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Eating disorders are not new to India. It has existed for years in this country. But to lack of awareness, it has caught an eye fairly recently. Despite the lack of sufficient data available for bulimia, it is said to plague many people in India.
Various studies found that ED affects 25-40% of the girls and 20% of boys in India. Though the data available is not from any official body, it gives a rough idea about the percentage of the population suffering from this disorder.
Anyone can suffer from it, but it mostly affects young girls and adults. But what exactly is it? Let's understand that first.
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Dr Navni Mehta

Counselling Psychologist
1 years of experience
No matter what’s bringing you to therapy, it’s safe to say something’s not going the way you’d like. Whatever you are facing today, know that tomorrow is an opportunity to thrive and overcome. Hello! my name is Dr Navni Mehta and in my journey, I have helped 300+ individuals, couples and families with Anxiety, depression, OCD, ADHD, marital/relationship issues, addiction, trauma, parent-teen issues, personality disorders and work-life balance. My expertise includes CBT (Cognitive Behavioral Therapy), NLP (Neuro-Linguistic Programming), IPT (Interpersonal Psychotherapy), DBT (Dialectical Behavior Therapy), PCT (Parent-Child Interaction Therapy), Emotionally Focused Therapy (EFT), Dream Analysis, Couple Therapy, and Family Therapy addressing various concerns. I bring a unique perspective shaped by my diverse background in dentistry, hospital management and psychology. Over the past 7 years, I have worked closely with doctors, medical professionals, founders, entrepreneurs and individuals gaining a deep understanding of their viewpoints through my experience in hospitals, clinics, rehabilitation centers and palliative care facilities. All sessions remain confidential. My sessions are impactful and introspective; you may laugh, cry or sit silently. The environment is judgment-free so that you can give voice to your inner self without hesitation, guilt or shame. As your therapist, I will walk beside you and assist you in navigating life challenges leading to wholeness for yourself and your relationships. The very essences of my therapy are self-realization, Applied positive psychology, Anger management, potential maximization, Problem-Solving, Behaviour counseling, relationship counseling, body image issues, low self-worth, attention deficit issues and mindfulness techniques to offer my clients a full-circle approach. Finding the right therapist can be challenging, but my mission is to lead with compassion and empathy, creating a space where my clients can be their authentic selves.
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Ms Zarina Poonawalla

Life Coach, Counselling Psychologist
14 years of experience
Zarina Poonawalla is a Life Coach, Emotional Intelligence Practitioner, Educator and podcaster. She is the founder of Abbzoh Expertise Unique which constantly thrives on learning and evolving to benefit individuals, leaders, stakeholders and organizations worldwide. Zarina is the podcast host of 'The Life Manifesto', ‘The Empowering Series with Zarina Poonawalla’ on the IVM Podcasts and is widely available on Apple podcast, Spotify, Jio Saavn, Originals, Audioboom, Stitcher and anywhere you can listen to podcasts. Her shows have garnered enormous listenership and are making a difference in the lives of many globally. In her professional capacity, Zarina has worked closely with Founders, Entrepreneurs, CEOs, Business Honchos, Management Gurus, Families, Individuals, Parents and Student communities worldwide for over a decade. She believes every individual has unleashed potential which can be recognised and tapped to enhance the quality of life, relationships and professions. The very essences of her programs are self-realisation, potential maximisation, a positive state of mind and embracing happiness. She completed her Bachelors from the reputed H.R College in Mumbai and pursued her degree in International Business from The University of Sydney, Australia. During her years in education, she kept self-learning, completed diplomas in various vocations and took up plenty of jobs. In recent times she was exclusively selected on merits by John Mattone, coach to Steve Jobs, for personal coaching and certification with Mr Mattone enabling her to have insights on World Leader mindsets, success stories and understanding of leadership virtues, further adding to her expertise and international experiences. She has been certified in ‘The Signature Intelligence Leadership’ Program and has also successfully certified in various programs, including an international certification in ‘Train the Trainer’, ‘NLP ’, ‘Peak Performance Coach Certification’, ‘ EQ’, among others. Zarina has nurtured her unique ability in people's skills with her solitary core principle and believes one can truly inspire positive change with the CAPE principle – Compassion, Attitude, Perseverance and Empathy. Her valuable proficiency and prolific method of imparting the same have kept her encompassed with an ever-growing clientele, consistent retainer ship, high rated feedback and credits. Zarina has been a catalyst aiding the successful growth and transformation of over 40,000 people globally with her ‘I Choose Happiness’, ‘Changing with Change’, ‘You are a Leader’, ‘Your Life Your Reign’ and ‘Impactful Communication’, more than 250 individual high profile clientele through one-on-one coaching and above 35 Educational Institutes with ‘Walk the Talk’, ‘Technology your friend or foe!’, ‘Dealing with Parental and Peer Pressure’, ‘Be Confident Be You’. Zarina has been sanctified with happy participants in all her programs. This keeps her driven and passionate to improve the quality of life for those she associates with through her intricately customised and invigorating life boosters. Her patrons include MNCs, SMEs, Celebrities, Industrialists, Refineries, Real Estate, Financial Institutions, startups, IT & Technology, F&B, Lifestyle & Fashion Brands, Banks, Diamond Merchants, and Steel Tycoons. She is also the Knowledge Partner for a film production house enabling her to share thoughts and insights on various film-related events, social issues and human behavioral patterns. Her last film affiliation hit 2 million views with a worldwide screening and her talk post the premiers internationally was very well received. She is currently in the process of penning down her book and associating for a TV program to reach global audiences and elevate happy people.
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Dr Shabana M.S.

Counselling Psychologist
23 years of experience
In my professional journey as a Psychologist, I've come to believe deeply in the inherent goodness and potential within each individual. Hey, I am Dr. Shabana, and my therapeutic approach is grounded in unconditional positive regard. In my practice, I aim to foster an environment where clients can embrace their uniqueness and embark on a journey of self-discovery, acceptance, and transformation. With over 20 years of clinical experience, I've had the privilege of working across various settings, including hospitals, educational institutions, NGOs, and government projects, serving as a Consultant and in-house Psychologist. As the Principal Psychologist and Founder of LitmuS Psychological Services, I also provide online psychological support and training. Additionally, I am honored to be associated with Manipal Hospital as a Consultant Psychologist, where I continue to contribute to the field of mental health. Throughout my career, I've addressed a diverse range of mental health issues and provided family and marital counseling, along with offering support to chronically and terminally ill patients. My academic journey includes earning a Ph.D. in Psychology from the Department of Psychology, University of Calicut, where I conducted an in-depth study on the Psychosocial Correlates of Conduct Disorders and the Efficacy of an Intervention Programme. I've also received training in Hypnotherapy, further enhancing my therapeutic toolkit. Additionally, as an active member of professional organizations such as the Indian Academy of Applied Psychology, Tamil Nadu Psychology Association, Indian Association of Clinical and Academic Hypnosis, British Psychological Society, and American Psychological Association, I remain committed to staying updated with the latest developments in the field. My areas of focus in therapy include individual therapy, relationship counseling, marital counseling, family counseling, and psychotherapy for depression and anxiety. I also specialize in grief and bereavement counseling, infertility counseling, and providing support to the LGBTQIA+ community. Additionally, I offer counseling for coping with chronic illness, managing caregiver stress, achieving work-life balance, and stress management. I am also passionate about promoting well-being, building confidence and resilience, and providing life coaching for adolescents and adults, along with offering psychoeducation to empower individuals with knowledge about mental health and self-care.
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FAQs

Mental Health Care for Bulimic Behaviors

Bulimia is a potentially life-threatening eating disorder. It involves the person having episodes of bingeing followed by taking steps to avoid gaining weight. The most common method used is vomiting, also known as purging. It involves an extreme obsession with your food and body image.
This disorder involves a constant struggle of bingeing large amounts of food at once and then trying to rid oneself of it through purging. This occurs as a result of guilt or shame. The person feels guilty about consuming a large quantity of food so, they try to offset it by using highly unhealthy measures like forced vomiting, extremely rigorous exercise, laxatives, using diuretics, etc.
A person struggling with this condition often criticizes themselves for their body weight and mostly self-perceived flaws. They are usually normal weight but can be overweight as well.

Major Causes

Though the exact cause of this condition is unknown, a few factors are linked to it. According to researchers, here are a few major factors that contribute to it:
  • Biology - Some researchers have linked this disorder to genetic material and biological factors. These include:
    • Having a history of this disorder or other eating disorders in the family
    • Having a history of mental health disorders/ substance abuse in the family
    • Having difficulty with impulse control
    • Having a genetic predisposition of binge-eating
    • Having a sensitivity toward the food reward system
  • Dieting culture - Dieting culture plays a vital role in many eating disorders. . These include:
    • Dissatisfaction with their body weight/ shape/ size
    • Having a negative body image
    • Having a history of dieting behavior
    • Having a history of dieting and binging behavior
    • Having a convoluted image of your body
  • Psychology - Psychological factors also play a pivotal role in deciding if a person will suffer from it or not. These factors include:
    • Having a history of mental health disease and diagnosis
    • Having a history of abuse or trauma
    • Having a negative body image
    • Having low self-esteem
    • Having a job that focuses too much on your looks and appearances, like the modeling and acting industry, etc.
    • Having trouble regulating emotions

Common Warning Signs

Diagnosing this mental health disorder can be tricky. Why? Because the person suffering from it tends to be highly secretive about it and hide it from their friends and family.
However, there are certain warning signs that can alert you if you or someone you know may be struggling with this eating disorder.
These are some of the common warning signs:
  • Regular episodes of binging
  • Regular episodes of purging
  • Regular episodes of self-induced vomiting
  • Excessive usage of laxatives and diuretics
  • Negative association with one's body image
  • Complaining about your body all the time
  • Having a shame/ guilt related to eating
  • Suffering from depression
  • Being irritable
  • Feeling withdrawn from friends and family
  • Having scars on hands and knuckles
  • Having puffy cheeks
  • Drastic changes in weight
  • Feeling uncomfortable dining with other people
  • Consuming excessive amounts of fluids
  • Hiding food in weird places
  • Feeling bloated due to water retention
These are some of the signs you need to look for in a person who may be suffering from this condition. Once you spot these signs, you will want to reach out for help as soon as possible. Remember the earlier you start your diagnosis and treatment, the better it is for you.

What are the Risk Factors?

This disorder is an unhealthy way to cope with your emotional stress. The exact cause is yet to be found, but risk factors are presumed to have a link with this disease.
These risk factors include:
  • Genetic factors - According to the National Institute of Mental Health, it was found that genetics do play a certain role in the likeliness of someone developing this disorder. This means a person who has had a family history of this disorder is more likely to develop it.
  • Biological factors - Biological factors are presumably linked to the cause of this condition. In a study conducted in 2013, it was found that there is a difference in the way someone who struggles with this disorder and someone who doesn't process certain things. The responses from both people were found to be different when shown the pictures of slim women.
    Also, this condition emerges more during the time of puberty when the hormonal changes are at their peak. In a 2007 study, it was also found that ovarian hormones increase the risk of developing this disease.
  • Environmental factors - Environmental factors are also linked to the risk factors of this disorder. Here are a few of the environmental factors that are believed to cause it:
    • People having a history of sexual abuse
    • People who have a habit of criticizing or hating their body
    • Societal pressure to be a certain body type or weight
    • Being associated with an industry that focuses too much on your appearance or weight, e.g., Sports, modeling, fashion industry, etc.
  • Psychological factors - Psychological factors also are linked to the risk factors. These include:
    • Having personality disorders
    • Having anxiety disorder
    • Having Depression, PTSD, or OCD

How to Recover From Your Symptoms

Recovering from this condition is tricky, but it's very much possible. Treating it is a complicated process that begins with first identifying the problem, then acknowledging it so that you can work toward correcting the eating behavior-related patterns.
The end goal of the treatment involves:
  • Reduction in binging and purging episodes
  • Treatment of the physical issues caused by the disorder
  • Identifying and changing the negative thought patterns related to your body and food
  • Identifying and treating the other mental health issues like depression, anxiety, etc.
Here are a few ways in which you can recover from your symptoms:
  • Nutrition counseling - When suffering from this condition, it’s very important to improve your eating behaviors and habits. This requires you to seek help from a certified nutritionist.
    They can help you make those changes with meal planning and preparation. They can also help you recognize and resist the urges for binging and purging.
  • Cognitive Behavioral Therapy - Psychotherapy is extremely powerful in treating this disorder. It helps change your thinking pattern and behavior.
    It will help you make changes to improve your body image, understanding, and coping with your emotions. It will also help you make changes in your obsessive and compulsive behaviors of binging and purging. This will help you create a healthy eating behavior.
  • Medications - Certain antidepressants like Celexa, Lexapro, Prozac, and Zoloft, are known to reduce episodes of binge eating and purging. But these alone aren't effective. It needs to be combined with therapy and other coping measures for better results.
  • Mind/Body medicine - Mind/Body medicine is also known to cause relief in a lot of patients. But what exactly is it? It refers to a treatment approach that focuses on intervention strategies intended to promote good health like acupuncture, tai-chi, qigong, yoga, meditation, biofeedback, etc. These methods are used to reprogram the mind and gain control over the patient's eating behavior.

Find Help From a Licensed Therapist Who's Right For You

Finding the right therapist is significant for overcoming this eating disorder. At DocVita, we have many therapists from various domains that can help you in your healing journey. The right therapist is the one with whom you can establish a connection so that it becomes easy for you to open up about your issues. But this may take some time. You need to have at least 3 to 4 sessions with a therapist to build that sort of connection and trust.
If you are unable to establish this connection with them even after 3-4 sessions, you can switch to another therapist if needed. You can find the list of various therapists and psychiatrists on our website. You can choose from the various specialists who have qualities like being a good listener, having empathy, are caring, and helpful.

Schedule a Virtual Psychotherapy Appointment with a Counsellor Today

If you are someone who is struggling with bulimia, it might be time for you to reach out to a trusted therapist for help. We at DocVita have various specialists from different fields that can help you manage and cope with it better. All you have to do is hop on to DocVita and book your first session today!