What form of substance abuse is most commonly associated with bulimia nervosa?

Bulimia nervosa is a serious eating disorder characterized by cycles of binge eating followed by compensatory behaviors, such as purging. Among the various forms of substance abuse that can be associated with this disorder, laxative abuse is particularly common.

Individuals with bulimia may engage in laxative use in an attempt to control weight or mitigate the effects of binge eating. They may believe that laxatives can help rid their body of the calories consumed during a binge. This behavior can lead to a dependency on laxatives and significant health risks, including electrolyte imbalances, gastrointestinal complications, and long-term disruption of normal bowel function.

While alcohol, stimulants, and illegal drugs may be used by individuals with bulimia nervosa, laxative abuse is more directly related to the behaviors associated with the disorder and is a primary method of purging that many individuals with bulimia resort to. This understanding highlights the need for healthcare providers to be aware of these behaviors for effective diagnosis and management of bulimia nervosa.