Bulimia: o que é, sintomas e tratamento em Lisboa

BULIMIA NERVOSA - Treatment in Lisbon

Specialised assessment and multidisciplinary treatment for Bulimia in Lisbon

WHAT IS BULIMIA NERVOSA?

Avaliação e tratamento da Bulimia Nervosa — NeuroPsyque Lisboa

A profound eating disorder

Bulimia Nervosa is a psychiatric illness characterised by recurrent episodes of compulsive eating (uncontrolled consumption of large quantities of food), followed by inappropriate compensatory behaviours to prevent weight gain. It is a condition that generates immense emotional pain, shame and guilt, which seriously affects the individual's physical and mental health.

Most common manifestations

  • Episodes of Compulsion
    Ingestion of large quantities of food in a short space of time, with a feeling of loss of control.
  • Purgatory Behaviours (Compensation)
    Self-induced vomiting, abuse of laxatives, diuretics, extreme fasting or obsessive physical exercise.
  • Obsessive Weight Concern
    Self-esteem becomes totally dependent on body shape and weight.
  • Discrete but Severe Physical Impact
    Wear of tooth enamel, chronic dehydration, gastrointestinal problems and risk of cardiac arrhythmias.

RISK FACTORS AND TRIGGERS

Psychological factors

Low self-esteem, extreme perfectionism, impulsiveness and marked difficulty in regulating negative or stressful emotions.

Psychological

Social Pressure and the Extreme Ideal

Continuous exposure to unrealistic beauty ideals promoted by society and social networks, leading to deep body dissatisfaction.

Environmental

Biological Vulnerability

Genetic predisposition and possible dysregulations in neurotransmitters (such as serotonin) that affect appetite and mood control.

Biological

Traumatic events

A history of trauma, abuse, neglect or bullying (often focussed on physical appearance or weight) that occurred during development.

History
Fatores de risco e impacto emocional da Bulimia Nervosa

Other relevant factors include the coexistence of mood disorders such as depression and severe anxiety.

EFFECTIVENESS IN TREATMENT
FROM BULIMIA

Clinical results consistent with integrated psychiatric and psychological intervention

80%
of patients show a significant reduction or remission of binge episodes
75%
improvement in the treatment of associated comorbidities such as anxiety and depression
higher long-term recovery rate when treatment is early and multidisciplinary
90%
of cases are able to progressively re-establish a healthier relationship with their body

* Recovery from Bulimia Nervosa is an ongoing process that requires commitment and prolonged follow-up.
Sources: clinical data, National Institutes of Health (NIH) and studies of the effectiveness of Cognitive Behavioural Therapy (CBT) in reducing the frequency of purging/compulsion (PubMed).

CLINICAL AND THERAPEUTIC ENVIRONMENT

Impacto emocional no cérebro
Estimulação Magnética Transcraniana para Depressão associada
tDCS na regulação emocional
Abordagens de relaxamento mental
tDCS - Estimulação Eléctrica Transcraniana
Mapeamento Cerebral Clínico
Clínica Lisboa
Ondas Cerebrais
Fisiologia
Salas de Terapia e Consultas
Espaço Clínico NeuroPsyque - Ambiente Seguro

THE IMPORTANCE OF SEEKING HELP

Bulimia Nervosa is a silent illness, often built up over time and kept secret for years by feelings of shame and inadequacy. The disease's cycle of compulsion and purging can cause irreversible damage to the body, including dangerous cardiac arrhythmias, serious metabolic imbalances and severe digestive pathologies. Seeking specialised medical and psychological help is always the most urgent step towards stopping this damage.

💡 Asking for help takes courage. Clinical treatment doesn't judge your choices or behaviour, it only offers the medical and therapeutic tools you need to recover your health.

At Clínica NeuroPsyque, we understand the enormous complexity of Eating Disorders and the damage they can cause. Our care includes psychiatry, focused clinical psychology (such as Cognitive Behavioural Therapy) and, in cases of severe comorbidity (such as associated resistant depression), neuromodulation interventions (such as Transcranial Magnetic Stimulation). We work with you with the aim of restoring your quality of life in a safe environment, with total empathy and absolute confidentiality.

Frequently Asked Questions

FAQ's about Bulimia

What's the difference between Bulimia and Anorexia?
Although both are serious eating disorders, Anorexia is characterised by extreme food restriction and severe, often visible weight loss. In Bulimia, the sufferer usually maintains an average or slightly above-average weight (above-average Body Mass Index), concealing intense cycles of compulsive eating followed by purgative practices (such as vomiting or using laxatives).
Can Bulimia Nervosa be cured?
Yes, full recovery is perfectly possible and clinically documented. It requires commitment to psychotherapeutic treatment (such as Cognitive Behavioural Therapy), psychiatric support and time, since re-educating thought patterns and eating habits is a gradual process. The initial assessment is carried out at the Psychiatry.
What role does medication play in the treatment of Bulimia?
Medication prescribed by a psychiatrist, particularly certain antidepressants (such as serotonin reuptake inhibitors), has been shown to be very effective in reducing the frequency and intensity of binge eating and purging episodes, while also helping to treat associated (parallel) comorbidities such as anxiety and depression.
Should the family be involved in the treatment?
Whenever possible, and only with the patient's full consent, family support is extremely beneficial. Including the family helps to build a safe and supportive environment at home, and allows loved ones to understand the psychiatric complexity of the illness, dispelling notions of "lack of willpower" or judgement.
Can neuromodulation (such as EMT) be useful in these cases?
A Transcranial Magnetic Stimulation (EMT) is increasingly being used to treat various conditions and behavioural disorders, including Bulimia. It is especially useful when the condition is accompanied by severe, medication-resistant depression or anxiety/obsessive-compulsive disorders that make progress in psychotherapy difficult.
How can I book my first appointment without feeling exposed?
At NeuroPsyque, we guarantee absolute confidentiality, discretion and respect at every stage of contact. Our doctors and therapists have extensive experience in dealing with eating disorders and are prepared to deal with your situation in a safe space that is completely free of stigmas or moral judgements. Contact us.