Bulimia nervosa

Bulimia nervosa is characterized by excessive preoccupation with weight, craving for food with periods of binging followed by inappropriate behaviours such as self-induced vomiting to avoid weight gain.


These compensatory behaviours have to occur at least once a week. Other such behaviours include abuse of tablets with aim to lose weight, like laxative, diet pills, water tablets, amongst others. 

Consequences of purging in your body

  • Eroded and Tooth decay (acid)

  • Cuts to mouth & tongue (fingernails)

  • Parotid gland enlargement (lateral sides of face)

  • Coarse voice (damage vocal cords)

  • Increase salivary amylase enzyme levels

  • Seizures, cerebral oedema (due to electrolyte imbalance)

  • Regular vomiting changes brain processes, making more likely to binge eat to occur in the future

  • Depression & Anxiety (35 to 70%)

  • Alcohol & substance misuse (20-30%)

  • Post traumatic stress (37%)

  • Emotional unstable Personality disorder– Borderline type

  • Cuts & abrasions in hands (from teeth)

  • "Russell's sign“ - callus on back of hand (acid damage)

  • Inflammation of oesophagus & ulcers (Acid damage)

  • Mallory-Weiss tears (tears oesophagus)

  • Hematemesis (vomit blood)

  • Boerhaave syndrome (ruptured oesophagus)

  • Acid reflux

  • Oesophageal cancer (rare)

  • Paralysis of stomach & gastric cramps (when eating)

  • Heartburn (Gastric reflux)

  • Gastric ulcers

  • Irregular bowel movements (due to laxative abuse)

  • Irregular heartbeat (due to low  potassium)

  • Sudden death due to cardiac arrest

  • Kidney Failure (electrolyte imbalance, mostly potassium)

  • Oedema (limbs swelling)

  • Dehydration

Some of feedback from former patients and their families:


"Thank you for helping me during this hard time. My family are very grateful too." Lucy, Anorexia Nervosa (AN)


"I wish I had come to see you earlier. Thank you." James, Anxiety


"You made a difference in my life. Thank you for not letting me give up." Maria, Post natal depression and sleep difficulties


"Our family are all very grateful to you and you should be proud of what a fantastic job you are doing." Jane, mother of AN sufferer

"Thank you! I have seen many psychiatrist in my life but never connected to one like you. You really care about me and my mental health, I feel it and it makes a big difference. Thank you again!" Rachel, Bipolar  affective disorder