What is Bulimia Nervosa?

Bulimia nervosa – often referred to as bulimia– is an eating disorder characterized by patterns of bingeing (consuming a large amount of food in a short amount of time) and purging the calories out of their bodies through vomiting, starving, excessive exercise, laxatives, or other methods.

Bulimia is a psychological disorder that produces many medical and physical problems and is often accompanied by feelings of guilt, depression, and self-condemnation.

Selah House specializes in the treatment of:


  • A sense of lack of control overeating during the episode (e.g. a feeling that one cannot stop eating or control what or how much one is eating)
  • Recurrent inappropriate compensatory behavior to prevent weight gain
  • Self-induced vomiting
  • Misuse of laxatives, diuretics, enemas, or other medications
  • Fasting
  • Excessive exercise
  • Frequency: binge eating and purging both occur, on average, or at least twice a week for three months.
  • Body image issues: Self-evaluation is unduly influenced by body shape and weight (i.e. making your weight the only thing you judge yourself on)

Warning Signs

  • Excessive concern about weight
  • Strict dieting followed by eating binges (diet – binge – purge cycles)
  • Frequent overeating, especially when distressed
  • Binging on high calorie, sweet foods
  • Use of laxatives, diuretics, strict dieting, vigorous exercise, and/or vomiting to control weight
  • Leaving for the bathroom after meals 
  • Being secretive about food/binges/vomiting
  • Planning binges or opportunities to binge
  • Feeling out of control
  • Bloodshot eyes
  • Swollen neck glands or frequent sore throat
  • Unusual or frequent dental problems
  • Buys large amounts of food that disappear with no explanation
  • Repeated excuses for not eating at regular meals with family and friends

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