A person with bulimia can get better. Early treatment is required, otherwise the behaviour pattern will become more complex and hard to change. Treatment options include Psycho therapy and medical treatment (Pharmacotherapy) as well as combination of both.

Different types of psychological therapy have worked to help people with bulimia. It aims to help individuals achieve a more competent , less painful way of handling their problems. This may involve individual, group and family therapy as well as includes behaviour therapy, cognitive- behaviour therapy, Inter Personal Psychotherapy etc. The behaviour and cognitive behaviour therapy targets at normalising or changing the eating behaviour of patients by addressing issues of disorganized eating, hunger, inadequate calorie intake and challenging the distorted or negative thinking and belief systems of the patient, while Interpersonal Psychotherapy involves resolving relationship issues and problems.

Most of the bulimia can be treated with individual therapy. Bulimics may accept the treatment but they usually expect quick solutions. They become frustrated if treatment does not produce immediate relief and may leave the treatment in between or turn to increased binge eating to deal with their frustration. Group therapy is more effective for young adult women because in group therapy they can talk with people who have similar experiences and may not feel isolated by their symptoms.

Medicines are used for symptoms like depression in bulimics. Some antidepressants are found to be effective in reducing binge eating and purging frequency as well as depressive symptoms in bulimic patients having depressive mood disorders. Antidepressants such as Tricyclics and the serotonin repuptake inhibitors, especially fluoxetine have been seen to help in controlling bulimic behaviour, effecting carbohydrate metabolism, decreasing appetite and reducing weight.

Any serious medical problem related to an eating disorder may require hospitalisation. Electrolyte imbalances will be corrected and fluids will be given for dehydration.

Follow-up is a main part in the treatment of eating disorders. Monitoring of a person’s acceptance with any treatment program for bulimia, whether that involves behavior modification, scheduled medication, or both is vital to the success of treatment.