Treatment

Treatment for bulimia consists of psychotherapy combined with medications.
The type of psychotherapy most often recommended for bulimics
is cognitive-behavioral therapy (CBT), along with interpersonal therapy.
In CBT, the patient is helped to recognize the distortions in their mental
image of their body and to correct irrational beliefs about food and
eating. Family therapy may be recommended if the patient’s family
appears to be a major cause of his or her emotional distress; as of late
2007, there was some evidence that family therapy is more helpful for
some patients with bulimia than individual therapy. Some bulimics also
benefit from group therapy or support group meetings.
The medications most often prescribed for bulimics are antidepressants,
in particular such drugs as fluoxetine (Prozac) and sertraline
(Zoloft). Scientists do not fully understand how these drugs help in
treating bulimia, but some think that they help to regulate chemical
imbalances in the patient’s central nervous system.

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