Eating Disorders: Anorexia, Bulimia and Treatment Options

Eating Disorders: Anorexia, Bulimia and Treatment Options

Medically reviewed byGiorgi (Guga) Sikharulidze · Professor of Psychiatry, MD,PhD · Founder & Clinical Director· Last updated: July 7, 2026

An eating disorder is a serious mental health condition characterized by a pathological preoccupation with food intake, body weight, and appearance. It is not a matter of “diet” or “willpower” — an eating disorder is a complex psychiatric illness.

Types of eating disorders

Anorexia nervosa

It is characterized by an intense fear of gaining weight and a distorted perception of body image. Symptoms include significant weight loss, restriction of food intake, excessive exercise, and disruption of the menstrual cycle.

Bulimia nervosa

It is characterized by episodes of excessive eating, followed by compensatory behaviors such as self-induced vomiting, use of laxatives, or excessive exercise.

Binge Eating Disorder (BED)

The most common eating disorder. Regular episodes of uncontrolled eating. Often accompanied by depression.

Causes of eating disorders

Biological: genetic predisposition, neurotransmitter imbalance.

Psychological: low self-esteem, perfectionism, anxiety, trauma.

Sociocultural: unrealistic beauty standards, social media.

Impact on health

Cardiovascular problems — arrhythmia, hypotension

Electrolyte imbalance

Reduced bone density

Endocrine disorders

Among mental health conditions, eating disorders are associated with one of the highest mortality rates. Timely treatment is vital for preserving life.

Treatment

Psychotherapy

Psychotherapy is the cornerstone of treating eating disorders:

CBT-E — a specialized form of CBT for eating disorders

Interpersonal therapy

Family-Based Therapy (FBT) for adolescents

DBT — Improving Emotional Regulation

Medication treatment

When needed, the psychiatrist will prescribe SSRI antidepressants and treatment for any co‑occurring conditions.

When should you see a specialist?

Your relationship with food is interfering with your everyday life

Significant weight change over a short period of time

Episodes of uncontrolled eating or vomiting

Physical symptoms — dizziness, weakness

Book a consultation

Phone: +995 32 2 440 550

Address: Togo Gudava Street, Tbilisi

Center: GSMRC

Frequently asked questions

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