Introduction

Anorexia nervosa (AN) and bulimia nervosa (BN) have been the principal eating disorders recognized in psychiatry. They are included in ICD-10. The existence of another eating disorder, binge eating disorder, has recently been suggested. Obesity far outweighs both AN and BN in its public health importance, but has not generally been regarded as a psychiatric disorder.

It is important to appreciate that AN and BN overlap to some extent, although a diagnosis of AN is held to take precedence over one of BN if they coexist. In addition, patients may, as it were, move from AN to BN, and back again, perhaps more than once, although the general trend is to move from AN to BN. Perhaps as many as half of those diagnosed with AN eventually become BN.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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