Bulimia Nervosa

What is Bulimia Nervosa?

Bulimia Nervosa is characterized by binges occurring at least weekly and is typically followed by what are called “compensatory behaviors” to prevent weight gain. This can include fasting, vomiting, laxative misuse or compulsive exercise.

The Signs and Symptoms of Bulimia

• Frequent trips to the bathroom after meals
• Heartburn or gastroesophageal reflux
• Laxative, diet pill, or diuretic misuse
• Cardiac complications
• Reproductive complications
• Pulmonary Complications

What is the Root Cause of Bulimia?

Bulimia Nervosa can actually have multiple causes including biological, psychological and sociocultural factors. 

Biological Factors

Biological factors can include genetics and family history of an eating disorder.

Environmental Factors

Environmental factors refer to social environments such as sports that focus heavily on weight (ie: dancing, wrestling, gymnastics), working in a field or being a member of a group that is highly reliant on appearance and image. Environmental factors also include social media messaging and images promoting the idea of the thin beauty ideal.

Psychological Factors

Psychological factors are co-existing illnesses and personality traits such as depression, anxiety and obsessive-compulsive disorder.

Medical Complications of Bulimia Nervosa

• Metabolic and electrolyte disturbances
• Esophageal erosions and ulcers
• Dental erosions and complications including tooth hypersensitivity, tooth loss, gum disease, dry mouth
• Indigestion

Bulimia Nervosa Treatment at HopeWay

Effective treatment for Bulimia Nervosa requires addressing both the psychological and behavioral components of the disorder. HopeWay provides two Partial Hospitalization Programs (PHPs) specifically designed for young adults and teens, offering age-appropriate care and support. Our evidence-based approach includes therapies such as Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and nutritional counseling. A key part of the program is the Learning Kitchen, where clients build practical skills and confidence around food and meal preparation. Holistic therapies, including music therapy, yoga, and art therapy, further support emotional and physical recovery. Family involvement is central to the process, ensuring a strong foundation for long-term success. HopeWay is committed to helping clients regain control, health, and balance in their lives. 

Learn More About HopeWay's Eating Disorder Programs Here