Symptoms of bulimia are often somatic-based and result from the bodily trauma resulting from constant binging and purging. The most common symptoms include sore throat, sensitive teeth, worn tooth enamel, intestinal irritation, and severe dehydration. However, other treatment options, including brain stimulation techniques and complementary treatment modalities, may not be discussed as often. This article will review each of these treatments in detail.
Psychotherapy
Below discusses the types of therapy that can help treat bulimia.
Cognitive-Behavioral Therapy
Cognitive-behavioral therapy (CBT) is the preferred psychotherapy modality for those experiencing bulimia due to its strong evidence-based background.
Interpersonal Psychotherapy
Interpersonal psychotherapy (IPT) is another recommended form of talk therapy. This brief evidence-based treatment explores social and interpersonal factors that prevent recovery from eating disorders. IPT will focus on the interpersonal stressors impacting the client that, in turn, lead to episodes of binging and purging. The aim of IPT is to encourage the individual to create lifestyle changes that are supportive of their recovery.
Medication
Medication may be prescribed to treat bulimia. Selective serotonin reuptake inhibitors (SSRIs) are the most effective in reducing symptoms. Common SSRIs include:
Fluoxetine Citalopram Sertraline
Topiramate is an anti-epileptic medication used off-label to treat bulimia. It has shown some success in minimizing binge episodes. Despite this success, it is important to note the side effects. For example, cognitive functioning impairment and weight loss can outweigh the benefits that taking this medication can bring.
Treating Medical Complications
Due to the nature of this disorder, medical complications tend to arise when treating bulimia. Dehydration is a common concern for those experiencing bulimia, for which saline in an IV drip is administered. Constipation can also result from excessive binging and purging or detoxing from laxatives. More holistic support like staying hydrated, getting some physical movement in, and eating dietary fiber will be suggested to maintain bowel regularity.
Surgery and Invasive Procedures
While surgery and invasive procedures to treat bulimia are rare, they still exist. Below is one type of treatment that is sometimes used to treat bulimia.
Deep Brain Stimulation
Deep brain stimulation, a treatment that utilizes a surgically placed device to stimulate the brain, has been considered for treating bulimia. However, this therapy is still in its early stages, and while there is hope for this being a beneficial treatment, the clinical trials still leave much to be desired.
Complementary Alternative Medicine (CAM) and Over-the-Counter (OTC)
Some complementary alternative medicines can be quite supportive in treating bulimia. However, they must be used in addition to, not in place of, other forms of clinically-proven treatment.
Yoga
For example, a recent study shows that yoga can be quite helpful in treating some of the disturbances that trigger eating disorder episodes, like symptoms of anxiety, depression, and body image disturbance. In this study, no significant changes to body mass index were indicated, making yoga safe for those who need to gain weight.
Other CAM Therapies
The following CAM therapies require further research to prove efficacy, but they have potential:
Massages and Bright Light Therapy: Often, depression can co-occur with bulimia, or some symptoms of depression may even trigger bulimic episodes. Tending to the depressive symptoms with massage and bright light therapy can help decrease the frequency of episodes. Acupuncture and Relaxation Therapy: For those who experience symptoms of anxiety alongside bulimia, acupuncture and relaxation therapy can be helpful. Similar to depression and bulimia, symptoms of anxiety can exacerbate bulimia. Soothing anxiety can, in turn, alleviate symptoms of bulimia.
How to Make Your Treatment Most Effective
The most effective treatments include lifestyle changes, a robust support system, and a well-rounded treatment team. Moving through treatment for bulimia can be challenging, but recovery is possible. Here are some tips:
Identify triggers and stressors: First, with the help of a licensed therapist, you’ll consider the triggers you have in your life and assess how you can begin to shift them. Perhaps you have a negative relationship with a family member or find that a particular aspect of your life is incredibly stressful. Make lifestyle changes: Consider what changes can be implemented to minimize the harm to your mental and physical health. Exercising, and making a habit of journaling daily can help manage any intense emotions you might experience as you recover. Reach out to your support system: Allow yourself to lean on your friends and family. Also, ensure that medical professionals around you account for your mind-body-spirit wellness.
