Graphic Description of a Bulimic Binge and Purge Episode Caution May Be Triggering

What happens during a binge To begin with, you may not even have been hungry when you started to eat. Nonetheless, you'll consume an enormous number of calories by the time you're done. Some people choose sugary, starchy foods or those that are relatively high in fats. Others opt for smooth, milky foods like ice creams and puddings that can be easily vomited. So-called junk foods are usually preferred. One estimate says that an average binge ranges between 1,200 and 11,500 calories per binge...

Chapter four

When Not Eating Becomes Your Obsession In many ways anorexia is stronger than grief, more abiding than love. - Sandra H. Heater, Am I Still Visible Anorexia nervosa is a dangerous eating disorder that harms you both physically and mentally as you starve yourself in a quest for thinness. Anorexia means loss of appetite ' but that's misleading when you are anorexic, you're almost always hungry. Through sheer willpower, stubbornness, and tenacity, you deny your hunger, learn to suppress it, and...

The Evolution of a Bulimic Habit

Bulimia transforms the meaning and significance of eating into a self-destructive activity that makes it just about impossible to eat normally and unselfconsciously. Food becomes an antagonist rather than a source of pleasure and a way to socialize with others. Eating becomes disconnected from anything that would nourish you either physically or emotionally. How does this happen Let's look at a typical case. Let's say you're a person who takes the thin-is-in cultural bias very seriously. This...

Several studies have confirmed that bone loss is a serious complication of anorexia and is difficult to reverse

Ninety-two percent of the sample of anorexic women in their mid-20s studied at the Massachusetts General Hospital had osteopenia in either the spine or hip areas (Annals of Internal Medicine, November 21, 2000). Of those, more than 50 had osteopenia at the spine and almost 25 had osteoporosis there 47 had osteopenia at the hip and 16 had osteoporosis there. The women who weighed the least showed the most serious loss of bone. Estrogen deficiency (as indicated by loss of menstrual periods) was...

Ironically it is the anorexia that cloaks you with a kind of invisibility the 44essence of your personality becomes

In the later stages of anorexia, your voice can literally become very small, like a whisper. The words you speak are often tentative, your sentences terse, with confusion and ambivalence peppering the things you say. Since sex is a form of communication, and since anorexia alters how you communicate all aspects of your self, physically intimate experiences are often transformed from occasionally awkward to frightening. Many anorexics report completely losing their sexual feelings and sex drive....

Make time for playtime arid relaxation

People who have eating disorders don't often know the meaning of being appropriately selfish and tend to put their own needs and wants far down their lists of priorities and to-dos. If you're going to let go of an eating disorder, you must put something else in its place. That is where your hobbies and interests can be effective. Figure out what you like to do (not what you think you should like, or what you think someone else wants you to like) and try to find a balance between work and play....

Over time you may lose the ability to tell when your body is hungry or full and will have to relearn this after you

The binge continues until no more food remains, the pain in your stomach becomes severe enough to get your attention, or an outside interruption (a phone call, ringing doorbell, barking dog, someone coming into your space) breaks into your bulimic zone. Here's a letter I received that describes a bulimic binge Dear Nancy, You need to warn people about the shock of a binge. You begin to eat and it feels great You think you're getting away with something. You taste stuff, but only for a few...

Physical and Emotional Hazards of Bulimia

Bingeing followed by purging is extremely hazardous to your physical health. Taking emetics like ipecac is literally putting poison into your body, and you know that poison can kill. Misuse of ephedra-based supplements contributes to heart attack and strokes. In extreme instances, vomiting can cause your stomach to rupture (burst open). It can also cause something called alkalosis, which involves chemical changes in your blood resulting in a loss of calcium in your system, as well as tingling...

The Intake Interviews The General Intake

No matter where you go for therapy, the first meeting with a therapist or team of therapists is called an intake. It may involve only you, you together with your family, or you alone followed by a separate interview with your family. The professional you first encounter might be your talking therapist or it might be someone else who does the intake and then gives the results to the person who will become your therapist. In either case, you will be asked many detailed questions designed to...