Bulimia Nervosa is a serious eating disorder characterized by episodes of binge-eating followed by purging behaviors such as self-induced vomiting, laxative or diuretic abuse, or excessive exercise. Individuals with bulimia often experience feelings of shame, guilt, and anxiety related to their eating behaviors and body image. Bulimia is classified in the Diagnostic and Statistical Manual of Mental Disorders (DSM) as an eating disorder.

The signs and symptoms of bulimia can include a cycle of bingeing and purging, feelings of loss of control during binge episodes, self-induced vomiting, excessive exercise, use of laxatives or diuretics, and preoccupation with weight and body shape. Individuals with bulimia may also experience physical symptoms such as fatigue, gastrointestinal problems, and dental issues related to frequent vomiting.

Diagnosing bulimia typically involves a comprehensive evaluation by a mental health professional. The clinician will assess the individual's history, symptoms, and family history, as well as rule out any medical or substance-related causes of the symptoms. They may also use standardized rating scales to measure the severity of symptoms and impairment.

The causes of bulimia are not entirely understood, but research suggests that genetic and environmental factors may play a role. Trauma, abuse, or other adverse life experiences may contribute to the development of bulimia in some individuals. Additionally, societal and cultural pressures to conform to certain beauty standards may contribute to the development and maintenance of bulimia.

Treatment for bulimia typically involves a combination of medication and therapy. Antidepressant medication, such as selective serotonin reuptake inhibitors (SSRIs), can be effective in reducing symptoms of anxiety and depression related to bulimia. Cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT) can also be helpful in managing symptoms, improving coping skills, and addressing issues related to self-esteem and body image.