{"id":36,"date":"2013-06-12T05:44:11","date_gmt":"2013-06-12T05:44:11","guid":{"rendered":"http:\/\/dannymercado.com\/drjennifers\/?page_id=36"},"modified":"2018-02-19T18:19:10","modified_gmt":"2018-02-20T02:19:10","slug":"bulimia-nervosa","status":"publish","type":"page","link":"https:\/\/everybodybehavioralhealth.com\/bulimia-nervosa\/","title":{"rendered":"Bulimia Nervosa"},"content":{"rendered":"<p>[vc_row parallax=&#8221;content-moving&#8221; overlay_set=&#8221;show_overlay_color&#8221; overlay_color=&#8221;rgba(0,0,0,0.5)&#8221; text_color=&#8221;__&#8221; heading_color=&#8221;__&#8221; link_color=&#8221;__&#8221; link_hover_color=&#8221;__&#8221; css=&#8221;.vc_custom_1517823109723{padding-top: 130px !important;padding-bottom: 155px !important;background-image: url(https:\/\/everybodybehavioralhealth.com\/wp-content\/uploads\/2018\/02\/warren-wong-238677-e1517823008613.jpg?id=1559) !important;background-position: center;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; tablet_css=&#8221;.vc_custom_1517823109724{padding-top: 75px !important;padding-bottom: 45px !important;}&#8221; mobile_css=&#8221;.vc_custom_1517823109724{padding-top: 75px !important;padding-bottom: 45px !important;}&#8221;][vc_column text_align=&#8221;text-center&#8221; max_width=&#8221;682px&#8221; horizontal_align=&#8221;block-align-center&#8221; text_color=&#8221;light&#8221; heading_color=&#8221;__&#8221; link_color=&#8221;__&#8221; link_hover_color=&#8221;__&#8221;][floral_shortcode_heading heading_title=&#8221;We&#8217;re here to help&#8221; heading_el_tag=&#8221;p&#8221; heading_title_size=&#8221;28&#8243; heading_title_line_height=&#8221;1.5&#8243; heading_text_fs=&#8221;fs-italic&#8221; heading_subtitle_enable=&#8221;0&#8243; heading_separator_enable=&#8221;0&#8243; heading_title_responsive_title_size=&#8221;0&#8243;][floral_shortcode_heading heading_title=&#8221;Bulimia Nervosa&#8221; heading_title_size=&#8221;48&#8243; heading_title_line_height=&#8221;60px&#8221; heading_title_ff=&#8221;p-font&#8221; heading_title_text_transform=&#8221;text-uppercase&#8221; heading_text_fw=&#8221;fw-semibold&#8221; heading_subtitle_enable=&#8221;0&#8243; heading_separator_enable=&#8221;0&#8243; heading_title_responsive_title_size=&#8221;0&#8243; css=&#8221;.vc_custom_1515451422757{margin-bottom: 0px !important;border-top-width: 3px !important;border-right-width: 3px !important;border-bottom-width: 3px !important;border-left-width: 3px !important;padding-top: 12px !important;padding-bottom: 8px !important;border-left-color: #ffffff !important;border-left-style: solid !important;border-right-color: #ffffff !important;border-right-style: solid !important;border-top-color: #ffffff !important;border-top-style: solid !important;border-bottom-color: #ffffff !important;border-bottom-style: solid !important;}&#8221;][\/vc_column][\/vc_row][vc_row equal_height=&#8221;yes&#8221; text_color=&#8221;__&#8221; heading_color=&#8221;__&#8221; link_color=&#8221;__&#8221; link_hover_color=&#8221;__&#8221; css=&#8221;.vc_custom_1519093147629{padding-top: 130px !important;padding-bottom: 110px !important;background-image: url(https:\/\/everybodybehavioralhealth.com\/wp-content\/uploads\/2018\/01\/newbg2.jpg?id=1294) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; tablet_css=&#8221;.vc_custom_1519093147630{padding-top: 70px !important;padding-bottom: 50px !important;}&#8221; mobile_css=&#8221;.vc_custom_1519093147630{padding-top: 70px !important;padding-bottom: 50px !important;}&#8221;][vc_column text_color=&#8221;__&#8221; heading_color=&#8221;__&#8221; link_color=&#8221;__&#8221; link_hover_color=&#8221;__&#8221; offset=&#8221;vc_col-md-6&#8243;][floral_shortcode_heading heading_title=&#8221;Learn more about&#8221; heading_title_size=&#8221;24&#8243; heading_color=&#8221;p&#8221; heading_text_fs=&#8221;fs-italic&#8221; heading_subtitle_enable=&#8221;0&#8243; heading_separator_enable=&#8221;0&#8243; heading_title_responsive_title_size=&#8221;0&#8243; css=&#8221;.vc_custom_1516787556962{margin-bottom: 5px !important;}&#8221;][floral_shortcode_heading heading_title=&#8221;Bulimia Nervosa&#8221; heading_title_size=&#8221;36&#8243; heading_title_line_height=&#8221;1.3&#8243; heading_title_ff=&#8221;p-font&#8221; heading_text_fw=&#8221;fw-semibold&#8221; heading_subtitle_enable=&#8221;0&#8243; heading_separator_enable=&#8221;0&#8243; heading_title_responsive_title_size=&#8221;0&#8243; css=&#8221;.vc_custom_1517457383428{margin-bottom: 35px !important;}&#8221;][vc_column_text]In 2013, the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) changed the criteria for Bulimia Nervosa. Here are the current DSM-5 criteria:<\/p>\n<ol>\n<li>Recurrent episodes of binge eating:\n<ul>\n<li>Eating, in a discrete period of time, an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances.<\/li>\n<li>A sense of lack of control over eating during the episode.<\/li>\n<\/ul>\n<\/li>\n<li>Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, or other medications; fasting; or excessive exercise.<\/li>\n<li>At least once a week for 3 months.<\/li>\n<li>Self-evaluation is unduly influenced by body shape and weight.<\/li>\n<\/ol>\n<p>[\/vc_column_text][\/vc_column][vc_column vertical_align=&#8221;block-align-middle&#8221; text_color=&#8221;__&#8221; heading_color=&#8221;__&#8221; link_color=&#8221;__&#8221; link_hover_color=&#8221;__&#8221; offset=&#8221;vc_col-md-6&#8243; el_class=&#8221;mb-sm-max-35&#8243;][vc_single_image image=&#8221;1449&#8243; img_size=&#8221;large&#8221; alignment=&#8221;center&#8221;][\/vc_column][vc_column][vc_column_text]<strong>Dr. Shapiro and colleagues recently published<\/strong> a review of the research on bulimia nervosa (Shapiro JR et. al, <em>Int J Eat Disord<\/em> 2007; 40:321-336) covering medication and psychotherapy studies. Findings suggest that:<\/p>\n<ul>\n<li>Prozac 60 mg did better than 20 mg\/day.<\/li>\n<li>Other meds shown effective in single studies have included desipramine (200-300 mg\/day), topiramate (100 mg\/day), and odansetron. Wellbutrin should be avoided in patients with bulimia or anorexia, because one early study indicated a higher seizure risk in such patients.<\/li>\n<li>In terms of therapy, cognitive behavioral therapy (CBT) as being the most effective psychotherapy, although the new data on family-based therapy for bulimia had not been released in time for the review.<\/li>\n<\/ul>\n<h3>What exactly is a binge?<\/h3>\n<p>Most people overeat on occasion or even regularly.\u00a0 Restaurants serve large portions and we just want to finish those French fries because they were so good.\u00a0 Many people also emotionally eat on occasion such as eating ice cream after an argument.\u00a0 A binge, however, is eating an amount of food that most people would consider large or that most would not consume in a similar setting.\u00a0 A binge typically occurs within a short period of time such as two hours and the person may feel like they are powerless or unable to stop.<\/p>\n<p>While binge eating is not overeating, grazing all day, making \u201cunhealthy\u201d food choices, or emotional eating, each of these are all symptoms of disordered eating.[\/vc_column_text][floral_shortcode_heading heading_title=&#8221;We&#8217;re here to help&#8221; heading_title_size=&#8221;custom&#8221; heading_title_custom_size=&#8221;56&#8243; heading_text_align=&#8221;text-center&#8221; heading_color=&#8221;p&#8221; heading_title_ff=&#8221;google-font&#8221; heading_title_custom_ff=&#8221;font_family:Dancing%20Script%3Aregular%2C700|font_style:400%20regular%3A400%3Anormal&#8221; heading_subtitle_enable=&#8221;0&#8243; heading_separator_enable=&#8221;0&#8243; heading_title_responsive_title_size=&#8221;0&#8243; css=&#8221;.vc_custom_1517822764664{margin-top: 10px !important;margin-bottom: 10px !important;}&#8221;][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row parallax=&#8221;content-moving&#8221; overlay_set=&#8221;show_overlay_color&#8221; overlay_color=&#8221;rgba(0,0,0,0.5)&#8221; text_color=&#8221;__&#8221; heading_color=&#8221;__&#8221; link_color=&#8221;__&#8221; link_hover_color=&#8221;__&#8221; css=&#8221;.vc_custom_1517823109723{padding-top: 130px !important;padding-bottom: 155px !important;background-image: url(https:\/\/everybodybehavioralhealth.com\/wp-content\/uploads\/2018\/02\/warren-wong-238677-e1517823008613.jpg?id=1559) !important;background-position: center;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; tablet_css=&#8221;.vc_custom_1517823109724{padding-top: 75px !important;padding-bottom: 45px !important;}&#8221; mobile_css=&#8221;.vc_custom_1517823109724{padding-top: 75px !important;padding-bottom: 45px !important;}&#8221;][vc_column text_align=&#8221;text-center&#8221; max_width=&#8221;682px&#8221; horizontal_align=&#8221;block-align-center&#8221; text_color=&#8221;light&#8221; heading_color=&#8221;__&#8221; link_color=&#8221;__&#8221; link_hover_color=&#8221;__&#8221;][floral_shortcode_heading heading_title=&#8221;We&#8217;re here to help&#8221; heading_el_tag=&#8221;p&#8221; heading_title_size=&#8221;28&#8243; heading_title_line_height=&#8221;1.5&#8243; heading_text_fs=&#8221;fs-italic&#8221; heading_subtitle_enable=&#8221;0&#8243; heading_separator_enable=&#8221;0&#8243; heading_title_responsive_title_size=&#8221;0&#8243;][floral_shortcode_heading heading_title=&#8221;Bulimia Nervosa&#8221;&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.7 - 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