What is Bulimia Nervosa

Bulimia Nervosa is an eating disorder characterised by recurrent episodes of binge eating followed by behaviours aimed at preventing weight gain, such as self-induced vomiting, excessive exercise, fasting, or misuse of laxatives. The condition can affect both mental and physical health and often develops during adolescence or early adulthood, although it can occur at any age.

At Eastern Suburbs Psychiatry, our psychiatrists provide assessment, diagnosis, and treatment for Bulimia Nervosa and other eating disorders from our Darlinghurst clinic in Sydney. We follow evidence-based clinical guidelines, including those from the Royal Australian and New Zealand College of Psychiatrists (RANZCP).

Symptoms of Bulimia Nervosa

Common symptoms may include:

• Recurrent episodes of binge eating
• Feeling a loss of control during eating episodes
• Self-induced vomiting or purging behaviours
• Excessive exercise to compensate for eating
• Frequent concern about body weight or shape
• Mood changes, anxiety, or low self-esteem
• Dental problems, throat irritation, or digestive issues
• Social withdrawal or secrecy around eating
• Fatigue

Symptoms can vary in severity and may not always be obvious to others.

Assessment and Diagnosis of Bulimia Nervosa

There is no single test for Bulimia Nervosa. Diagnosis requires a comprehensive psychiatric assessment, which may include a review of eating patterns, psychological symptoms, medical history, and any associated mental health conditions such as anxiety or depression.

A thorough assessment helps determine the most appropriate treatment plan.

Treatment for Bulimia Nervosa

Treatment for Bulimia Nervosa usually involves a combination of psychological therapy, nutritional support and medical care. Treatment recommendations depend on symptom severity, physical health, and individual circumstances.

Treatment may include:

• Cognitive Behavioural Therapy (CBT)
• Psychodynamic psychotherapy
• Supportive psychiatric care
• Coordination with GPs, psychologists, dietitians or other healthcare professionals where appropriate

Medication may sometimes be prescribed to help manage associated conditions such as depression or anxiety.

Regular follow-up appointments allow our psychiatrists to monitor progress, physical wellbeing, and ongoing treatment needs.

Our psychiatrists provide assessment and treatment for bulimia nervosa from across Sydney, including the Eastern Suburbs, Sydney CBD and surrounding areas , with patients attending from suburbs such as Darlinghurst, Double Bay, Woollahra and Chippendale.

For an appointment, please call our practice on (02) 8359 1930 or complete the inquiry form here.