Bulimia Nervosa

Abstract

Bulimia nervosa is an eating disorder characterized by reoccurring episodes of binge eating followed by re-occurring inappropriate compensatory behaviors aiming to purge consumed energy and/or relieve feelings of guilt. Because most individuals with bulimia nervosa are of normal weight or overweight status and seek privacy due to the shame and guilt experienced with these behaviors, adolescents with bulimia nervosa may go undetected by families, friends, teachers, coaches, and even providers. However, recognition and treatment of bulimia nervosa is extremely important due to the significant risk for morbidity and mortality secondary to compensatory behaviors used to prevent weight gain, as well as due to comorbid psychiatric conditions. In this chapter, the criteria for diagnosis, epidemiology, and risk factors for bulimia nervosa are reviewed. Detailed medical and nutrition assessments are also outlined. Finally, treatment and management strategies are discussed with the aim to encourage individualized and developmentally appropriate care for adolescents with bulimia nervosa, including support for their families despite treatment modality.