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Additional resources
Anger may be the first reaction of the person with bulimia when a family member or friend opens the discussion. Sometimes it takes some time for the person to accept concern and help.

NEW - Centers to Treat Eating Disorders Are Growing, and Raising Concerns - New York Times, 3/16/2016
http://www.nytimes.com/

Academy for Eating Disorders
www.aedweb.org
A professional organization for healthcare professionals in the eating disorders field. The academy promotes research, treatment, and prevention of eating disorders. Their Web site lists current clinical trials and general information about eating disorders.

A Chance to Heal Foundation
www.achancetoheal.org
This foundation, based in southeastern Pennsylvania, was established to provide financial assistance to individuals with eating disorders who might not otherwise receive treatment or reach full recovery due to their financial circumstances. The organization's mission also focuses on increasing public awareness and education about eating disorders and advocating for change to improve access to quality care for eating disorders.

Anna Westin Foundation
www.annawestinfoundation.org
This organization was founded in memory of a child who died from bulimia complications. It performs advocacy, education, speakers, and provides resources about eating disorders, treatment, and navigating the health insurance system. The Anna Westin Foundation and Methodist Hospital Eating Disorders Institute partnered to establish a long-term residential eating disorder treatment program for women in Minnesota.

Anorexia Nervosa and Related Eating Disorders, Inc. (ANRED)
www.anred.com
An organization providing information about anorexia nervosa, bulimia nervosa, binge eating disorder, and other lesser-known food and weight disorders, including self-help tips and information about recovery and prevention.

Eating Disorders Coalition for Research, Policy & Action
www.eatingdisorderscoalition.org
A coalition with representatives of various eating disorder groups. This organization focuses on lobbying the federal government to recognize eating disorders as a public health priority.

Eating Disorder Referral and Information Center
www.edreferral.com
This is a sponsored site with a large archive of information on eating disorders and referral information to treatment centers.

Mental Health Resource Guide for College Students
http://www.onlinecolleges.net/for-students/mental-health-resources

National Alliance on Mental Illness (NAMI)
www.nami.org
A national grassroots mental health organization dedicated to improving the lives of persons living with serious mental illness and their families.

National Association of Anorexia Nervosa and Associated Disorders (ANAD)
www.anad.org/
This organization seeks to alleviate the problems of eating disorders by educating the public and healthcare professionals, encouraging research, and sharing resources on all aspects of these disorders. ANAD's Web site includes information on finding support groups, referrals and treatment centers, advocacy, and background on eating disorders.

National Eating Disorders Association (NEDA)
www.nationaleatingdisorders.org
NEDA is the largest not-for-profit organization in the United States working to prevent eating disorders and provide treatment referrals to those who feel extremely dissatisfied with body image and weight.

Perfect Illusions
www.pbs.org/perfectillusions/index.html
These Public Broadcasting System (PBS) web pages are based on a NOVA television program documentary. The site provides information on eating disorders with personal stories and links to treatment resources.

Something Fishy
www.something-fishy.org
This Web site gives detailed information on most aspects of eating disorders: defining them, preventing them, finding treatments, and paying for recovery. Useful links to related articles and stories are provided.

The Elisa Project
www.theelisaproject.org
The Elisa Project is dedicated to the prevention and effective treatment of eating disorders through support, awareness, education, and advocacy; a knowledge resource on eating disorders and a proactive agent of change to ensure that all those affected by these diseases receive the treatment and support they need.

Web sites to beware of

Some Web sites actually encourage people to become bulimic or to maintain their bulimic behavior by giving tips and emotional support on binge eating and purging/non-purging behaviors. These sites are called "pro-mia" for "promoting or proactive bulimia nervosa" and there are also pro-ana (pro-anorexia) sites. A recent study estimated that pro-ana and pro-mia Web sites outnumber pro-recovery sites at a ratio of 5 to1 so it is likely that any web search for support sites will turn up some pro-mia sites as well. The sites show pictures of very thin supermodels or "thinspiration" intended to invoke the desire to lose more weight. They provide encourage the behavior through chat rooms, poems, weight loss diaries, and personal stories. Although most of these sites give explicit warnings that they are pro-ana or pro-mia and may contain triggers for relapse, it is still very important to be aware of them because they may pose a threat to anyone who is in recovery. Many of these sites are transient and new ones emerge as older sites disappear online.

Links to useful articles that warn about pro-mia and pro-ana sites

www.womensenews.org/article.cfm/dyn/aid/1529/context/archive
www.aboutkidshealth.ca/ofhc/news/FTR/4417.asp
www.sirc.org/articles/totally_in_control.shtml
www.time.com/time/health/article/0,8599,169660,00.html
www.webmd.com/content/article/109/109381.htm
www.firstcoastnews.com/printfullstory.aspx?storyid=27567
query.nytimes.com/gst/health/article-printpage.html?res=9804E7DC1238F934A35755C0A9639C8B63

Pro-mia and Pro-ana sites to avoid

www.plagueangel.org/grotto
jaoii.lunarpages.com
www.ceruleanbutterfly.com
fading.conforums3.com
www.miafriends.org
health.groups.yahoo.com/group/destinyperfection
www.xanga.com/groups/group.aspx?id=964900
winkin.phpwebhosting.com/~joeic/privet/thin/index2.html
The blogging site www.xanga.com has several pro-ED pages.

Selected Books that may be helpful

The following list of books is available through Gurze Books, which specializes in publishing and distributing books and materials on eating disorders. www.gurze.com

Bulimia: A Guide to Recovery
(1998) Lindsey Hall and Leigh Cohn.
Carlsbad, CA: Gurze Books.

The Body Betrayed: A Deeper Understanding of Women, Eating Disorders, and Treatment (1995) Katheryn J. Zerbe, M.
Carlsbad, CA: Gurze Books.

Eating Disorders Source Book
(1999) Carolyn Costin, MA.
Los Angeles, CA: Lowell House.

The Starving Family: Caregiving Mothers and Fathers Share Their Eating Disorder Wisdom
(2005) Cheryl Dellasega, PhD.
Fredonia, WI: Champion Press, LTD.

Surviving an Eating Disorder: Strategies for Family & Friends
(1997) Michelle Siegel, PhD, Judith Brisman, PhD, Margot Weinshel, PhD.
New York, NY: HarperCollins Publishers, Inc.

When Dieting Becomes Dangerous: A Guide to Understanding and Treating Anorexia and Bulimia
(2003) Deborah M. Michel, PhD, Susan G. Willard, LCSW, et al.
New Haven: Yale University Press.

Full of Ourselves
(2006) Catherine Steiner-Adair and Lisa Sjostrom,
New York, NY: Teachers College Press

Preventing Eating Disorders : A Handbook of Interventions and Special Challenges
(1999) Michael P. Levine, Niva Piran, Catherine Steiner-Adair
Routledge, NY: Routledge, Taylor and Francis Group.


  
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Bulimia nervosa is an eating disorder in which a person engages in binge eating (eating a lot of food in a short time) followed by some type of behavior to prevent weight gain from the food that was eaten. This behavior can take two forms: self-induced vomiting, misuse of enemas, laxatives, diet pills (called purging) and excessive exercise, fasting, or diabetic omission of insulin (called non-purging). Some people with bulimia nervosa may also starve themselves for periods of time before binge eating again. Bulimia nervosa has important mental, emotional, and physical aspects that require consideration during treatment.

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