Bulimia - Concepts of Mental Health

Introduction

Bulimia Nervosa defined as to eat a lot of a particular food with enjoyment food in a short while. People with bulimia nervosa often aware about the way he/she looks during self reflection.

• People use some of the actions
• Vomiting
• Taking laxatives and diuretics
• Hunger strike
• Physical activity

These behaviours become more compulsory and unmanageable with time and come across obsession with food, continuously thoughtful about eat, weight fall off, no dietary intake and physical appreance.

Types Of Bulimia

Purging type: This is the most common form of bulimia.

The client induced self regurgitation and excess use of laxatives and diuretics.

Non-purging: In this type people do over physical activities and starvation .

Causes

• Not known
• Biological and environmental factors
• Past episodes of abuse or trauma
• Difficult transitions or life becoming different
• Negative body picture
• Poor self esteem
• Career opportunities or activities that centered on appearance/performance

Risk factor

• Alteration in state of mind or personality
• Deny to eat prior to people
• Irrational fear of weight gain
• Twist body image
• Frequently weighing oneself
• Food masked and store up

Signs and symptoms

• Eating uncountable
• Vomiting/habitual use of bathroom after eating
• Over physical activity
• Dental problems
• Depression or mood swings
• Heart burn, indigestion, dehydration, bloating
• Gastric reflex, swelling of oesophagus
• Improper events of eat too much food and fasting

Diagnosis:

• Physical examination
• Ask about eating habits ,weight loss methods,
• Blood and urine examination
• ECG
• Psychological evaluation

Treatment:

Treatment must be based on complete assessment of fellow and family.

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• Reviewthe seriousness of symptoms.
• Nutritional rehabilitation, Individual therapy and cognitive therapy, behavioural therapy
• Family based therapy
• Medications
• Hospitalization
• Outpatient, day care, indoor patient care

Health talk for individual

• Food diary for daily food intake
• Generate a menu plan with health professional
• Use distractions like pleasurable activities and hobbies
• Eat with family member or friend to decrease anxiety at meal time
• Do not label food as good or bad
• Plan meals before hand

Family

• Be patient and sympathetic
• Do not expect overnight recovery
• Seek professional help
• Originate a support group, consultant, and involve other family members
• Catch in routine operations and get connect with known food activities.
• Support to build up self esteem

Strategies

• Establish a warm and positive interpersonal relationship with client
• Do not comment on body image or appearance
• Advising and provide resources
• Oversee eating habits
• Provide positive feed back
• Support well eating

Role of Health care provider:

• Spread awareness
• Identify the disorder and restoring physiological stability as soon as possible
• Establish a trusting therapeutic relationship
• Involve the family
• Using interdisciplinary approach
• Health promotion campaign

Referrence

1. Hasse,M., Ray,S., Pollard,C. (2018). Canadian Psychiatric Mental Health Nurse (2018)
2. Gordon, J. The role of healthcare in education,treatment,and prevention of eating disorders.
3. Woodside,D.,Wolfson,L.National eating disorder information centre.