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Bulimia nervosa symptoms, causes and treatments

Private bulimia nervosa treatment, support and therapy at Schoen Clinic

woman leaning over a table looking concerned about eating chocolate

What is bulimia nervosa? Commonly known as bulimia, it’s a serious eating disorder and mental health condition. Bulimia is characterised by compulsive binge eating and impulsive cravings for food.

At Schoen Clinic, we specialise in bulimia recovery and treatment, offering expert help and support.

Signs and Symptoms of Bulimia


Individuals often engage in unhealthy behaviours to prevent weight gain, such as self-induced vomiting (purging), and the use of laxatives and diuretics. These binge-purge cycles typically occur at least twice a week for three months and can happen multiple times daily.


Common signs of bulimia include:

  • Weight fluctuations: Individuals with bulimia can be underweight, average weight, overweight, or obese. If they are underweight, they are diagnosed with bulimia nervosa rather than anorexia nervosa binge-eating/purging type.

  • Bulimia hands: Calluses or scars on the knuckles from inducing vomiting.

  • Bulimia teeth: Dental issues like enamel erosion, cavities, and tooth sensitivity caused by stomach acid during purging.

  • Emotional distress: Feelings of shame, disgust, embarrassment, fear, and anxiety, often leading to a cycle of negative self-talk.


Risk factors for bulimia


While the exact cause of bulimia is unknown, several factors can increase the risk of developing the disorder:

  • Trauma: Experiences of abuse or early puberty

  • Genetics: Family history of eating disorders or other mental health conditions

  • Mental health: Low self-esteem, depressive symptoms, and anxiety

  • Body image concerns: Preoccupation with weight and the thin ideal body type.


Seeking help for bulimia


Recognising bulimia symptoms early is crucial for effective treatment and recovery. If you or a loved one shows signs of bulimia, such as bulimia hands, bulimia teeth, or frequent binge-purge behaviours, it’s important to seek professional help.


At Schoen Clinic, our comprehensive approach to bulimia treatment includes addressing the physical, emotional, and psychological aspects of the disorder. Contact us today to learn more about our tailored treatment plans and take the first step towards recovery.


Anorexia vs bulimia


Understanding the differences between anorexia and bulimia is essential for effective treatment. Anorexia involves severe food restriction and weight loss, while bulimia includes binge eating followed by purging. Recognising these differences helps tailor treatment plans to meet the unique needs of each disorder, enhancing recovery outcomes.

Contact us for expert bulimia treatment and support


If you're looking for highly specialised support or treatment for bulimia, we have specialists across Schoen Clinic UK Group who can help. Please don't hesitate to contact our caring team today.


Cost of bulimia treatment


Treatment costs vary. View our full pricing and funding options for detailed information

Highly specialised bulimia treatment, therapy, and support


Bulimia Treatment at Schoen Clinic


At Schoen Clinic, we understand that bulimia is a complex condition affecting both physical and mental health. Our treatment integrates psychoeducation, psychological therapies, and trigger awareness to support your recovery.


Our comprehensive approach includes:


  • Individual and Group Therapy: Develop skills to manage intrusive thoughts and impulses.

  • Cognitive Behavioural Therapy (CBT): The most effective treatment to normalize eating habits and manage related thoughts and feelings.

  • Medication: Antidepressants may reduce the urge to binge and purge.

  • Nutritional Rehabilitation: Address physical health and promote healthy eating habits.

  • Family Therapy: Involve loved ones in the recovery process.


We cater to children, teens, and adults at various stages of bulimia. Our multidisciplinary team provides personalised care, taking into account physical, psychological, and social factors for a holistic recovery.


Outpatient bulimia treatment


Our outpatient programme at Schoen Clinic Chelsea offers flexible, personalised care. Combining evidence-based therapies, nutritional counselling, and medical monitoring, we address the physical, emotional, and social aspects of bulimia.


Key therapies include CBT, Dialectical Behaviour Therapy (DBT), and Interpersonal Therapy (IPT). Through individual and group sessions, patients receive the support needed to navigate bulimia recovery and cultivate a positive sense of self.


Inpatient bulimia treatment


For severe cases, our inpatient bulimia programmes provide 24/7 care in a structured environment. Available at Schoen Clinic Newbridge for children and teens, and Schoen Clinic York for adults, our residential hospitals offer a safe space for focused recovery from bulimia.


Our inpatient treatment integrates evidence-based therapies, medical monitoring, and nutritional rehabilitation. Led by a multidisciplinary team, we develop personalised plans addressing each patient’s unique needs. Through individual therapy, group sessions, and structured meal support, we help patients confront the underlying issues of their eating disorders.


Daycare bulimia treatment


Our daycare programmes for bulimia provide structured, therapeutic interventions during the day while allowing individuals to return home each evening. This option is ideal for those who do not require intensive inpatient care but still need comprehensive support.


Guided by our expert team, patients receive personalised care to address the physical, psychological, and emotional aspects of bulimia. Available at Schoen Clinic Newbridge for children and teens, and Schoen Clinic York for adults, our programs promote sustainable recovery and independence.


Private short-stay bulimia support


Whether for respite, additional support, early intervention, or relapse assistance, our short-stay options provide a nurturing environment for intensive treatment.


Many choose short-stay support at Schoen Clinic to step away from daily stressors and fully engage in therapeutic interventions. Patients receive expert guidance from our experienced clinicians, helping them rejuvenate, reflect, and recommit to their bulimia recovery journey. Short-stay support is available at Schoen Clinic Newbridge for children and teens, and Schoen Clinic York for adults.

How to help someone with bulimia


At Schoen Clinic, we treat you as a person, not just a label. Our goal is to help you explore the feelings, thoughts, and actions that have impacted your health and well-being. Restoring your quality of life and self-perception is our priority.


Comprehensive bulimia therapy: We understand that bulimia affects individuals in many roles and aspects of life. Our bulimia rehab hospitals and clinics work with you to navigate these challenges. Our main aim is to equip you with the skills needed to live freely without being ruled by an eating disorder.


Multidisciplinary approach: Choosing bulimia therapy at Schoen Clinic gives you access to a multidisciplinary team using cutting-edge psychological and psychodynamic approaches. Alongside psychoeducation, you’ll learn skills and techniques such as mindfulness to support your recovery journey.


Specialised treatment options: We offer a range of specialised treatment options tailored to all ages, including:

  • Comprehensive inpatient or residential care

  • Structured outpatient therapy

  • Short-stay support

  • Flexible daycare treatment

Meet our bulimia specialists


If you or a loved one is struggling with bulimia, reach out to us today.


Our dedicated team of clinicians is committed to providing compassionate and comprehensive care, addressing the emotional, psychological and physical effects of bulimia. Our evidence-based treatments are grounded in empathy, respect, and collaboration, empowering you to reclaim your life and sense of self-worth.


Children, teens, and adults receiving bulimia treatment at Schoen Clinic Newbridge and Schoen Clinic York benefit from specialised multidisciplinary care. For outpatient appointments, visit our dedicated team at Schoen Clinic Chelsea in London.


Learn more about our specialists or email us to book an appointment today.

Dr Hazel Fernandes

Consultant Child & Adolescent Psychiatrist

Dr Hazel Fernandes

Dr Divina Pillay

Consultant Psychiatrist

Dr Divina Pillay

Gabriele McErlean

Lead Psychotherapist

Gabriele McErlean

Diana Badare

Nutritionist

Diana Badare

Michelle Knowles

Highly Specialist Occupational Therapist

Michelle Knowles

Helen Holmes

Senior Consultant Psychologist, Psychotherapist & Family Practitioner

Helen Holmes

Dr Hollie Shannon

Senior Specialist Clinical Psychologist

Dr Hollie Shannon

Gail O'Brien

CYP Primary Therapist

Gail O'Brien

Emma Johnson

Principle Systemic Family Psychotherapist

Emma Johnson

Dr Lorena Dumitrache

Chartered Clinical Psychologist

Dr Lorena Dumitrache

Dr Adrienne Key

Consultant Psychiatrist

Dr Adrienne Key

Sofia Likhacheva

Integrative Psychotherapist

Sofia Likhacheva

Pilar Isla Rodriguez

Psychotherapist

Pilar Isla Rodriguez

Isabelle Nussbaum

Integrative Counsellor & Psychotherapist

Isabelle Nussbaum

Magdalena Garcia

Clinical Psychologist & Integrative Psychotherapist

Magdalena Garcia

Dr Joan Brunton

Consultant Psychiatrist

Dr Joan Brunton

Dr Sara McCluskey

Consultant Psychiatrist

Dr Sara McCluskey

Annika Ancverina

Integrative Child & Adolescent Counsellor

Annika Ancverina

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