Friday, January 14, 2011

How to help someone overcome Bulimia Nervosa

Bulimia Excerpts taken from www.eatingdisorderinfo.org
 
Definition:

Bulimia Nervosa: (binge-purge) is a life threatening eating disorder characterized by bingeing and purging. Symptoms include: repeated episodes of bingeing and purging; eating beyond the point of fullness and feeling out of control during a binge; purging after a binge (by means of self-induced vomiting, excessive use of diuretics and laxatives, fasting, diet pills, and/or excessive exercising); frequent dieting; and extreme concern with body weight and shape. As opposed to anorexia nervosa, a bulimic usually maintains a normal body weight with only a slight fluctuation. The individual will feel completely out of control and abnormal, and conger up feelings of depression, shame and self-deprecation. The bulimic cycle becomes habitual and highly addictive.


Signs and Symptoms:
Binging and Purging Secretive Eating: Missing Food Visits to the bathroom after meals Feelings of guilt after eating Severe self-criticism weight flucuations (10-20 lbs.) Discoloration and / or tooth decay High levels of anxiety and/or depression Poor self-esteem Preoccupation with food Swollen, parotid glands in the neck and puffiness in cheeks Excessive and compulsive exercise regimes - despite fatigue, illness, or injury Abuse of laxatives, diet pills, ipecac, and/or diuretics Constant sore throat Feels like he/she has no control over food Calluses on the back of the hands and knuckles from self-induced vomiting Broken blood vessels in eyes Withdrawal from usual friends and activities Decreased impulse control - i.e. drugs, alcohol, spending, mood, etc.

How to help your friend:

Do's

  1. Increase your knowledge about eating disorders (request information packets, read books, attend seminars).
  2. Talk with the person about your concerns in a loving and supportive way. It is important to discuss these issues with honesty and respect.
  3. Talk with the person at an appropriate time and place - in private, free from distractions.
  4. Encourage the person to seek professional help as soon as possible. Suggest that she/he see someone who specializes in eating disorders (a physician, therapist or dietician).
  5. Be prepared that the person may deny that she/he has a problem. If so, and if she/he refuses to get help, it will be important to tell someone else about your concerns. If your friend is under 18, her/his parents need to know immediately.
  6. Listen with a nonjudgmental ear.
  7. Talk about things other than food, weight, and exercise.
  8. Be available when your friend needs someone, but remember, it is okay to set limits on what you can and cannot do.
  9. Hang in there! It won't be easy


DONT'S

  1. Don't try to solve her/his problems or help with the eating disorder on your own. Get help from others.
  2. Don't confront your friend with a group of people, in front of a group of people.
  3. Don't talk about weight, food, calories, or appearance. Do not make any comments on what she/he looks like.
  4. Don't try to force or encourage your friend to eat. Do not get into power struggles.
  5. Don't let her/his peculiarities dominate you or manipulate you.
  6. Don't gossip about her/him to others.
  7. Don't be scared to talk with her/him.
  8. Don't expect to be the perfect friend - Reach out for support when you need it.
  9. Don't expect your friend to be "cured" after treatment. Recovery can be a long process.
  10. Don't keep this a secret for your friend. Remember, her/his life may be in danger.