As to Bulimia, Keel (2004) reports that while treatment is not much different from that of anorexia, the primary goal with bulimics is to get them to cut down or even eliminate the binge eating and purging behavior. This sometimes requires therapeutic efforts plus supplemental support such as nutritional counseling, and medication management.
American Psychological Association. (2006). Eating disorders: Psychotherapy's role in effective treatment. Document available: http://www.apahelpcenter.org/articles/ article.php?id=50
With respect to bulimia, the National Association of Eating Disorders (2006) states that the entire digestive system is placed in a state of imbalance and that this can, in turn, affect the heart and other major organs. Typical consequences include: electrolyte imbalances associated with irregular heartbeats and even heart failure due to the loss of potassium, sodium and chloride from the body as a result of purging behaviors; gastric ruptures due to binging; inflammation or even rupture of the esophagus; chronic irregularity in bowel movements; peptic ulcers; and pancreatitis.
According to Keel (2004), adolescent females tend to be more susceptible to anorexia and bulimia than other groups. Common reasons for this increased susceptibility include: increased susceptibility to societal pressure to be thin, higher genetic prevalence, and a history of sexual abuse (females being more likely to be abused than males). It is also thought that females experience more teasing than males by peers over factors such as body size and weight.
Often, the therapist will also work on improving patient's personal relationships and help them to get beyond any relational situation that might have triggered the disorder. In such cases, group therapy is said to be quite helpful and effective. In most cases, if the therapist is working with a team, the success rates will be quite high.