How Bulimia Is Like Drug Addiction

Via etsy.com

The craving to purge his someone suffering from bulimia the
same way you may feel when you badly need to urinate. If you can imagine a time
when the discomfort of having to relieve yourself was so consuming you couldn’t
think of anything else, this is similar if not worse. Resisting the urge to purge when you have an eating disorder is like resisting an urge to use drugs for a drug addict. It can feel intensely
painful despite knowing that such resistance would ultimately be better down
the road. New research analyzes the similarities between bulimia and drug
addiction.

The research done by Tufts Medical School and published in
the Journal of Clinical Psychopharmocology, highlights many similarities in the
behavioral experience of bulimia and drug addiction. For example, both food and
drug  are experienced as cravings that
often become associated with certain places or situations (and the brain may
become wired to associate cravings with certain emotions). People experience
positive shift in moods when eating and using drugs which provides this
behavior to continue. They also describe feeling a loss of control in the
moments before or during binging/purging and using.

The authors explain how tolerance usually associated with drug
addiction can also be seen in bulimia. As compared to when they first developed
bulimia, people describe needing to eat larger quantities of food later on to
get the same emotional/physical effect. The researchers speculate that there
may also be a similar neurological pattern of withdrawal in bulimia and drug
addiction. In fact, many people with bulimia report signs of drug withdrawal
when they try to abstain from binge eating including increased anxiety, disturbed
sleep, and strong cravings.

Given all these behavioral similarities, it seems likely
that there are biological similarities between bulimia and drug addiction.
Indeed, a new study held at Columbia University that will be published next
month suggests that people with bulimia have similar dopamine abnormalities in
their brain as people suffering from cocaine and alcohol addiction. A few other
studies have looked at how the brain reacts to cravings – similar parts of the
brain were activated in people with bulimia and drug addiction as they craved
food and drugs, respectively.

It’s no surprise that many people with bulimia have also
suffered from drug addiction. Considering bulimia as a form of “food addiction”
may help others better understand how paralyzing the illness can feel.