|Bulimia Resource Guide Summary|
|Bulimia Nervosa Resource Guide for Family and Friends|
|Maximizing Health Insurance Benefits to Pay for Bulimia Treatment|
|Mental Health Laws Affecting Bulimia Treatment|
|Find a Bulimia Treatment Center|
|Checklists and Tip Charts|
|Bulimia Nervosa Resources for Schools and Coaches|
|Selected Reference List|
|Bulimia Nervosa: Efficacy of Available Treatments|
|ABOUT THIS RESOURCE|
|Who Produced and Funded this Content|
|FOR THE MEDIA|
Self-esteem and fulfilling deep emotional needs can be factors affecting bulimic episodes. "Triggers are something you really want that you don't getthe captain of a sports team, editor of the school paper, a high score on a test...a boyfriend or girlfriend saying something that undermines confidence," explained a parent of a bulimic child.
Many situations and feelings can trigger bulimic behavior: extreme emotional distress, anxiety, depression, dieting, exposure to certain foods (especially high-sugar or high-fat foods), or sudden dissatisfaction with body image. People with bulimia nervosa have reported extreme mood changes before, during, and after binge eating and purging or non-purging compensatory behavior. They have also reported feeling depressed or anxious before binge eating, and then feeling temporary relief or even euphoria afterwards. These feelings are often followed by feelings of guilt, shame, and self-loathing. Then purging or excessive exercise occurs to regain feelings of self-control.