Psychological Presentations

In addition to the presenting physical symptoms, psychological manifestations may be detected on emergency evaluation. Depression, including suicidal ideation, is the primary psychological complication of eating disorders. Other psychological manifestations include obsessive-compulsive personality traits, with rumination about food, calories, and weight. Ritualistic eating and exercising behavior are also evident. Perfectionistic striving often results in deterioration of friendships and leisure activities.

Impulse-control disorder is a psychological complication of eating disorders more commonly seen in bulimics than in anorexics. Other behavioral manifestations include shoplifting and stealing, sexual promiscuity, drug and alcohol abuse, and self-mutilation.

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Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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