Bulimia is one of the most well-known eating disorders, although some people confuse it with anorexia. Now to fully understand what its nature is it should be noted that there are different types of bulimia, And not a homogeneous diagnostic category.
Below we will see what these types of bulimia are and what are their characteristics. But first, let’s start with the basics.
What is bulimia?
Bulimia is an eating disorder characterized by phases of overeating and purging of what has been eaten or compensatory behaviors. It is associated with severe emotional distress, damage to health and a behavioral dynamic based on impulsivity, because we lose control over what we do and long-term plans are sacrificed for the simple fact of living in a spiral of frenzy and purges, moments of anxiety and strong sadness associated with low self-esteem.
Unlike anorexia, bulimia usually occurs between the ages of 18 and 25 and is also more typical of impulsive and addictive people than perfectionists and planners.
Phases of this disorder
The phases of bulimia are as follows:
is consuming too much food and drink to satiate an impulse. In addition, the foods you eat usually have a high calorie load. He appears sharply and under a feeling of loss of control, as, among other things, he tries to eat so much food in the shortest possible time, filling his mouth and chewing little.
The frequency with which these episodes occur varies widely and can range from once every several weeks to several times a day. this phase it is common in all types of bulimia.
2. Rituals of purging and compensation
After the binge, a feeling of guilt arises and reactions to prevent weight gain. Purging usually involves inducing vomiting by inserting your fingers into your mouth, but in some cases it may involve the use of laxatives. Compensatory behaviors, such as getting a lot of exercise or trying to fast, are also common.
This “ritual” is thought to be a consequence of the cognitive dissonance generated by the conflict between ideas (I don’t want to get fat but I tipped myself) and by a story of contingencies by which this action was reinforced.
3. Surveillance status
After these phases, the person he remains in a state of worry and vigilance, A stage associated with a feeling of discomfort. The state of vigilance allows the ruminant to be fed and recurring thoughts to appear more frequently.
On the other hand, this condition constantly brings attention back to the narrative of experiences related to the disorder, so that whatever is done is conditioned by how the person stands in front of it.
Types of bulimia
After seeing the main features of the disorder, we move on to the types of bulimia. They are two: purgative bulimia and non-purgative bulimia.
1. Bleeding or purging from Bulgaria
This type of bulimia is characterized by being accompanied by a purging phase.
This is usually done in private, however it is not overly planned and also obeys an impulse. In this case, it is a desperate attempt to reverse what was done and go back to the situation before the binge, although its effects are also harmful as stomach acids damage the cells of the body. Conduit that leads to the mouth and carries the enamel tooth.
Another behavior that characterizes purgative bulimia is the use of diuretics and laxatives, Which also has its associated risks and in any case does not prevent a large part of the calories ingested from passing through the body.
2. Non-purgative bulimia
In this type of bulimia after a binge, there is no purging, but compensatory behavior. Unlike the other method, it is assumed here that what has been eaten will be processed by the digestive system, and therefore induced vomiting is not used nor to diuretics or laxatives. However, steps are taken to compensate for this calorie intake, such as getting plenty of cardiovascular exercise or fasting for long periods of time.
The dangers associated with non-nervous bulimia are mainly possible digestive cuts, overuse of muscle groups or cardiovascular events, as well as the risk of fasting too long (more than 24 hours can be harmful) and / or dehydration. drink little and have no water on hand.
According to the degree of obesity
Bulimia can also be classified into two types according to the profile of the people who suffer from it.
3. Bulimia associated with obesity
In these cases, the person is overweight to a greater or lesser degree and feels bad about it. His identity is already linked to this physical appearance, And that makes your self esteem very low.
4. Bulimia associated with variable weight
In this type of bulimia, the patient’s body weight goes up and down as if it were a yo-yo. This still makes many of these people believe that they don’t have a problem to professionally deal with because, while they feel bad, their true identity is that of their version with less weight.
The fact that they see “frequently with little volume and less fat makes them believe that this is” their essence “and that they will come back to it at any time without therapeutic help. It is one of the most reluctant types of bulimia to see a doctor or psychologist.