TREATMENT The most effective treatments and used in bulimia nervosa are those of psychological nature and / or pharmacological. The primary objective in any treatment must be the demise of bingeing and compensatory behaviors. This are very effective psychoeducational treatments. Restrictive eating behavior is a risk factor for the establishment of a bulimic disorder, though not in all cases. At the same must be added other factors like anxiety, some types of food, depression, boredom, frustration. 1 – Psychoeducational Tratame: We conducted in groups of 8-10.
The topics covered in sessions are: Ideals of Beauty in socio-cultural influence. There are overvalued erroneous ideas as “thinness = happiness, health” or “thinness rejuvenated.” Negative consequences of the use of purging behaviors. Produce gastrointestinal problems, lesions in the esophagus, erosion of tooth enamel, dehydration, etc. The importance of standardization of intake as the first mechanism to stop the vicious cycle of bingeing-vomiting. 2 – Feeding “Mechanics”: As a first step to break the vicious circle is to standardize food intake, it is effective to use this technique step by following these steps: 1.
Breakfast no later than one hour after rising. 2. They should not spend more than 3-4 hours between breakfast and lunch. 3. A light snack. 4. Dinner is not too late (between 20:00 and 21:00 hs.). 5. Meals should be considered as medicines and priority. 6. Eat according to a predetermined scheme (1st course, 2nd course and dessert), and not based on having more or less feeling of hunger.