What is Bulimia Nervosa
Published on Monday, August 8th, 2011 at 1:12 pm and is filed under Mental Disorders
The disease is spread mainly in adolescent girls.
What Causes Bulimia Nervosa:
The etiology of bulimia nervosa is the same as the etiology of anorexia nervosa. However, in this disease, along with the loss of food craving are marked episodes of its rise. In the psychoanalytic sense overeating and completeness can be protection from excessive sexuality.
THE PATHOGENESIS OF BULIMIA NERVOSA
What are the Symptoms:
Patients complain of periods resembling attacks of acute desire to eat, intrusive thoughts and dreams about food. Sometimes in these experiences there is a certain type of food (meat, flotraur, sweet), obsession is liquidated with overeating, when in a short period of time is consumed a large amounts of food, some of which may be conditionally edible or damaged. Further, to prevent excessive weight, the patients themselves cause vomiting, take laxatives, diuretic, long-term hunger strike, using hormones that suppress appetite. Patients feel too fat, have an obsessive fear of grow stout. Behind the facade of bulimia can also hide clinical depression.
Diagnosis:
Bouts of overeating and an excessive concern control of body weight. It may be a continuation or beginning of anorexia nervosa. The diagnosis requires all of the following symptoms:
1. An irresistible craving for food, within a short time consuming a large amount of food.
2. Countering the effects of obesity by vomiting, abuse of laxatives, periods of fasting, and the use of appetite-suppressing drugs.
3. Lower limit of body weight.
Differential diagnosis
It is necessary to differentiate bulimia nervosa with endocrine disorders, in particular with selective bulimia in diabetes mellitus and bulimia in dissociative and somatoform disorders. The endocrine disorders are characterized by endocrine psych syndrome, and bulimia is correlated with the level of sugar in the blood. In the dissociative and somatoform disorders bulimia is of psychogenic nature (protective), and somatoform disorders are secondary to the gastrointestinal tract due to the stimulation of vomiting
Treatment:
Bulimia nervosa can be treated the same as anorexia nervosa, a combination of benzodiazepine tranquilizers, antidepressants (Prozac, sometimes imipramine), an integrated psychotherapy.
