Treating bulimia

Bulimia has been recognized as a distinct eating disorder which is affecting a growing number of young adolescent women. It is characterized by the consumption of huge amounts of food followed by some form of purging, usually vomiting, in order to lose the gained weight. Most bulimics keep their activities secret, which makes diagnosis difficult. The counselor or therapist who is aware of the secretive nature of the disorder will be more alert to the symptoms. Most bulimics experience cognitive distortions relating to food, weight loss, eating, and dieting. The purpose of this paper is to identify and to discuss treatment of some of these irrational cognitions through the use of cognitive, behavioral, and emotional interventions. The importance of providing nutrition information and realistic diet practices is also noted. A group treatment approach is briefly addressed in dealing with the bulimic's problems of isolation, shame, and social acceptance.