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Bulimia nervosa and other eating disorders of childhood 

Bulimia nervosa and other eating disorders of childhood
Bulimia nervosa and other eating disorders of childhood

David Coghill

, Sally Bonnar

, Sandra L. Duke

, Johnny Graham

, and Sarah Seth

Page of

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date: 23 September 2020

Definitions and epidemiology 352

Aetiology 353

Assessment 354

Differential diagnosis and co-morbidity 356

Clinical example 358

Management: pharmacological 360

Management: psychological 360

Prognosis, course, and outcome 361

Other eating disorders of childhood 362

Recommended reading 364

Bulimia nervosa is an eating disorder that seldom presents before the age of 14, and is thus much rarer in child and adolescent psychiatric practice than anorexia nervosa. On the other hand, it is common for adult patients with a diagnosis of bulimia nervosa to describe a pattern of disordered eating and preoccupation with body shape from a young age. Bulimia nervosa is characterized by loss of control of eating, with periods of intense over-eating, pre-occupation with food and body shape, and attempts to get rid of the food consumed by vomiting, purging, or exercising (...

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