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Anorexia nervosa is characterized by low body weight and body image distortion with an obsessive fear of gaining weight. Individuals with anorexia often control body weight by voluntary starvation, purging, vomiting, excessive exercise, or other weigh control measures, such as diet pills or diuretic drugs. It often primarily affects young adolescent... more

Bulimia Nervosa is a psychological condition in which the subject engages in recurrent binge eating followed by intentional purging. This purging is done in order to compensate for the excessive intake of the food and to prevent weight gain. Purging typically takes the form of vomiting; inappropriate use of laxatives... more

Binge Eating Disorder (BED) is currently listed under Eating Disorder Not Otherwise Specified in the DSM-IV-TR.  In binge eating disorder, the person does not regularly engage in compensatory behaviors, such as, vomiting, fasting or doing strenuous exercise after binge eating.  Another eating disorder category under Eating Disorder NOS meets all the criteria for Bulimia except that binge eating and compensatory behaviors are less than two times per week or for less than three months.   Often, people with Binge Eating Disorder are overweight or obese.. more

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Ask Dr. Pitts

I was looking for some advice to help my boyfriend.

Yesterday he asked me if he was fat, and i was really surprised, i told him he wasn't and we ended up getting into an argument over it, he left and i followed him and found him making himself sick in the school toilets. He confessed he'd been bulimic for about 4 years, and it started cause of his parents. I don't know how to help him and just really need any advice or help anyone has..

thanks:)


 


Posted on November 13, 2008 4:41 PM in General

Answer

Wow.  This realization must have taken you by surprise!  It is common for individuals with eating disorders to feel fat and be inconsolable.  Sounds like your boyfriend’s discomfort in his body made it unbearable to keep his food in.  It’s also very common for bulimics, of which 10% are male, to keep their binge purge behaviors secret.  Hopefully he is relieved that he got caught.  His confession could open the door for help, support and the knowledge that he is not alone.  Bulimia is not about the food; it is about his pain and issues.  Also, bulimia can be life threatening.  Let him know you care.  Support him to seek out professional help:  a medical doctor and a psychotherapist who specializes in bulimia would be best.  If he has insurance, he can call his insurance and ask for these eating disorder specialists.  

Best,

Dr. Patricia Pitts, PhD

 


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