Bulimia: Treatment optionsBBulimia: Treatment optionsBulimia: Treatment optionsEnglishPsychiatryTeen (13-18 years)NANANon-drug treatmentCaregivers Adult (19+)NA2016-02-02T05:00:00ZSeena Grewal, MD, MSc, FRCP(C);Teresa Bansen, MSW;Tania Turrini, RD​000Health (A-Z) - ProcedureHealth A-Z<p>Learn about the range of treatments that can help a child recover from bulimia.</p><p>Bulimia is a very serious illness that can lead to <a href="/Article?contentid=281&language=English">problems in all parts of the body</a>, including the heart, bones and digestive system. A range of treatments are available to help a person with bulimia recover from their disorder. If they are going through a lot of bingeing and purging, they may need to be hospitalized to help stop the cycle. They will also need treatment at home and may need psychological treatment or medications.</p><h2>Key points</h2> <ul> <li>A child will receive treatment for anorexia in hospital if their heart rate is low or irregular or if they have low blood pressure or need to break the binge/purge cycle. Hospital treatment focuses on giving enough nutrition to return the child or teen to a healthy weight and supervising your child during and after mealtimes and snack times.</li> <li>If a child is medically stable, they will be treated at an outpatient eating disorders program by a team of professionals. They will have their weight, heart rate and blood pressure checked regularly and will receive treatment to end their binge/purge symptoms.</li> <li>At home, the goal is have a child or teen eat a variety of foods in moderation, including the foods on which they binged.</li> <li>Because bulimia affects the whole family, psychological treatment will usually involve family based therapy. Some teens may receive cognitive behavioural therapy.</li> <li>If bulimia occurs with depression and/or anxiety, a child or teen may be prescribed antidepressants along with psychological treatment.</li> </ul><h2>In-hospital medical treatment</h2> <p>If your child is medically unstable (has a low or irregular heart rate or low blood pressure) or needs to break a severe cycle of bingeing and purging, they will need to be treated in hospital until it is safe for them to be treated as an outpatient.</p> <p>While your child is in hospital, staff will check their heart rate, breathing and blood pressure. Blood work may also be done to make sure their electrolyte (mineral) levels are not abnormal.</p> <p>A person with bulimia nervosa often has very chaotic eating. Treatment often needs to address breaking the binge/purge cycle. This is done by making sure the person is on a regular amount of nutrition that contains a variety of foods and meets their body's daily requirements. Your child will be supervised during and right after meals and snacks to limit the chances that they will binge or purge.</p> <h2>Outpatient treatment with a care team</h2> <p>If your child with bulimia is medically stable, you will be seen by an outpatient eating disorders program. There, your child will be cared for by a team of specialists, including a psychiatrist, psychologist, dietitian, adolescent medicine doctor or paediatrician, nurse or social worker. These experts will work together to come up with the best possible care plan to meet your child's unique needs.</p> <p>Your child will visit the hospital for appointments, but they will not stay overnight. These appointments will include regular checks of your child's weight as well as their heart rate and blood pressure. Stabilizing your child's weight and ending their binge/purge symptoms are vital parts of the treatment to return their body to full health.</p><h2>Further information</h2> <p>For more information on bulimia, please see the following pages:</p> <p><a href="/Article?contentid=282&language=English">Bulimia nervosa: Overview​</a></p> <p><a href="/Article?contentid=283&language=English">Bulimia: Signs and symptoms​</a></p> <p><a href="/Article?contentid=281&language=English">Bulimia: Medical complications​</a></p> <p><a href="/Article?contentid=294&language=English">Bulimia: How to help your child at home​</a></p> <h2>Resources</h2> <p><a href="http://www.nedic.ca/" target="_blank">NEDIC – National Eating Disorder Infor​mation Centre</a> (Canada)</p> <p><a href="http://www.nationaleatingdisorders.org/" target="_blank">NEDA – National Eating Disorder Association</a> (United States)</p> <p>American Academy of Pediatrics – <em><a href="https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Eating-Disorders-in-Children.aspx" target="_blank">​Eating Disorders in Children</a> ​</em></p> <p><a href="http://www.b-eat.co.uk/" target="_blank">B-EAT – Beating Eating Disorders</a> (United Kingdom)</p> <p><a href="http://www.keltyeatingdisorders.ca/" target="_blank">Kelty Eating Disorders​</a> (Kelty Mental Health Resource Centre, BC Children's Hospital)</p> <p>Children's Hospital of Eastern Ontario – <a href="http://www.cheo.on.ca/en/eating_disorder_info" target="_blank"><em>Eating Disorders​</em></a></p>
Boulimie: options de traitementBBoulimie: options de traitementBulimia: Treatment optionsFrenchPsychiatryTeen (13-18 years)NANANon-drug treatmentCaregivers Adult (19+)NA2016-02-02T05:00:00ZSeena Grewal, MD, MSc, FRCP(C);Teresa Bansen, MSW;Tania Turrini, RD​000Health (A-Z) - ProcedureHealth A-Z<p> Découvrez les options de traitement pouvant aider votre enfant à se rétablir de la boulimie.</p><p>La boulimie est une maladie très grave qui peut entraîner des troubles de tout l'organisme, y compris du cœur, des os et du système digestif. Divers traitements sont disponibles pour aider les boulimiques à se rétablir. Quand une personne boulimique éprouve de nombreux épisodes de frénésie alimentaire avec purge, elle peut devoir être hospitalisée pour l’aider à briser le cycle. Elle aura aussi besoin de traitement à domicile et pourrait avoir besoin de psychothérapie ou de médicaments.</p><h2>À retenir</h2> <ul><li>Un enfant sera traiter à l’hôpital si son rythme cardiaque est faible ou irrégulier; si sa tension artérielle est basse ou s’il faut briser le cycle de la frénésie alimentaire avec purge. Les soins hospitaliers se concentrent sur l’ingestion d’une quantité suffisante de nourriture pour que l’enfant ou l’adolescent retourne à un poids santé et la surveillance de votre enfant pendant et après les repas et les collations.</li> <li>Si l’état d’un enfant est stable, il sera traité par une équipe de professionnels dans un programme externe de traitement des troubles alimentaires. Son poids, sa fréquence cardiaque et sa pression artérielle seront vérifiés régulièrement, et il recevra un traitement visant à mettre fin aux symptômes de la frénésie alimentaire avec purge.</li> <li>À la maison, le but est de veiller à ce que l’enfant ou l’adolescent mange une variété d’aliments en modération, y compris les aliments ayant fait l’objet de sa frénésie.</li> <li>Parce que la boulimie touche toute la famille, l’approche thérapeutique adoptée est habituellement la thérapie familiale. Certains adolescents peuvent bénéficier d’une thérapie cognitivo-comportementale.</li> <li>En cas de boulimie accompagnée de dépression ou d’anxiété, on peut prescrire des antidépresseurs ainsi qu’une psychothérapie à l’enfant ou à l’adolescent.</li></ul><h2>Traitement médical en milieu hospitalier</h2> <p>Si l’état de votre enfant est instable (rythme cardiaque faible ou irrégulier ou hypotension artérielle) ou qu’il a besoin de briser un cycle de nombreux épisodes de frénésie alimentaire avec purge, il devra être traité à l’hôpital jusqu’à ce qu’il puisse en toute sécurité être traité en ambulatoire.</p> <p>Quand votre enfant sera à l’hôpital, le personnel vérifiera sa fréquence cardiaque, sa respiration et sa tension artérielle. Des analyses sanguines pourront également être faites pour s’assurer que ses niveaux d’électrolytes (minéraux) ne sont pas anormaux.</p> <p>Les boulimiques ont souvent des habitudes alimentaires très chaotiques. Le traitement doit aussi souvent viser à briser le cycle de la frénésie alimentaire avec purge. Pour ce faire, il faut veiller à ce que la personne suive une diète régulière qui contient une variété d’aliments et qui répond aux besoins quotidiens de l’organisme. Votre enfant sera surveillé pendant et juste après les repas et les collations pour limiter les chances qu’il se gave ou se purge.</p> <h2>Traitement ambulatoire par une équipe de soins</h2> <p>Si l’état de votre enfant boulimique est stable, vous participerez à un programme externe de traitement des troubles alimentaires. Votre enfant sera pris en charge par une équipe de spécialistes, dont un psychiatre, un psychologue, un diététicien, un spécialiste de la médecine de l’adolescence ou un pédiatre, un infirmier ou un travailleur social. Ces spécialistes mettront leurs efforts en commun pour établir un plan optimal de traitement pour répondre aux besoins uniques de votre enfant.</p> <p>Votre enfant se rendra à l’hôpital pour ses rendez-vous, mais il ne restera pas la nuit. Ces rendez-vous comprendront une vérification régulière de son poids, de sa fréquence cardiaque et de sa pression artérielle. Stabiliser le poids de votre enfant et mettre fin aux symptômes de ses frénésies alimentaires avec purge sont des éléments essentiels du traitement visant à rétablir sa pleine santé.</p> <h2>En savoir plus</h2> <p>Pour plus d’informations sur la boulimie, veuillez consulter les pages suivantes:​</p> <p><a href="/Article?contentid=282&language=French">Boulimie mentale: présentation générale</a></p> <p><a href="/Article?contentid=283&language=French"><span>Boulimie: signes avant-coureurs</span></a></p> <p><a href="/Article?contentid=281&language=French">Boulimie: complications médicales</a></p> <p><a href="/Article?contentid=294&language=French">Boulimie: comment aider votre enfant à la maison​​</a></p> <h2>Ressources</h2> <p><a href="http://www.nedic.ca/" target="_blank">NEDIC – Centre d’information sur les troubles alimentaires</a> (Canada)</p> <p><a href="http://www.nationaleatingdisorders.org/">NEDA – Association nationale des troubles alimentaires</a> (États-Unis)</p> <p>L'académie américaine de pédiatrie – <em><a href="https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Eating-Disorders-in-Children.aspx" target="_blank">​Eating Disorders in Children</a></em></p> <p><a href="http://www.nationaleatingdisorders.org/" target="_blank">B-EAT – Lutter contre les troubles alimentaires</a> (Royaume Uni)</p> <p><a href="http://www.keltyeatingdisorders.ca/" target="_blank">Troubles alimentaires Kelty</a> (Centre de ressources sur la santé mentale Kelty, Hôpital pour enfants de la Colombie-Britannique)</p> <p>Le Centre hospitalier pour enfants de l’est de l’Ontario – <a href="http://www.cheo.on.ca/en/eating_disorder_info" target="_blank"><em>Eating Disorders​</em></a></p> ​​ ​​​ ​​

 

 

Bulimia: Treatment options706.000000000000Bulimia: Treatment optionsBulimia: Treatment optionsBEnglishPsychiatryTeen (13-18 years)NANANon-drug treatmentCaregivers Adult (19+)NA2016-02-02T05:00:00ZSeena Grewal, MD, MSc, FRCP(C);Teresa Bansen, MSW;Tania Turrini, RD​000Health (A-Z) - ProcedureHealth A-Z<p>Learn about the range of treatments that can help a child recover from bulimia.</p><p>Bulimia is a very serious illness that can lead to <a href="/Article?contentid=281&language=English">problems in all parts of the body</a>, including the heart, bones and digestive system. A range of treatments are available to help a person with bulimia recover from their disorder. If they are going through a lot of bingeing and purging, they may need to be hospitalized to help stop the cycle. They will also need treatment at home and may need psychological treatment or medications.</p><h2>Key points</h2> <ul> <li>A child will receive treatment for anorexia in hospital if their heart rate is low or irregular or if they have low blood pressure or need to break the binge/purge cycle. Hospital treatment focuses on giving enough nutrition to return the child or teen to a healthy weight and supervising your child during and after mealtimes and snack times.</li> <li>If a child is medically stable, they will be treated at an outpatient eating disorders program by a team of professionals. They will have their weight, heart rate and blood pressure checked regularly and will receive treatment to end their binge/purge symptoms.</li> <li>At home, the goal is have a child or teen eat a variety of foods in moderation, including the foods on which they binged.</li> <li>Because bulimia affects the whole family, psychological treatment will usually involve family based therapy. Some teens may receive cognitive behavioural therapy.</li> <li>If bulimia occurs with depression and/or anxiety, a child or teen may be prescribed antidepressants along with psychological treatment.</li> </ul><h2>In-hospital medical treatment</h2> <p>If your child is medically unstable (has a low or irregular heart rate or low blood pressure) or needs to break a severe cycle of bingeing and purging, they will need to be treated in hospital until it is safe for them to be treated as an outpatient.</p> <p>While your child is in hospital, staff will check their heart rate, breathing and blood pressure. Blood work may also be done to make sure their electrolyte (mineral) levels are not abnormal.</p> <p>A person with bulimia nervosa often has very chaotic eating. Treatment often needs to address breaking the binge/purge cycle. This is done by making sure the person is on a regular amount of nutrition that contains a variety of foods and meets their body's daily requirements. Your child will be supervised during and right after meals and snacks to limit the chances that they will binge or purge.</p> <h2>Outpatient treatment with a care team</h2> <p>If your child with bulimia is medically stable, you will be seen by an outpatient eating disorders program. There, your child will be cared for by a team of specialists, including a psychiatrist, psychologist, dietitian, adolescent medicine doctor or paediatrician, nurse or social worker. These experts will work together to come up with the best possible care plan to meet your child's unique needs.</p> <p>Your child will visit the hospital for appointments, but they will not stay overnight. These appointments will include regular checks of your child's weight as well as their heart rate and blood pressure. Stabilizing your child's weight and ending their binge/purge symptoms are vital parts of the treatment to return their body to full health.</p><h2>At-home nutritional treatment</h2><p>Nutritional treatment at home often requires structured meal and snack times to make sure your child eats regular amounts of food. Another element of home nutritional treatment involves supervising your child during and after mealtimes.</p><p>Families are also encouraged to have a child or teen with bulimia eat a variety of foods from all the food groups, including the foods on which they have binged (but not a binge amount of those foods).</p><h2>Psychological treatment</h2><p>Treatment for children and teens with bulimia generally takes a ‘whole family' approach. This means that the care team will involve the entire family in the therapy. The most common therapy provided is family based treatment (FBT). Older teens may be offered cognitive behavioural therapy (CBT).</p><p>Families are included so parents can learn how to support their child with eating at home and any related anxiety that the child might express. Older teens who are motivated to address the symptoms of bulimia may be treated with cognitive behavioural therapy.</p><p>Recovery from bulimia does not happen overnight; it may take years of treatment to fully recover.</p><h2>Medication</h2><p>Some children and teens with bulimia may also experience <a href="/Article?contentid=19&language=English">depression​</a> and/or <a href="/Article?contentid=18&language=English">anxiety</a>. If these interfere with someone’s ability to function or take part in their bulimia treatment, they may be prescribed <a href="/Article?contentid=701&language=English">antidepressants​</a> with <a href="/Article?contentid=702&language=English">psychological therapy</a>.</p><h2>Further information</h2> <p>For more information on bulimia, please see the following pages:</p> <p><a href="/Article?contentid=282&language=English">Bulimia nervosa: Overview​</a></p> <p><a href="/Article?contentid=283&language=English">Bulimia: Signs and symptoms​</a></p> <p><a href="/Article?contentid=281&language=English">Bulimia: Medical complications​</a></p> <p><a href="/Article?contentid=294&language=English">Bulimia: How to help your child at home​</a></p> <h2>Resources</h2> <p><a href="http://www.nedic.ca/" target="_blank">NEDIC – National Eating Disorder Infor​mation Centre</a> (Canada)</p> <p><a href="http://www.nationaleatingdisorders.org/" target="_blank">NEDA – National Eating Disorder Association</a> (United States)</p> <p>American Academy of Pediatrics – <em><a href="https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Eating-Disorders-in-Children.aspx" target="_blank">​Eating Disorders in Children</a> ​</em></p> <p><a href="http://www.b-eat.co.uk/" target="_blank">B-EAT – Beating Eating Disorders</a> (United Kingdom)</p> <p><a href="http://www.keltyeatingdisorders.ca/" target="_blank">Kelty Eating Disorders​</a> (Kelty Mental Health Resource Centre, BC Children's Hospital)</p> <p>Children's Hospital of Eastern Ontario – <a href="http://www.cheo.on.ca/en/eating_disorder_info" target="_blank"><em>Eating Disorders​</em></a></p><img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/bulimia_treatment_options.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/bulimia_treatment_options.jpgBulimia: Treatment options

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