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Eating disorders

Bulimia nervosa

Episodes of binge eating followed by behaviors to compensate (vomiting, laxatives, fasting or excessive exercise), and a self-esteem highly tied to weight.

Common signs

Binges with loss of controlVomiting, laxatives or exercise to compensateShame and secrecy

Tips

For you

  1. Regular meals: avoid long fasts
  2. Seek specialist treatment
  3. Work on the emotions behind it

For family and friends

  1. Don't control or police: show trust and support
  2. Avoid comments about the body

When to ask for help

  1. If there is dizziness, palpitations or weakness: emergency services
  2. If vomiting is frequent

Are you having a really hard time? If you're thinking of harming yourself, call 024 (free, 24 hours) or 112.

Guidance test

Answer thinking about the last few weeks. There are 8 questions and you get your result straight away. Your answers are not saved or sent.

0 of 8
1. I have binges where I feel I lose control
2. Afterwards I vomit, use laxatives or fast
3. I exercise excessively to compensate
4. I feel guilty after eating
5. My weight strongly affects how I value myself
6. I eat in secret
7. This happens to me at least once a week
8. I'm ashamed to talk about it
Also take the full eating disorders test →

Free resources

Downloadable PDF sheetSigns, tips and resources to print or saveFull article: Anorexia, bulimia and binge eatingFree resource from Clínica VivaldiADANER: Spanish association for anorexia and bulimia careFree external resourceAll our free guidesFree resource from Clínica Vivaldi

Related disorders

PicaEating disordersRumination disorderEating disordersAvoidant/restrictive food intake disorder (ARFID)Eating disordersAnorexia nervosaEating disorders

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Reviewed by María Teresa Fernández Vicente, health psychologist and neuropsychologist (registration no. CV17304), in November 2026. Educational information prepared by the Clínica Vivaldi team based on the DSM-5-TR classification. It does not replace a professional assessment and cannot be used to diagnose.