Eating Disorders Overview
* Eating disorders typically occur among young women.
* Bulimia nervosa involves a pattern of bingeing and purging. Many people with bulimia nervosa also suffer from depression.
* Anorexia nervosa involves a pattern of self-starvation. Patients often have an accompanying anxiety disorder (such as obsessive compulsive disorder) or depression. Patients who have anorexia and depression have a high risk for suicide.

Complications of Bulimia Nervosa
Many medical problems are directly associated with bulimic behavior, including:

* Tooth erosion, cavities, and gum problems
* Water retention, swelling, and abdominal bloating
* Acute stomach distress
* Low potassium levels
* Irregular menstrual periods
* Swallowing problems and esophagus damage

Complications of Anorexia Nervosa
Anorexia nervosa can increase the risk for serious health problems such as:

* Hormonal changes, including reproductive, thyroid, stress, and growth hormones
* Heart problems such as abnormal heart rhythm
* Electrolyte imbalance
* Fertility problems
* Bone density loss
* Anemia
* Neurological problems

Treatment of Bulimia Nervosa

* Bulimia nervosa is treated with a combination of psychotherapy and medication.
* Cognitive behavioral therapy, which is given along with nutritional counseling, is the preferred psychotherapeutic approach.
* Selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine (Prozac), are the first choice for drug therapy.

Treatment of Anorexia Nervosa

* Unlike bulimia nervosa, anorexia nervosa does not respond as well to drug treatment, although SSRIs are sometimes used as an adjunct to psychotherapy.
* Therapy that includes the entire family -- not just the patient -- is an important part of the treatment process, as is nutritional education.
* Patients who are severely underweight and who have other physical risks may need to be hospitalized while weight is restored. Recovery is a long process that can take 5 - 6 years to achieve.

  Eating Disorder

  Eating disorders

  Specializing in the treatment of eating disorders, adolescents and depression

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