Inside Look

The Shadows of Shame: Shining a Light on Bulimia

bulimia recovery Nov 29, 2023

It is time to exit the shadows of shame with Bulimia.


Bulimia nervosa, a silent yet pervasive eating disorder characterized by recurrent episodes of binge eating followed by compensatory behaviors such as vomiting, excessive exercise, or fasting, has long yearned for the spotlight. This blog embarks on the journey of unraveling the layers of underreported Bulimia, delving into its prevalence, the complex reasons behind its underreporting, and the urgent call for comprehensive support and heightened awareness.


Understanding the Prevalence of Bulimia and Binge Eating Disorder

Bulimia nervosa and Binge Eating Disorder (BED) stand as distinct but closely interlinked eating disorders, casting a profound impact on the lives of those ensnared by their grip. People can cycle between the two as well. According to Bulimia.com, an estimated 0.3% of the U.S. population grapples with bulimia nervosa, a seemingly modest percentage, yet represents a large number of individuals battling this disorder. Noteworthy is the fact that the prevalence is five times higher in women than in men, raising crucial questions about the sociocultural factors that contribute to the development of eating disorders.

Turning our focus to Binge Eating Disorder (BED) for a moment, it emerges as one of the most prevalent eating disorders in America. Characterized by recurrent episodes of consuming large quantities of food accompanied by a lack of control and feelings of distress, BED affects 3.5% of women and 2% of men in the United States, according to Bulimia.com. Perhaps even more striking is the revelation that BED is estimated to be three times more common than anorexia nervosa and bulimia nervosa combined. This statistical revelation underscores the significant public health impact of BED and emphasizes the imperative for increased awareness, research, and access to appropriate treatment options.

The intricate interplay of biological, psychological, and environmental factors contributes to the development and perpetuation of BED. Factors such as genetics, neurobiology, and a history of trauma may play pivotal roles in the predisposition to this disorder. The higher prevalence of BED compared to anorexia nervosa and bulimia nervosa combined challenges traditional stereotypes associated with eating disorders. This insight should guide public health initiatives to encompass a broader spectrum of eating disorders, fostering inclusivity and targeted interventions for different manifestations of disordered eating.

Despite the compelling statistics, Merrit and I hold a steadfast belief that Bulimia stands as the most underreported eating disorder, not detectable by weight or size, and burdened with an overwhelming sense of shame. This conviction is rooted in the narratives shared with us time and time again. Despite the monumental task ahead, both of us, having triumphed over Bulimia, are resolute in our commitment.


Why Bulimia is the Most Underreported:

The underreporting of Bulimia is deeply entrenched in its role as a habitual coping mechanism for individuals grappling with emotional turmoil and bodily discomfort. Unlike more visible disorders, Bulimia operates in the shadows, with those affected often turning to bingeing and purging as a means of managing overwhelming emotions. This coping mechanism becomes a clandestine part of their lives, making it challenging for outsiders to discern the silent struggle. The secretive nature of these behaviors becomes a substantial barrier to seeking help or receiving appropriate interventions.

Furthermore, the pervasive misconception that purging, particularly through self-induced vomiting, somehow aids in weight management adds another layer of complexity to the underreporting of Bulimia. This distorted belief not only perpetuates the cycle of the disorder but also contributes to the normalization of these behaviors, as individuals may view them as a necessary means of controlling their weight. This normalization further hinders the recognition of Bulimia as a serious and harmful condition, allowing it to persist in the shadows without the necessary attention and intervention it deserves.

Additionally, non-purging compensatory behaviors, such as overexercise and fasting, often escape identification due to a lack of awareness and understanding. Many individuals, including healthcare professionals, may not recognize these behaviors as problematic, especially if they are not directly associated with weight loss. This lack of awareness contributes to the underreporting of Bulimia, as these subtle and seemingly innocuous compensatory actions go unnoticed by both individuals struggling with the disorder and those in a position to offer support.


Why Bulimia is Not Detectable by Weight or Size:

Bulimia's elusiveness in terms of identification based on weight or size sets it apart from other eating disorders. Unlike anorexia nervosa, where extreme weight loss is often a visible sign of the disorder, individuals with Bulimia may maintain an average or above-average weight. This creates a misleading impression of health, making it difficult for others to recognize the severity of their struggle.

While certain physical signs such as acute sialadenitis, petechiae, and Russell's Sign may be observable, they are not universally present in all cases and may not be apparent to those who are not specifically trained to identify them. This lack of visible cues contributes to the misconception that Bulimia is solely characterized by purging behaviors, further obscuring the broader spectrum of symptoms associated with the disorder.

The misperception that eating disorders are always accompanied by extreme weight loss perpetuates the idea that individuals with Bulimia are not truly experiencing a significant health concern. This misconception not only impedes early intervention but also exacerbates the overall underreporting of Bulimia by reinforcing the notion that only visibly underweight individuals are struggling with serious eating disorders.


Why Bulimia Carries the Most Shame:

The central element contributing to the intense shame associated with Bulimia is the very nature of the purging behavior itself. The act of self-induced vomiting is inherently secretive, often performed in isolation and away from the scrutiny of others. This nature creates a profound internalized struggle, transforming the act of purging into a personal, often tortured, ritual that is craved. The shame surrounding purging is intensified by the unpleasant theater of the mind that accompanies it.

Individuals with Bulimia grapple not only with the physical act of purging but also with a mental and emotional battle. The process of self-induced vomiting becomes intertwined with feelings of guilt, self-loathing, and a pervasive sense of failure. This internalized struggle amplifies the shame associated with the disorder, as individuals become trapped in a cycle of secrecy, guilt, and emotional turmoil. The secrecy surrounding purging exacerbates the shame experienced by individuals with Bulimia.

Unlike other eating disorders where symptoms may be more observable, the covert nature of purging perpetuates a sense of isolation. This isolation, combined with societal stigmas surrounding mental health and eating disorders, contributes to the creation of a double life, where individuals with Bulimia may maintain a facade of normalcy while battling intense shame and turmoil internally. Breaking this cycle of shame requires not only understanding and empathy but also a concerted effort to destigmatize and openly address the challenges associated with Bulimia.


Our Unwavering Commitment to Shining a Light

Our commitment to spotlighting Bulimia stems from a profound recognition of the urgency to address an underreported and frequently misunderstood eating disorder. The statistics underscore the prevalence of Bulimia nervosa, yet its covert nature, coupled with societal misconceptions, has relegated it to the shadows of public awareness.

It is our passionate belief that every individual struggling with Bulimia deserves not only acknowledgment but also comprehensive support, understanding, and accessible resources. By diving into the complexities of Bulimia nervosa, we aim to untangle the intricate web of factors contributing to its underreporting. Our mission extends beyond merely shedding light on the disorder; it involves dismantling the barriers that have shrouded it in silence for far too long.

Through education and awareness, we aspire to challenge and dispel the pervasive misconceptions about Bulimia. Central to our commitment is the desire to eliminate the shame that has become synonymous with Bulimia. The act of purging, concealed and often carried out in solitude, has perpetuated a cycle of intense shame for individuals grappling with this disorder. It is our conviction that by openly discussing and understanding the complexities surrounding Bulimia, we can dismantle the stigma that has fueled this shame. Through empathy and compassion, we aim to create an environment where individuals feel empowered to seek help without fear of judgment or condemnation.


Our Vision: Paving the Way for Empathy and Understanding

Our vision extends beyond mere awareness – we aim to pave the way for a more empathetic and informed approach to supporting those on their journey to recovery from Bulimia. This involves not only providing resources for individuals directly affected by the disorder but also cultivating spaces that encourage open dialogue, destigmatize mental health challenges, and promote a nuanced understanding of eating disorders. It is our hope that, through our efforts, we can contribute to a cultural shift, ultimately paving the way for more people to discover freedom and a life after Bulimia.

In the latter part of 2022, fueled by an unwavering commitment to make a substantial impact on the lives of those affected by Bulimia, we made a pivotal decision. We embarked on a transformative journey, dedicating nearly an entire year to the development of a groundbreaking initiative—Conquering Bulimia. This remarkable course stands as a testament to our dedication, a unique blend of intensity, privacy, and self-pacing, making it the first of its kind.

Conquering Bulimia is not just a course; it is a comprehensive resource crafted with meticulous care, encompassing the best recovery coaching tips and tools. We have collaborated with leading experts in the field, ensuring that the content is not only evidence-based but also enriched with diverse perspectives and insights. Real stories of triumph over Bulimia are woven into the fabric of this course, providing a sense of connection and inspiration for those navigating their own journeys toward recovery.

The culmination of our efforts came to fruition in August 2023, with the official launch of Conquering Bulimia. Since its inception, the impact has been profound and deeply gratifying. The unsolicited testimonials that have poured in bring tears to our eyes, affirming that this resource is not just informative; it is a catalyst for transformative change in people's lives.



Witnessing the positive transformations and hearing stories of triumph from individuals who have engaged with Conquering Bulimia reaffirms the significance of our mission. The course is not merely an offering; it is a lifeline for those seeking a path to recovery. We understand the challenges, the nuances, and the delicate nature of the journey toward overcoming Bulimia, and Conquering Bulimia reflects our commitment to providing unwavering support at every step.

As we look toward the future, our commitment to breaking the silence surrounding Bulimia remains steadfast. Conquering Bulimia is not just a course—it is a beacon of hope, a testament to resilience, and a source of empowerment. Our vision extends beyond the digital realm; we aim to create a community of understanding, compassion, and support.

In this course, individuals find more than just guidance; they find a community that understands, resources that empower, and a path that leads to freedom from the shackles of Bulimia. Every success story, every triumph, and every life changed through Conquering Bulimia is a testament to the power of awareness, education, and empathetic support.

As we celebrate the impact of Conquering Bulimia, we recognize that our journey is far from over. The course is a living, evolving resource, and we remain dedicated to refining, expanding, and adapting it to meet the evolving needs of those it serves. Our commitment to fostering empathy, dispelling misconceptions, and dismantling the stigma surrounding Bulimia is a perpetual flame that guides our endeavors.

To those who have embraced Conquering Bulimia, we extend our deepest gratitude. Your stories inspire us, motivate us, and reinforce the profound importance of the work we do. Together, we are not just breaking the silence; we are reshaping the narrative around Bulimia, fostering a culture of understanding, acceptance, and support.

As we move forward, Conquering Bulimia stands as a testament to what can be achieved when passion meets purpose. It is an offering born out of compassion, crafted with expertise, and driven by the genuine desire to make a lasting impact. We invite everyone to join us in this journey—whether you are seeking support, looking to contribute, or simply want to be part of a community dedicated to change.

In the world of Conquering Bulimia, every story matters, every voice is heard, and every step toward recovery is celebrated. Together, let us continue breaking the silence, fostering empathy, and paving the way for a future where Bulimia is not just understood but conquered.


With Love & Light,

Sarah Lee

Sarah Lee is a Certified Eating Disorder Recovery Coach with four professional certifications, including one from the esteemed Carolyn Costin Institute. Since 2016, she has run a private practice currently located in Dallas, TX, assisting clients globally along with mentoring newer recovery coaches.

Posted on November 29th, 2023. 

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Conquering Bulimia-Online Bulimia Recovery Course

Resource Credit: Bulimia.com