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Tag: bulimianervosa

Back to School!

Written by nutritiousthoughtsblog on . Posted in Body Image, Eating Disorder Recovery, Self Care.

We are a few weeks into the 2019-2020 school year.  With returning to school comes a set of new stressors, deadlines, and social activities.  How do we maintain recovery when taking on the role of “student”?  Eating Disorder Hope recently released an article on this topic exactly, and we couldn’t have written it any better ourselves.  Therefore, we’ve provided the article for you here in this blog post!  Keep reading for some top-notch tips on staying recovery-forward in the midst of transitioning back to school.

 

Best Practices for Returning to School

Here are the best practices for returning to school in eating disorder recovery:

Make time for recovery. Even with a busier schedule, it’s important to prioritize recovery. This includes continuing to attend appointments with your treatment team at a frequency that will continue to support your recovery. This also includes keeping your long-term health and wellness in mind in spite of the stressors that come with school.

Identify your triggers. Before returning to school, identify what may trigger disordered eating thoughts and behaviors. Triggers may be things like overhearing classmates talk about their bodies, eating with others in the lunchroom, or the amount of math homework you’ll be facing.

Have a go-to list of coping skills and self-care plans that will help you manage these triggers. This will help reduce any risk of relapse.

Develop a healthy daily structure. Finding a daily structure means finding balance. It’s having a routine that provides regular sleep and regular meals.

It’s a schedule that includes social activities that make it difficult to isolate, as well as things like making time for academic efforts to prevent school work from “building up.”

Self-care is an important part of the daily structure — as part of the best practices for returning to school, be sure to build in time each day to take care of yourself and manage daily stressors.

Get support. Know that when things get difficult, you don’t have to figure it out all on your own. Call in your support system — whether it be parents, friends, teachers, the school counselor, or a formal support group — for support around whatever is troubling you.

Many students in recovery need support around academic workload, time management, stress management, meal prep, and/or mealtime support.

Consult with your treatment team. Work closely with your treatment team to address any triggers or challenges that may arise. If you have any concerns, be sure to share them with your treatment team, as they will be able to support you and offer up individualized recommendations.

If you begin to feel like things are getting on top of you, like you’re not coping as well, or returning to old disordered eating thoughts or behaviors, it’s important that you reach out to your treatment team as soon as possible.

Special consideration for student-athletes. Work closely with your coach.

For students in recovery who are returning to athletics along with school, it’s important that your coach understands how to support you in your recovery.

Coaches should be aware of any recommendations being made by your treatment team and be willing to support you in following those recommendations.

This is important for both your short-term and long-term health and wellbeing.

About the Author:

Chelsea Fielder-JenksChelsea Fielder-Jenks is a Licensed Professional Counselor in private practice in Austin, Texas. Chelsea works with individuals, families, and groups primarily from a Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) framework.

She has extensive experience working with adolescents, families, and adults who struggle with eating, substance use, and various co-occurring mental health disorders. You can learn more about Chelsea and her private practice at ThriveCounselingAustin.com.

Bulimia Nervosa: The Signs, Symptoms, & Impact

Written by nutritiousthoughtsblog on . Posted in Education.

Bulimia Nervosa

According to the National Eating Disorder Association…

Bulimia nervosa is a serious, potentially life-threatening eating disorder characterized by a cycle of bingeing and compensatory behaviors such as self-induced vomiting designed to undo or compensate for the effects of binge eating.

Symptoms

  • Frequent episodes of consuming very large amount of food followed by behaviors to prevent weight gain, such as self-induced vomiting.
  • A feeling of being out of control during the binge-eating episodes.
  • Self-esteem overly related to body image.

The chance for recovery increases the earlier bulimia nervosa is detected. Therefore, it is important to be aware of some of the warning signs of bulimia nervosa.

Warning Signs of Bulimia Nervosa

  • Evidence of binge eating, including disappearance of large amounts of food in short periods of time or finding wrappers and containers indicating the consumption of large amounts of food.
  • Evidence of purging behaviors, including frequent trips to the bathroom after meals, signs and/or smells of vomiting, presence of wrappers or packages of laxatives or diuretics.
  • Excessive, rigid exercise regimen–despite weather, fatigue, illness, or injury, the compulsive need to “burn off” calories taken in.
  • Unusual swelling of the cheeks or jaw area.
  • Calluses on the back of the hands and knuckles from self-induced vomiting.
  • Discoloration or staining of the teeth.
  • Creation of lifestyle schedules or rituals to make time for binge-and-purge sessions.
  • Withdrawal from usual friends and activities.
  • In general, behaviors and attitudes indicating that weight loss, dieting, and control of food are becoming primary concerns.
  • Continued exercise despite injury; overuse injuries.

Health Consequences of Bulimia Nervosa

Bulimia nervosa can be extremely harmful to the body.  The recurrent binge-and-purge cycles can damage the entire digestive system and purging behaviors can lead to electrolyte and chemical imbalances in the body that affect the heart and other major organ functions.  Some of the health consequences of bulimia nervosa include:

  • Electrolyte imbalances that can lead to irregular heartbeats and possibly heart failure and death.  Electrolyte imbalance is caused by dehydration and loss of potassium and sodium from the body as a result of purging behaviors.
  • Inflammation and possible rupture of the esophagus from frequent vomiting.
  • Tooth decay and staining from stomach acids released during frequent vomiting.
  • Chronic irregular bowel movements and constipation as a result of laxative abuse.
  • Gastric rupture is an uncommon but possible side effect of binge eating.

About Bulimia Nervosa

  • Bulimia nervosa affects 1-2% of adolescent and young adult women.
  • Approximately 80% of bulimia nervosa patients are female.
  • People struggling with bulimia nervosa usually appear to be of average body weight.
  • Many people struggling with bulimia nervosa recognize that their behaviors are unusual and perhaps dangerous to their health.
  • Bulimia nervosa is frequently associated with symptoms of depression and changes in social adjustment.
  • Risk of death from suicide or medical complications is markedly increased for eating disorders