Bulimia causes of disease and treatment-Part One

The term should be restricted to those forms of the disorder, which have the same psychopathology as anorexia nervosa. The distribution by age and sex is the same as in anorexia nervosa, but occurs in a slightly older age. The breach may be regarded as a consequence of a persistent anorexia nervosa (although the reverse sequence is also possible
To insert the definite diagnosis of bulimia nervosa is necessary that all the following conditions in ICD 10:

continuous preoccupation regarding eating irresistible attraction to food
patient is prone to episodes of overeating, it consumes a large amount of food in a short time;
patient attempts to counteract weight gain from ingested by one or more of the following: induced vomiting, abuse of purgatives, alternating periods of fasting, medications to suppress appetite, thyroid preparations or diuretics. Diabetic patients suffering from bulimia nervosa may abandon the treatment with insulin;
psychopathology results in a fear of obesity disease and the patient to determine the legally strictly limited weight - well below the level of the premorbid weight, which can be considered as optimal, or healthy, from the perspective of the physician. Often, but not always, have a previous history of anorexia nervosa, with a duration of several months to several years. This episode may have been pushing expressed or was evident in lighter and disguised with moderate weight loss and / or phase of the previous amenorrhea.
INCLUDES: bulimia, unspecified; hiperoreksiya neurosis.

Differential diagnosis:
Includes upper dyspeptic syndrome, leading to repeated vomiting (typical psychopathology absent); more general personality abnormality as eating disorders can sazhitelsvta with alcohol dependence and some not very serious antisocial activities (eg petty theft in stores); depressive disorders (as patients with bulimia nervosa often reveal depressive symptoms).

ATYPICAL bulimia nervosa - F-50.3
This term should not be used for patients who are missing one or more of the main features characteristic of bulimia nervosa (F-50.2), but regardless of this, there is a typical clinical picture. Most often, this applies to patients with normal or even beyond the normal weight, but with typical periods of binge eating followed by vomiting or receiving purge. There are rare and partial syndromes with depressive symptoms, but if depressive symptoms justify placing a separate diagnosis of depressive disorder, then it is appropriate to fit two separate diagnoses.
Includes: bulimia at normal weight.

According to DSM - 4 to diagnose bulimia, it takes at least two attacks per week for a period of three months.

The age of onset of the disorder most often is called puberty. "Teenage" age or early adulthood.