Bulimia: A clinical & psychoanalytic perspective

CPD courses for psychologists

This talk offers a comprehensive overview of bulimia nervosa, covering diagnostic criteria, prevalence, and underlying psychological mechanisms. It examines the binge-purge cycle as an emotional regulatory system and explores contributing factors such as early attachment disruptions, difficulties with emotional expression, and body image concerns. The session highlights the symbolic meaning of purging behaviours, the role of shame and relational dynamics, and the influence of developmental conflicts. Clinical considerations include therapeutic challenges, boundary management, and the importance of addressing deeper psychological processes alongside symptom-focused interventions.

Learning Outcomes

By the end of this talk, participants will be able to:

• Describe the diagnostic criteria and core features of bulimia nervosa, including the binge-purge cycle and compensatory behaviours.
• Explain the psychological mechanisms underlying bulimia, including emotional regulation difficulties, attachment issues, and symbolic aspects of purging.
• Evaluate key therapeutic challenges and considerations in treatment, including boundary management, countertransference, and addressing underlying psychological processes.