Essentially the difference between Bulimia and Anorexia are that while individual with Bulimia Nervosa invariably exhibit great concern about their weight and make repeated attempts to control it, their weight loss seldom becomes life threatening. Individuals are generally within normal weight ranges (or slightly under weight) with frequent fluctuations due to alternate binges and fasts. The main characteristic is reoccurring binge eating (rapid consumption of large or excessive quantities of food in a short period of time). The eating binges are often planned with a high calorific content, sweet taste and a texture/form that allows rapid eating (e.g. peanut butter, chocolate , etc.). The food is usually consumed discreetly or in secret, with little chewing and as rapidly as possible. Discovery, social interruption or abdominal pain end the binge. Although the binge may be pleasurable to the individual, disparaging self-criticism and depression often follow. The eating binge is most frequently followed by induced vomiting (which reduces the abdominal pain and post-binge anguish). The long term dangers of this disorder are sever damage to the digestive system and throat, due to prolonged exposure to stomach acids.

The individual must have engaged in an average of 2 binge eating episodes a week for a period of at least 3 months, plus at least 3 of the following to be considered:

1. Individual displays or feels a of lack of control over eating behaviour during binge eating, in order to prevent weight gain.
2. The individual regularly engages in self induced vomiting, in order to prevent weight gain.
3. The individual regularly engages in the use of laxatives or diuretics, in order to prevent weight gain.
4. The individual regularly engages in strict dieting or fasting in order to prevent weight gain.
5. The individual regularly engages in vigorous exercise, in order to prevent weight gain.
6. Individual shows persistent over concern with body shape and weight.

“Anorexia, Bulimia and other Eating Disorders”, P. Saunders & S. Myers (1995), London, Watts.

“Childhood Onset Anorexia Nervosa and Related Eating Disorders”, B. Lask & R. Bryant-Waugh (1993), London, Plenum Press.

“Counselling People in Eating Distess”, C. Wasketh (1993), Rugby, British Association of Counselling.

“Eating Disorders: Guidance for Teachers”, C. & N. Lewis & A. Johnson (1994), Biggin Hill, Family Reading Centre.