Health Information and Tools > Patient Care Handouts >  Bulimia in Teens: Care Instructions

Main Content

Bulimia in Teens: Care Instructions

Your Care Instructions

Bulimia nervosa is an eating disorder. People with bulimia are very concerned about body shape and size and are afraid of gaining weight. They may crave food and find ways to eat a lot of it fast. This binge eating is often set off by stress or an emotional upset. After overeating, people with bulimia may feel guilty, uncomfortable, or ashamed. They may vomit, use laxatives, or exercise excessively to get rid of the food they ate.

Counselling to understand the condition and to learn ways to reduce stress is a big part of treatment for bulimia. Nutritional counselling can help you learn how to eat a healthy diet. It may help to have your family take part in family counselling so that they can support you. Treatment with medicines such as antidepressants also can help.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself when you have an eating disorder?

Here are some things you can do to take care of yourself during recovery from an eating disorder.

Stick to your treatment plan.
Go to any counselling sessions you have. If you can't go, or don't think the sessions are helping, talk to your counsellor about it. And take any medicines you've been prescribed exactly as directed.
Work on healthy eating habits.
Listen to what counsellors and nutrition experts say about healthy eating. Learn about what makes a healthy and balanced diet, and then make a plan for your own healthy eating.
Learn healthy ways to deal with stress.
Managing stress is important in recovery. Find what works for you. You could try things like journaling, volunteering, reading, or meditating.
Take it easy on yourself.
Focus on your good qualities. Don't blame yourself for your disorder. And remember that recovery takes time, and that you can make progress one goal at a time.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

  • You are thinking about suicide or are threatening suicide.
  • You feel you cannot stop from hurting yourself or someone else.
  • You cough up blood.
  • You vomit blood or what looks like coffee grounds.
  • You pass maroon or very bloody stools.

Where to get help 24 hours a day, 7 days a week

If you or someone you know talks about suicide, self-harm, a mental health crisis, a substance use crisis, or any other kind of emotional distress, get help right away.

  • Call Talk Suicide Canada: 1-833-456-4566 or text 45645 (4 p.m. to midnight ET).
  • Kids or teens can call Kids Help Phone: 1-800-668-6868 or text CONNECT to 686868.
  • Go to the Talk Suicide Canada website at https://talksuicide.ca or the Kids Help Phone website at https://kidshelpphone.ca for more information.

Consider saving these numbers in your phone.

Call your doctor or nurse advice line now or seek immediate medical care if:

  • You feel hopeless or have thoughts of hurting yourself.
  • You have pain in your belly.
  • You have an irregular heartbeat.
  • You are dizzy or light-headed, or you feel like you may faint.

Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if:

  • You have trouble sleeping.
  • You feel anxious or depressed.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

Enter N892 in the search box to learn more about "Bulimia in Teens: Care Instructions".

Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.