Psychological therapy and one on one counseling are recommended non-medicated treatment for bulimia. Surgical treatment or hospitalization is only required in severe cases and failure of the patient to respond to the initial treatments.
Of all the different
treatments for bulimia, cognitive behavioral methods are the most widespread. This is often the preferred first treatment as studies have shown that this treatment is successful in more than half of the cases. Cognitive behavioral therapy includes nutritional counseling in order to prepare the patient for coping differently and prevent relapses in the future. You can also try interpersonal therapy treatment. This type of therapy deals with the emotional aspects like depression that influenced the eating disorder. If bulimia is caught early on, and the patient is still in relatively good health, support group therapy can help. Another treatment that might work is family therapy. Positive results have been reported when this method was used, as opposed to interpersonal therapy, since the family, a vital support factor, is supported and utilized also.
For patients exhibiting signs of depression, drugs for the treatment of bulimia is given. But, professionals recommend that medications be administered along with a type of psychological treatment like
CBT. Antidepressants are in the form of selective serotonin reuptake inhibitors. Other drugs are also given to patients such as those that prevent vomiting. Studies have shown that antiepileptic medications decrease the number of bingeing and purging episodes, so sometimes these are prescribed. Bulimic patients are benefited by B vitamin drugs originally prescribed for depression and bipolar disorder.
Different
treatments for bulimia have been investigated as well. However more studies are to be conducted and the effectiveness of these treatments have yet to be proven for a wide number of cases. Hypnosis, light therapy, guided imagery, and acupuncture are some of these new treatments.
Hypnosis seems to have a better success rate when used on women with bulimia, but those who are anorexic are resistant to this treatment. When a patient’s bulimia is related to seasonal affective disorder then light therapy is used. But, the desired results are due to the decrease in depression and not the elimination of binge-purge behavior in bulimic patients. In contrast, research has shown that guided imagery causes a nearly 75% reduction in binging and purging. In this method, the patient listens to audiotapes where images are evoked that will help in achieving treatment goals. In acupuncture, points in the stomach are selected so that the qi is balanced and proper circulation of oxygen and blood is maintained. This treatment works on the premise that eating disorders are caused by energy imbalances in the body. Stress reduction, releasing of endorphins, and the strengthening of the digestive and endocrine systems are the claims of this treatment.