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Unlike bulimia nervosa, binge eating disorder doesn’t involve compensatory behaviors — i.e., people don’t tend to over-exercise, use laxatives, or make themselves vomit after binge eating.
CBT is the first line of treatment for bulimia nervosa, and non-specific eating disorders. [146] While there is evidence to support the efficacy of CBT for bulimia nervosa and binging, the evidence is somewhat variable and limited by small study sizes. [147]
The first one is viewed as the most default version of treatment and the second one is reserved for patients with marked additional psychopathology of the type targeted by the treatment. [ 7 ] [ 5 ] There have been numerous researches done to compare the effectiveness of Cognitive-behavioral therapy over the Interpersonal psychotherapy. [ 5 ]
In 1979, Gerald Russell first published a description of bulimia nervosa, in which he studied patients with a "morbid fear of becoming fat" who overate and purged afterward. [107] He specified treatment options and indicated the seriousness of the disease, which can be accompanied by depression and suicide. [ 107 ]
Fluoxetine, sold under the brand name Prozac, among others, is an antidepressant medication of the selective serotonin reuptake inhibitor (SSRI) class [2] used for the treatment of major depressive disorder, anxiety, obsessive–compulsive disorder (OCD), panic disorder, premenstrual dysphoric disorder, and bulimia nervosa. [2]
Antidepressants are recommended as an alternative or additional first step to self-help programs in the treatment of bulimia nervosa. [60] SSRIs (fluoxetine in particular) are preferred over other antidepressants due to their acceptability, tolerability, and superior reduction of symptoms in short-term trials.
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