Eating disorders are disorders in which the person obsessively deals with his own weight and appearance, develops obsessive thoughts about it, and therefore shows serious changes in his eating behaviors. different ailments. Although Anorexia Nervosa and Bulumia Nervosa are two pathologies that are often confused with each other, it is very difficult to distinguish between them. Because after the initial stage, both disorders can evolve into each other. In other words, the person's showing symptoms of Bulumia Nervosa may turn into Anorexia over time or vice versa. For this reason, the person weighs much less than the appropriate weight for his age and height. Fear of gaining weight is seen in these people and it is known that eating restriction continues with this fear. Therefore, anorexic people are accompanied by body perception disorder because no matter how thin they are, the body they see in the mirror is still overweight. Their mindset is always 'I must be the thinnest, I must reach the weight that no one can reach'.
There are two subtypes :
Restrictive subtype : Restriction of eating
Bulimic subtype: The desire of the person to evacuate by vomiting or using certain medications as a result of binge attacks. Compensatory behaviors are also observed with excessive sports.
Bulumia Nervosa :
It is the person's development of compensatory behavior as a result of repeated binge eating attacks. The aim is to prevent weight gain, and they try to achieve this goal by vomiting or evacuating with various drugs. Overcompensatory behaviors are also seen in this diagnosis. Their mentality often progresses as if I gain weight, I am unsuccessful in every field, and if I am thin, I am very confident and successful.
As you can see, Bulumic type, which is the lower step of Bulumia Nervosa and Anorexia Nervosa, is very similar to each other. So how do you distinguish these two types?
If a person has experienced the restrictive type of Anorexia Nervosa in a certain period of his life, that is, he has lost weight by severely restricting his eating behavior, and if he has recently engaged in compensatory behavior such as drug abuse and excessive sports, he gets the diagnosis of Anorexia Nervosa-bulumic subtype. If he has never met the criteria for restrictive subtype Anorexia Nervosa in any area of his life, that is, if the attacks started with the binge attacks-compensation couple, not with restriction, he can be directly diagnosed with Bulumia Nervosa. However, since the treatment of these types is similar, it may not be possible to draw a clear line between them.
Big Eating Disorder:
Bulumia Nervosa Unlike , only binge eating behavior is seen, but the person does not go to the compensatory method. In order for the person to receive this diagnosis;
Performing this behavior alone because she is ashamed of what she ate
Feeling uncomfortably full
Physical hunger
It is expected that people who experience binge eating attacks have much more than a healthy person's stomach volume. Therefore, this causes the person to fight obesity over time.
Treatment Methods :
First of all, most eating disorder patients need to be aware of the situation. although he may refuse treatment. Therefore, the first step for treatment is to ensure that the person cooperates. Treatment of eating disorders should be managed by a group of psychologists, psychiatrists, dietitians, and necessary medical branches according to the effects of the disease.
Cognitive Behavioral Therapy is the most frequently used therapy method in this field, which gives the most effective results. Eating disorders, which occur depending on the emotional state of the people, aim to improve the person's coping skills during therapy. Social and family support is very important at this stage. However, it should not be forgotten that what is an eating disorder? The later it is noticed and the later the treatment is started, the more difficult the process becomes. In addition, treatment of eating disorders consists of long-term therapies.
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