Use behavioral techniques to reward weight gain. Individual and group cognitive therapy to alter anorexic attitudes, enhance autonomy, and improve self-esteem. Family therapy may also be useful. Treat any associated mood disorder. Onset is usually in late adolescence or early adulthood and is more prevalent in females than in males.
Bulimics tend to be of normal weight to slightly overweight.
Associated dysphoria or depression is common. Eating large amounts of food in a discrete period of time. Lack if control over eating behavior. Binge episodes and compensatory behaviors both occur on average twice a week for at least 3 months. Persistent overconcern with body shape and weight.