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Coping Strategies : Bulimia Nervosa

Originally written by @Hope

Transferred by @emsworld

Here is a post on Coping Strategies for Bulimia Nervosa

Step 1: Break the binge and purge cycle
The first step in bulimia recovery is stopping the vicious cycle of bingeing and purging. In order to do this, it’s essential that you quit trying to diet. Dieting triggers bulimia’s destructive cycle of bingeing and purging. The irony is that the stricter the diet, the more likely it is that you’ll become preoccupied, even obsessed, with food. When you starve yourself, your body responds with powerful cravings—its way of asking for needed nutrition.
As the tension, hunger, and feelings of deprivation build, the compulsion to eat becomes too powerful to resist: a "forbidden" food is eaten, a dietary rule is broken. With an all-or-nothing mindset, you feel any diet slip-up is a total failure. After having a bite of ice cream, you might think, "I’ve already blown It, so I might as well go all out."
Unfortunately, the relief that bingeing brings is extremely short-lived. Soon after, guilt and self-loathing set in. And so you purge to make up for bingeing and regain control. But purging only reinforces binge eating. Though you may tell yourself this is the last time, in the back of your mind there’s a voice saying you can always throw up or use laxatives if you lose control again. However, purging doesn’t come close to wiping the slate clean after a binge
Purging does NOT prevent weight gain
Purging isn’t effective at getting rid of calories, which is why most people suffering from bulimia end up gaining weight over time. Vomiting immediately after eating will only eliminate 50% of the calories consumed at best—and usually much less. This is because calorie absorption begins the moment you put food in the mouth. Laxatives and diuretics are even less effective. Laxatives get rid of only 10% of the calories eaten, and diuretics do nothing at all. You may weigh less after taking them, but that lower number on the scale is due to water loss, not true weight loss
Step 2: Develop A Healthier Relationship With Food
As explained above, treatment for bulimia is much more likely to succeed when you stop dieting. Once you stop trying to restrict calories and follow strict dietary rules, you will no longer be overwhelmed with cravings and thoughts of food. By eating normally, you can break the binge-and-purge cycle and still reach a healthy, attractive weight.
- Pay attention to your hunger. Don’t wait until you’re starving. This only leads to overeating! Eat as soon as you notice you’re feeling moderately hungry.
- Eat regularly. Don’t skip meals. Try not to let over 4 hours pass without a meal or snack.
- Don’t restrict foods. When something is off limits, it becomes more tempting. Instead of saying “I can never eat ice cream,” say “I will eat ice cream as an occasional treat.”
- Focus on what you’re eating. How often have you binged in an almost trance-like state, not even enjoying what you’re consuming? Instead of eating mindlessly, be a mindful eater. Slow down and savour the textures and flavours. Not only will you eat less, you’ll enjoy it more.
Step 3: Learn To Tolerate Unpleasant Feelings
While bingeing is often triggered by overly strict dieting that backfires, it can also be a way to control or numb unpleasant moods or feelings.
The next time you feel the urge to binge, ask yourself if there’s something else going on. Is there an intense feeling you’re trying to avoid? Are you eating to calm down, comfort yourself, or to relieve boredom? If so, instead of using food as a distraction, take a moment to stop whatever you’re doing and investigate what’s going on inside.
Identify the emotion you’re feeling. Do your best to name what you’re feeling. Is it anxiety? Shame? Hopelessness? Anger? Loneliness? Fear? Emptiness?
- Accept the experience you’re having. Avoidance and resistance only make negative emotions stronger. Instead, try to accept what you’re feeling without judging it or yourself.
- Dig deeper. Explore what’s going on. Where do you feel the emotion in your body? What kinds of thoughts are going through your head?
- Distance yourself. Realise that you are NOT your feelings. Emotions are passing events, like clouds moving across the sky. They don’t define who you are.
Sitting with your feelings may feel extremely uncomfortable at first. Maybe even impossible. But as you resist the urge to binge, you’ll start to realise that you don’t have to give in. There are other ways to cope. Even emotions that feel intolerable are only temporary. They’ll quickly pass if you stop fighting them. You’re still in control. You can choose how to respond
Step 4: Challenge dysfunctional thoughts
The bingeing and purging of bulimia is often fueled by dysfunctional, self-sabotaging ways of thinking that undermine your confidence, colour everything in an unrealistically negative light, and make you feel helpless, inadequate, and ashamed. The good news: you can learn to put a stop to these unhealthy mental habits.
Damaging mindsets that fuel bulimia
- All-or-nothing thinking. You have a hard time seeing shades of grey, at least when it comes to yourself. If you’re not perfect, you’re a total failure and might as well binge.
- Emotional reasoning. You believe if you feel a certain way, it must be true. “I feel fat” means “I am fat.” “I feel hopeless” means you’ll never get better.
- Musts, must-not, and have-to. You hold yourself to a rigid set of rules (“I must not eat such and such a food,” “I have to get straight A’s,” “I must always be in control.” etc.) and beat yourself up if you break them.
- Labeling. You label yourself and call yourself names based on mistakes and perceived shortcomings. “I’m unhappy with how I look” becomes “I’m disgusting.” Slipping up becomes “I’m a loser” or a “failure.”
Catastrophizing. You jump to the worst-case scenario. If you backslide in recovery, for example, you assume that there’s no hope you’ll ever get better.
Put your thoughts on the witness stand
Once you identify the destructive thoughts patterns that you default to, you can start to challenge them with questions such as:
“What’s the evidence that this thought is true? Not true?”
“What would I tell a friend who had this thought?”
“Is there another way of looking at the situation or an alternate explanation?”
“How might I look at this situation if I didn’t have bulimia?”
As you cross-examine your negative thoughts, you may be surprised at how quickly they crumble. In the process, you’ll develop a more balanced perspective.
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