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Bulimia nervosa

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Bulimia nervosa is an eating disorder characterised by a cycle of starving, overeating, self-induced vomiting/purging and a preoccupation with body weight. Laxative abuse, excessive exercise and slimming tablets are used as other ways of controlling weight. Bulimia is often preceded by anorexia nervosa. It begins in late adolescence or early adulthood. It may be hard to notice as weight may be normal and vomiting is carried out secretly. Bulimia can start with an occasional eating binge, usually consisting of large quantities of chocolates, sweets and biscuits. This progresses to a routine pattern of overeating and vomiting. Eventually the bulimic may feel trapped in a frightening, compulsive vicious circle. Food is turned to in times of stress for comfort, but eating produces feelings of guilt.

Those suffering from bulimia nervosa have a pathological fear of becoming overweight and tend to radically over-emphasise the connection between self-image and body size. Sufferers recognise that the eating pattern is not normal, and as a result tend to feel guilty and hugely self-critical.

Bulimics often suffer from depression or anxiety. Some patients may also have a drug addiction. Bulimics sometimes find themselves with financial difficulties because of the huge amounts of money spent on food, laxatives and drugs. Research indicates that up to one per cent of the population may be suffering from this condition at any one time, although this is probably a conservative estimate.

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