What is Bulimia?

Bulimia nervosa (BN) is marked by harmful cycles of binge eating followed by purging behaviors, such as vomiting, excessive exercise, or laxative use. Individuals with bulimia often feel trapped in this cycle, which can significantly impact both physical health and emotional well-being. Despite appearances, many people with bulimia maintain a “normal” body weight, making the condition harder to detect without proper screening.

People experiencing bulimia may feel shame or secrecy surrounding their behaviors, which can delay getting help. Over time, the disorder can lead to serious medical complications, including issues with the heart, digestive system, and teeth. With the right treatment approach that addresses both the physical and emotional aspects of the disorder, recovery is possible.

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Signs and Symptoms of Bulimia

Recognizing the signs of bulimia nervosa is the first step toward healing. Common signs include:

Injured Knuckles

Scarring or calluses on the knuckles from inducing vomiting

Swollen Cheeks

Visibly swollen cheeks or jaw from inflamed salivary glands

Issues With Teeth

Worn enamel, sensitivity, or increased cavities due to repeated exposure to stomach acid

Jaw Pain

Tension or discomfort caused by vomiting or jaw clenching

Cracked Skin On Hands

Dry, cracked skin or injuries due to self-induced purging

Secretive Behaviors

Hiding food, avoiding meals with others, frequent trips to the bathroom or disappearing after eating

Withdrawal From Friends, Family, and/or Activities

Increasing isolation or avoidance of social situations

Obsessive Focus on Weight and Body Image

Persistent preoccupation with body shape, weight, or appearance that may include frequent body checking, negative self-talk, or comparing oneself to others.

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Bulimia Treatment Options

At NewCircle, we provide a full continuum of eating disorder care tailored to each person’s journey:

  • Residential Treatment: 24/7 support in a thoughtfully designed, affirming environment, complete with cozy communal spaces, access to parks, and guided community outings.

  • Partial Hospitalization Program (PHP): Structured day programming with therapeutic support, allowing clients to return home in the evenings.

  • Intensive Outpatient Program (IOP): Flexible treatment three to six days a week—ideal for transitioning from higher levels of care or managing daily responsibilities.

  • Individual and Group Therapy: Includes evidence-based approaches like CBT, DBT, and trauma-informed care to help reshape thoughts and behaviors.

  • Nutritional Counseling and Meal Support: Meal planning, nutrition therapy, and hands-on experience in our education kitchen to rebuild confidence around food and meal prep

  • Family & Community Support: Includes family therapy, psychoeducation, and involvement in treatment planning, because recovery doesn’t happen in isolation.

  • Dual Diagnosis Treatment: Integrated care for co-occurring mental health conditions like anxiety, depression, or trauma.

  • Creative and Movement-Based Therapies: Engage in healing through art therapy, expressive dance/movement groups, and recreational activities that promote mind-body connection.

  • Inclusive Care: A safe, welcoming space with therapists trained in identity-affirming, culturally responsive care.

  • Service Dog Support: Therapy dogs are on-site to provide emotional comfort and grounding during sessions and daily routines.

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What Happens After?

Recovery from bulimia is a continuous journey. After completing treatment, individuals often step down to a lower level of care, such as outpatient therapy or IOP, while maintaining access to support systems. Our team helps you develop long-term recovery plans, create relapse prevention strategies, and stay connected to community resources. Ongoing care may include regular therapy, support groups, and nutrition check-ins to reinforce the progress made during treatment.

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Frequently Asked Questions

The main difference is purging behavior. People with bulimia engage in compensatory actions like vomiting or laxative use after binge eating, whereas those with binge eating disorder do not.

Yes. Repeated vomiting can erode enamel, cause gum issues, and contribute to jaw pain. Early treatment can prevent long-term damage.

Not always. Many people with bulimia appear physically healthy, but the emotional and physical toll may not be obvious. That’s why professional evaluation is essential.

Treatment length varies, but residential programs often last around 40 days. Continued care may be needed depending on progress and individual needs.

Yes. With a combination of medical support, therapy, and ongoing aftercare, many individuals make a full recovery and go on to live balanced, fulfilling lives.