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Eating Disorders (Bulimia Nervosa (Physical complications (Electrolyte…

- - - - Vomiting= disturbance of body electrolytes
  - - - Major depression and anxiety 35-70%
      - Alcohol and substance misuse 20-30%
      - PTSD 37%
      - Personality disorder
  - - - central psycho physiological role of starvation, homeostasis, emotional triggers. But cant explain binge eating.
        
        low self esteem> diet/starvation> extreme hunger> binge eating (emotions)> Compensatory behaviours.
  - - - 16-20 sessions and 5 years baad symptom free
      - Interpersonal therapy- 8-10 slower
      - Fluoxetine 30% reduction in binge eating lekin ye akele lene se behtar hai ke CBT kar len