Bulimia Nervosa and Medical Cannabis

What Causes Bulimia?

It is not known why a person develops bulimia. However, there is a complex relationship between predisposing traits, triggering factors, and recurring negative or positive feedback in relation to habits intended to provide weight loss. Observational research shows people may be predisposed to developing bulimia if:

• They or a family member has a history of an eating disorder, depression or addiction to alcohol or drugs.
• They have been subjected to negative comments on their body size or shape, or subject to criticism or remarks on their eating habits.
• They have external pressure or influence due to their job.
• They suffer from anxiety or low self-esteem.
• They have an obsessive personality or strive for perfection (even when unrealistic).
• They have suffered sexual abuse.

Symptoms of Bulimia

The symptoms of bulimia can vary from person to person, but can often include:

• Consuming a large amount of food in a short time.
• Periods of losing control when eating food, otherwise an individual with bulimia typically puts strict rules on what they can and can’t eat.
• Fear of weight gain.
• Fluctuations in mood.
• Critical about appearance and weight.
• Self-induced vomiting, which can also lead to dental problems and/or irregular heart rhythms.
• Inappropriate use of medications in an attempt to lose weight.
• Excessive exercise.

How is Bulimia Diagnosed?

The diagnosis of bulimia normally starts with a GP, who assesses an individual by asking questions about eating habits, how they are feeling mentally and an overall check of health and weight. If the GP sees signs of bulimia, they will refer them to an eating disorder specialist for further assessment and support.
A person may be diagnosed with bulimia nervosa if they are displaying some, many, or all of the typical symptoms of the disease.

Most of the time further tests are not necessary to diagnose bulimia. However, it may be necessary to rule out other diseases or illnesses that can cause unexplained weight loss. Blood tests, electrocardiograms (ECGs), and bone density scans may also be required to evaluate any physical health problems caused by bulimia.

How is Bulimia Treated?

Treatment for bulimia can take time and recovery can be a difficult journey, but the sooner a bulimia disorder is addressed, the sooner the recovery process can begin. The type of treatment plan offered is tailored specifically to the person suffering and the support they need, the common types of support are:

• Cognitive behavioural therapy
• Family therapy (if under 18)
• Guided self-help program
• Structured eating programme

Bulimia and Medical Cannabis

Research into the effect of medicinal cannabis on bulimia is limited. However, following the legalisation of cannabis for medical purposes in 2018, there has been a rise in people looking towards medical cannabis. When first-line therapies have not proved effective at reducing symptoms, medical cannabis may be considered an option for bulimia.