Speech Outline Name: Madison Minor General Purpose: To INFORM Specific Purpose: To inform the class about Bulimia

Nervosa Thesis Statement: I will discuss the signs and symptoms, explain who and how you get it, health consequences, and treatment of Bulimia Nervosa. Organizational Pattern: Chronology

Introduction: A. Attention Getter: In todays time, we idolize the far from realistic image of a woman or mans body portrayed in the media. According to nationaleatingdisorders.org, the average American woman is five feet, four inches tall, weighing 165 pounds, while the average Miss American winner is five feet, seven inches tall, weighing 121 pounds. B. Reveal Topic: According to mirasol.net, two to three in 100 American women suffer from Bulimia. Bulimia Nervosa is a serious, potentially lifethreatening eating disorder characterized by a cycle of bingeing and compensatory behaviors such as self-induced vomiting designed to undo the effects of binge eating. C. Establish Credibility: Being very interested in learning more about this mental disorder, I researched all aspects of Bulimia Nervosa. D. Preview: Bulimia Nervosa is a very serious eating disorder in todays world. Social media has caused Americans of all ages, to have a false impression of what

the perfect body should look like. I will discuss the signs and symptoms, explain who and how you get it, health consequences, and treatment of Bulimia Nervosa. Transition: Thesis sentence Body: Internal Preview: Many times, there are specific signs of Bulimia. Guts: A. The biggest warning signs that someone might have Bulimia are if they leave evidence of binge eating. According to nationaleatingdisorders.org, Binge eating is the intake of large amounts of food and comes with the sense of loss of control over eating behavior. Finding lots of wrappers and noticing large amounts of food to be missing in short periods of time can be a sign of binge eating. B. Evidence of purging is another warning sign of Bulimia. Someone who makes frequent trips to the bathroom after meals, smells like vomit, or accidentally leaves packages of laxatives around, are signs that they may be purging. Purging is using laxatives, diuretics, self-induced vomiting, or excessive exercise, to compensate for the guilt of binge eating and prevent any weight gain although many people with Bulimia appear to be of average body weight. C. The third largest sign of Bulimia is excessive exercising. If someone is exercising despite illness, tiredness, bad weather, or injury, or have a compulsive need to burn off calories taken in, they may be Bulimic.

D. A few common symptoms in patients with Bulimia are extreme concern with body weight and shape, unusual swelling of the cheeks or jaw area, calluses on the back of the hands and knuckles due to self-induced vomiting, discoloration or staining of teeth, and withdrawal from friends, family, or activities. Internal Summary: There are many specific signs and symptoms to look for in someone with Bulimia Nervosa. Transition: Who can get bulimia? Internal Preview: Anyone can be diagnosed with this eating disorder. Guts: A. It can be found even in small children. According to TIME Magazine, 80% of all children have been on a diet by the time theyve reached fourth grade. Also, according to nationaleatingdisorders.org, 42% of first through third grade girls say they wish they were thinner, and 81% of ten year olds say they are afraid of being fat. B. Most commonly, people think of just women having eating disorders, but according to the South Carolina Department of Mental Health, it is estimated that eight million Americans have an eating disorder. Seven million being women and one million being males. C. College students are large targets of Bulimia. According to mirasol.net, as many as 10% of college women suffer from a clinical or nearly clinical eating disorder, including 5.1% who suffer from Bulimia Nervosa. Also, studies indicate that by the first year of college, 4.5 to 18% of women and 0.4% of men have a history of Bulimia.

There are many contributing factors to why people develop this mental disorder. Currently, there are no scientifically known causes of Bulimia Nervosa. Many factors researchers believe to play into the development of Bulimia are chemical imbalances in the brain that affect behavior, traumatic events such as sexual and emotional abuse, parents divorce, death of a loved one, or a history of being teased or ridiculed. Because many times other people in a family have been diagnosed with an eating disorder, researchers also believe the likelihood of another family member developing a disorder may be higher in these families. Internal Summary: Although eating disorders are found in all ages, we still do not know the known cause of Bulimia Nervosa. Transition and Internal Preview: The health consequences of Bulimia Nervosa can be very serious. Guts: A. Bulimia can often lead to electrolyte imbalances that cause irregular heartbeats and possibly heart failure or death. According to waldenbehavioralcare.com, electrolyte imbalances are caused by dehydration and loss of potassium and sodium as a result of purging behaviors. Inflammation and possible rupture of the esophagus from frequent vomiting tooth decay and staining from stomach acids released during frequent vomiting, chronic irregular bowel movements and constipation from laxative abuse are also health consequences of the disorder. B. Bulimia Nervosa is frequently associated with symptoms of depression and changes in social adjustment. According to waldenbehavioralcare.com, risk of

death from suicide or medical complications is markedly increased for eating disorders. Another health consequence of Bulimia is issues with pregnancy. According to womenshealth.gov, if a woman with active Bulimia gets pregnant, they may have a miscarriage, high blood pressure, the baby may not be born alive, the baby may try to come out with feet or bottom first, birth by C-section, preemie babies, birth defects such as blindness or mental retardation, depression in the mother after baby is born, or diabetes in the mother during pregnancy. Internal Summary: There are many more health consequences than benefits with Bulimia Nervosa. Transition and Internal Preview: Treatment of Bulimia Nervosa can be a challenging process. Guts: A. Someone who has Bulimia may be cured. Someone who wants help for an eating disorder should contact a doctor, nutritionist, and therapist. Doctors may recommend prescribed medicine or recommend the patient receive advice and psychotherapy, especially cognitive behavioral therapy. According to womenshealth.gov, CBT focuses on thinking in how we feel and what we do. Therapy can be one on one or in a group. Antidepressants are often prescribed to eating disorder patients. Sometimes, they cause an increase in suicidal thoughts or likelihood to commit suicide.

According to womenshealth.gov, if you know someone with an eating disorder or you are worried about him or her having one, there are ways you can help. First, you should tell your friend about your concerns. Ask you friend to talk to a professional about their problems. Avoid conflicts. If your friend denies your concerns, do not push. Eating disorders can be hard to talk about. Do not place any shame, blame, or guilt on your friend. Do not say, You just need to eat. Instead, say something like, Im concerned about you because you wont eat breakfast or lunch. Or It makes me afraid to hear you throwing up. Do not give them simple solutions. Do not say, If you would just stop, then things would be fine! It is not that easy. Lastly, let your friend know that you will always be there no matter what. Internal Summary: If all else fails, you can always call the nationaleatingdisorders.org help hotline at 1-800-931-2237. According to mirasol.net, eating disorders have the highest mortality rate of any mental illness. A study by the National Association of Anorexia Nervosa and Associated Disorders reported: without treatment, up to 20% of people with serious eating disorders die. With treatment, the mortality rate falls 23%. Only one in ten people receive treatment. Treatment of an eating disorder in the US ranges from 500 dollars to 2800 dollars per day. The average cost of inpatient treatment is $30,000. It is estimated that individuals with eating disorders need three to six months of inpatient care. Conclusion:

Bulimia Nervosa is a large issue in todays world. The image of Barbie is what people perceive the perfect woman to look like. This needs to be changed. Nobody wants to see a loved one die from something like an eating disorder. There are many signs and symptoms that can be detected. Anyone can get an eating disorder, no matter what age, there is no for sure known cause of these disorders, there are many serious health consequences, and many forms of successful treatment, and ways anyone can help. Everyone can do a smart part in working together to help fix the issue of eating disorders in America. Whether it is giving a stranger a random compliment, or saving the life of a friend simply by calling a help hotline.