How is bulimia treated


15 to 25% of all anorexics later develop bulimia. A transition from eating-vomiting addiction to anorexia, on the other hand, is less common. In most cases, the disease begins with a strict diet, followed by binge eating and countermeasures such as vomiting or the abuse of laxatives. Very few start bulimia directly with eating and vomiting. On average, those affected live with the eating disorder for 5 years before they seek psychotherapy. The pronounced feelings of shame and guilt and the misconception that you can stop vomiting yourself at any time, if you just want to, are reasons for starting therapy late. The chances of recovery of bulimia nervosa decrease with the following starting factors:

  • Older age (from 30) when the disease breaks out
  • Long duration of illness before starting therapy
  • Combination of bulimia and anorexia or multiple changes between the two clinical pictures
  • Broken family relationships
  • Treatments canceled several times


Patients experience a recurring cycle of addiction, a vicious circle that they find difficult to escape without help: Diets (which are the starting point for all forms of eating disorders) and restrained eating are followed by loss of control and food cravings, which result in binge eating with subsequent feelings of guilt, shame and the Fear of weight gain.