai.

MBBS, PostGraduate In Dermatology And Venerology And Leprosy (DDVL)
Dermatologist, Delhi
Greetings, get your complete hemogram test done along with peripheral blood film study. Also start on iron rich diet or go for supplement after consultation with your reports. Anorexia (bhook na lagna), hairfall (baalon ka girna) and pica tendency...

I am having a strained marital relationship because of which I have lost interest in lyf I am nit living with my husband since one years due to our differences ours was arranged marriage three years ago I got emotionally attached wid my husband I still love my husband the most I sacrificed alot for him but he never reciprocated my love he never cared for me he was fever there for me in my lows my bad times he is self centred money minded selfish nd emotionless person but still I am emotionally attached wid him nd I am unable to get over him I cry everyday for him I want him back in my lyf as my husband we r not on talking terms ryt now he has blocked me on call nd watsaap which is adversely affecting my emotional mental nd physical health I feel sad lost interest in day to day activities feels worthless hopeless I feel I am good for nothing when I feel anxious about my lyf I don't know why I go through induced vomiting problem I feel lyk going to washroom again nd again nd pur my fingers in my mouth nd vomit nd increased urination increased thirst feeling of releasing stool by going to toilet repeatedly since 2019 I am having this problem I had arranged marriage in 2018 after that I fell in love nd when I didn't got that love back when I got emotionally attached wid him nd he didn't got attached or fell in love with me when I did everything to make him happy when I was there for him during hia financial crisis nd mortgaged all my jwelleries still he didn't developed any kind of emotional attachment or or compassion or love for him for him I don't exist in his lyf I don't to how to deal wid this emotional breakdown sometimes I feel lyk crying sometimes I retialate to my parents when they say something which I think its wrong which pinch me inside I want to lead a normal nd happy nd peaceful nd stable lyf but I am unable to do so on my own stress strain anxiety sadness emptiness is there ryt now I am on medication of a reputed psychiatric I am on lamitor od 100 mg two times a day betacap tr 40 mg petril md 1 mg atonil 10 mg qutan 25 mg nd prothiaden 50 mg I just want to know am I on right medication or medicine need to get changed or improvised also I gained weight in these two years I was 51 ryt now I am 70 kg I crave for food sweets due to depression I am having bulmania please doctor help me I need your valuable suggestions nd if medicine need to get changed or something please help me to deal wid this low phase worst phase of my lyf please doctor I need your help I will be helpful if you will give me suggestions nd advice md medicines.

Reparenting Technique, BA, BEd, Transactional Analysis
Psychologist, Bangalore
You look like you are in a serious mess and on medication. I suggest that you meet with a marriage counselor and have some therapy for both of you. Even if he does not come, you must go for some help for yourself. Relying on medication alone is no...
1 person found this helpful

Good evening,  I am diagnosed with bipolar mood disorder after a traumatic brain injury in 2008: impairment in frontal lobe/executive dysfunction, t2 wi am using the above for my brain injury, white matter hyperintensity suggestive of a focal area of demyelination, central nervousness system damage -multiple sclerosis (ms), memory/ concentration, depression and agitation, sleep, epilepsy I had subsequently suffered kidney failure in 2017 and was in a coma for 2 weeks. I am currently on the following medication: I am using the meds below for my brain injury: topamax 200 mg x2 odiven 75 mg x3 yelate 60 mg x2 at night zyprexa 10 mg at night diabetic medications: actraphane hm (ge) 24 units in the morning 22 units at night indo metformin (glucophase) 1000 mg x2 in february 2019 I woke up with the most excruciating pain in my jaw, next to my nose, cheek and lower face area. This intense, stabbing, electric shock-like pain will last for several seconds every 2 to 5 minutes. At the hospital the Dr. said I had a stroke but my brain scan showed that the stroke happened a while back. The neuro specialist diagnosed me with trigeminal neuralgia and is treating me with carbamazepine 400g x2 per day. The side effects are killing me. I have lost 21 kg since feb. I am 52 years old, 1.73 tall and weight 65 kg. I have continuous diarrhea. Can't keep any food in and have abdominal pain. Every time I weigh myself I have lost another kg. Am I busy getting anorexia? Is there any way to manage this? I am short of breath, dizzy and fainting. I am exhausted have no energy my body is tired. Which vitamins can I take to boost my system? Is there any medicine or  supplement that is on the market that will make me feel better? The psychiatrist said they can't change the medication (carbamazepine) because of the medication that i'm currently using. Could you please advice.

MBBS, DPM
Psychiatrist, Bangalore
Dear , are you still on topamac? Now that you are on carbamazepine (helpful for neuralgia and brain injury), you may not need topamac (for brain injury). Request your doctor whether you can reduce and stop it. Topamac reduces weight. Stopping it m...

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