Anorexia And Bulimia Nervosa

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Anorexia And Bulimia Nervosa

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Question:
Discuss about the Bulimia Nervosa.

Answer:

Bulimia nervosa share several similarities and commonalities with other eating disorder such as anorexia nervosa, other food disorders include; body image disorder, avoidant food intake, binge, and phobia of food. This is becoming common among individuals and share similarities with bulimia and anorexia disorder. Anorexia is when an individual is fearful of becoming obese, resulting in less intake of food which leads to weight loss of an individual. They see themselves as overweight even when they are underweight. This makes it a serious eating disorder with high mortality rate compared to any other disorder. On the other hand, bulimia is when an individual takes in food but forces herself or himself to vomit it for fear of becoming fat (Wilson, & Sysko, 2009). Other eating disorders have commonalities with bulimia which include; extreme exercise, enforced vomiting, fasting, diuretics, and purges. Additionally, when anorexia nervosa individuals who are underweight engage in a behavior purging and bingeing, the diagnosis of anorexia nervosa surpasses that of bulimia. Both in bulimia and anorexia nervosa individuals focus on weight loss through excessive exercise or to prevent gaining of weight (commonalities) as outlined in American Psychiatric Association, 2013).
However, bulimia can be differentiated from other eating disorder. This involves recurrent intake episode of binge eating disorder coupled with compensatory behavior, for example vomiting to prevent an increase in weight (Fairburn & Cooper, 2007). That is bulimia is referred to as binge eating, ox hunger or voracious appetite. Diagnosis of bulimia requires per week at least two binges for at least three months. Binge is usually initiated by stress, which involves characteristically taking in high calorie, and food that is easily ingested in a short period. An individual feels out of control during a binge and may consume 2000-4000 calories; this binge ends when an individual becomes uncomfortably full or falls asleep. Frequently the vomiting follows the binge, either by allowing it or terminating it.
Thoughts, feelings, and behavior
Bulimia nervosa involves a complicated interchange between beliefs, feeling, and habits. These elements work together to dominate Tracy’s altering moderated consumption of food and binge eating habits. She believes that she cannot do better because she isn’t able to change her eating behavior. Tracy’s was not able to monitor herself. Additionally, she was also unable to begin a regular pattern of eating which was embracing to her. In the process, she ended up lying to the group leader that she had too much work. Therefore, she couldn’t attend the meeting. How an individual thinks affects individual actions since it is the mind that controls an individual in his or her diurnal action. Consequently, it may initiate negative behaviors because of the feelings that are uncontrolled (Kaye, 2008).
The therapist believe that when an individual is extremely upset, she may not be mindful of certain thoughts, thus providing an emotional state that is negative. Tracy was uncommitted to the treatment program since her feelings and thoughts did not promote positive behavior. Her purging and binge eating behavior remained unchanged. Tracy doubted herself, that is, she was not sure of eating normally like the rest of the people since she was more depressed making her feel frustrated and disappointed for being unable to change her behavior. Tracy stopped monitoring herself completely, as she was not able to follow even the easiest methodological eating habit. She was involving in binge eating at purifying just like before she committed herself to the group. This promoted guilt and shame to her by initiating a feeling of failure (feeling of giving up). Interrupting the chain that leads from buckled, self-deprecating beliefs to negative feelings and bingeing and purging habit is needed as stated American Psychiatric Association (2013).

References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
Fairburn, C. G., Cooper D Phil, Dip Psych, Z., Doll D Phil, H. A., O’Connor, M. E., Bohn D Phil, Dip Psych, K., Hawker, D. M., … & Palmer, R. L. (2009). Transdiagnostic cognitive-behavioral therapy for patients with eating disorders: a two-site trial with 60-week follow-up. American Journal of Psychiatry, 166(3), 311-319.
Kaye, W. (2008). Neurobiology of anorexia and bulimia nervosa. Physiology & behavior, 94(1), 121-135.
Wilson, G. T., & Sysko, R. (2009). Frequency of binge eating episodes in bulimia nervosa and binge eating disorder: Diagnostic considerations. International Journal of Eating Disorders, 42(7), 603-610

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