MANAGEMENT OF BULIMIA

Management of Bulimia

Management of Bulimia

Bulimia Nervosa

Bulimia Nervosa is an aspect of eating-food disorder. The clients of bulimia are having the problems that are associated with normal or excess amount of eating, and then purge by abusing laxatives or vomiting. The patients with bulimia nervosa have a better prognosis as compare to the patients of nervosa. If a patient suffers with poor factors of prognostic then it may cause several other difficulties, such as higher frequency of vomiting, hospitalization, purging severity, occupational functioning, poor socialization and several other medical complications. These patients also have poor recovery of motivation and confidence. Bulimia patients have long duration of illness with delay treatment and unhealthy mental condition. Psychological and biological elements are entailed in the pathophysiology. However, the mechanism and causes rudimentary eating disorder is still unsealed (McCance & Huether, 2010).

Physiological Factors

The rate of Bulimia is high in monozygotic twin offspring and first-degree female patients. The patients diagnosed with bulimia nervosa have a high rate of abuse substances (like drugs and alcohol), obesity and affective disorders (Brambilla, 2001).

A number of researches have been conducted that eating disorder may be increased by increasing dieting. After purging, the level of endorphin is identified in the patients of bulimia. These patients have the feeling of well being that may also increase the level of endorphin in bulimia patients. Bulimia patients can be benefited by antidepressant. The support of Pathophysiologic is also benefited for bulimia patients for norepinephrine and serotonin (Watson, 2007).

The physiological changes cause the excretion of starvation such as non-suppression of dexamethasone, hypercortisolemia, amenorrhea, and suppression of thyroid function. A number of brain's computed axial tomography (CAT) have been brought out enlarge ventricles and sulci in order to find that weight gaining (American Psychiatric Association, 2006).

Psychosocial Factors

Low level of empathy and nurturance and high level of isolation, chaos and hostility have been reported in the children of families, who are presented with eating disorders. Many of the children consider their body in the hand of their parents. The problems and difficulties in impulse regulation are also described in the patients of Bulimia.

Signs and symptoms

Psychiatric

The phase of depression or dysthymia is major psychological problem in comorbid conditions. Subtype of binge-purge and bipolar disorder is also common in bulimia. The pathology of general medical conditions of central nervous system, such as brain tumors, can be simulated by bulimia nervosa (Brambilla, 2001).

Medical

Bulimia can be severe with lots of ...