What is the Difference Between Anorexia and Bulimia?

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Anorexia nervosa and bulimia nervosa are both eating disorders characterized by an overvalued drive for thinness and a distorted body image. However, they present differently in terms of food-related behaviors and symptoms. Here are the key differences between anorexia and bulimia:

Anorexia Nervosa:

  • Involves severely reducing food intake to lose weight.
  • People with anorexia may eat very little, avoid high-calorie foods, or miss meals completely.
  • They may be dishonest about what they eat and their body weight, wear baggy clothes to hide their thinness, take medication to reduce hunger, and have rituals around eating.
  • Anorexia is often accompanied by excessive exercise, which may result in fainting, and frequent weighing.
  • People with anorexia often see themselves as overweight even when they are underweight.

Bulimia Nervosa:

  • Characterized by binge eating, followed by drastic methods to lose weight or avoid weight gain.
  • People with bulimia may binge eat excessive amounts of food in a short period, then purge or use other methods to prevent weight gain.
  • Purging behaviors include vomiting, using laxatives or diuretics, fasting, or over-exercising.
  • Bulimia is often associated with emotional symptoms such as poor self-esteem, irritability, agitation, mood changes, social isolation, depression, and anxiety.

While both disorders can have a similar impact on emotional health, the primary difference between anorexia and bulimia lies in the food-related behaviors and the methods used to maintain or lose weight.

Comparative Table: Anorexia vs Bulimia

Here is a table comparing the differences between anorexia and bulimia:

Feature Anorexia Nervosa Bulimia Nervosa
Food Intake Restricts food intake, eats very little, avoids high-calorie foods, or misses meals Binges on excessive amounts of food in a short period, then purges or uses other methods to prevent weight gain
Weight Underweight or maintains a below-normal weight Often maintains an average weight, but may be slightly underweight or overweight
Body Image Sees themselves as overweight even when they are underweight May have a distorted body image, but not as severely as anorexia
Eating Patterns Follows rituals around eating, weighs themselves often, and exercises excessively May eat normally in front of others, but binges and purges in private
Emotional Symptoms Poor self-esteem, irritability, mood changes, social isolation, depression, and anxiety Similar emotional symptoms as anorexia, but may also experience guilt and shame associated with binging and purging
Treatment Often involves psychotherapy, nutrition counseling, and medical monitoring Treatment may include cognitive-behavioral therapy, antidepressants, and other medications, as well as nutrition counseling

Anorexia nervosa and bulimia nervosa are both eating disorders that disrupt a person's diet and body image. However, they have different patterns of food intake and distinct behaviors.