As with anorexia, bulimic patients struggle with low self esteem, isolation, perfectionism, and the drive to be thin. Psychotherapy helps the patient to understand the destructive nature of these symptoms and to develop healthier thoughts and behaviors. They are safe and effective when used in conjunction with nutritional counseling and psychotherapy. Eventually, the untreated illness will interfere with almost every aspect of physical, emotional and social functioning. It can cause irreversible damage and possibly death.
Recovery is quicker and more effective the sooner the illness is brought to treatment.
The Eating Disorders Clinic at UPMC, under the direction of Dr. Marsha Marcus, is an excellent resource for treatment. They provide comprehensive treatment including nutritional counseling, psychotherapy and medication, all essential to recovery. A comprehensive handbook , New York, Guilford Press.