Jackie seldom eats much when she goes out with her college friends. When she does, she usually makes a trip to the ladies' room alone
Lately, her friends are noticing her subtle, but strange, behaviors and the frequent laxatives in the bathroom cabinet.
a. What disorder might Jackie have?
b. What are the symptoms?
c. What are some treatment options?
Students' answers should include the following:
a. Abnormal behavior should be consistent for at least 6 months to be diagnosed as bulimia.
Minimum of two secret eatings of a large number of calories in a week's time, followed by behaviors such as vomiting to prevent weight gain
Two different manifestations: binging on food followed by purging, such as laxatives, vomiting, diuretics, or enemas, and binging followed by fasting, diet pills, or excessive exercise
b. Symptoms include older onset of disorder, normal or overweight, admit to abnormal eating behaviors, and ashamed of binging and purging.
Believed hypothalamus is involved with this disorder
Hoarseness from multiple vomiting episodes; inflammation of throat, esophagus, and pharynx; calluses on fingers and back of hand from stimulating gag reflex; tooth enamel erosion; and swollen parotid glands are the classic symptoms.
c. Treatment includes drug therapy with antidepressants and behavior modification with group therapy.
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