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Every doctor that I've gone to seems to not understand how bulimia works

501 views 11 replies 9 participants last post by  BeautifulMine  
#1 ·
So today I went to the doctor to get results on my labs for my blood work. Not at all surprising that they came back abnormal and I have a few medical issues that I've caused to myself. Anyways the doctor asked me why I thought that at 20 year olds I could have so many problems and I was honest and said I'm bulimic and have been trying to get help but it's not easy.

What a slap in the face was it to me when she said that I couldn't possibly be bulimic because bulimics are skinny because they throw everything. Mind you I'm a normal weight for my height. I immediately got a bit angry and told her that's not how it works. For some people yes, they may be under weight but an eating disorder has no weight limit.

I'm just so angry because I got taken back to when I was 14 and I had tried to reach out for help for the first time and got told the exact same thing by a different doctor. How is it possible that these people go through med school and still come out this uneducated about EDs.

Now I'm trying to find a new primary care doctor because I really just can't handle having someone as ignorant as this watching my health. In my whole 7 years of having this disorder, there's only been 1 doctor who ever really made me feel seen and didn't make me feel like I wasn't sick enough. I'm sorry for the long rant. I'm just sick and tired of reaching out for help and getting thrown to the wolves.
 
#4 ·
That sucks so much.

tbh, docs get very little in the way of mental health training, like a month in residency. Not an excuse, just a fact.

When I was spiraling, I was down 20 lb from the year before and told I'm doing a good job with my weight. 2 1/2 months later I ended up in ip. So, yeah, docs don't get it.
 
#5 · (Edited by Moderator)
Damn, how many years have we been hearing "Doctors don't understand EDs" ?? Not just from clients, but from advocacy groups too. Here EDs are, with the highest mortality rate of any mental health issue, and yet doctors continue to remain clueless ?

Also the part about "First do no harm" and how doctors are supposed to be perceived as helpful by clients ?

I'm really sorry that you had such a discouraging experience, and that it seems to be part of a pattern. Not sure what you can do, but it might be possible for you to ask for a referral to a doctor who understands them more ? If the doctor you are seeing doesn't seem trained or helpful in regards to what you are dealing with, I don't believe that would be considered an unreasonable request. xx
 
#8 ·
Here EDs are, with the highest mortality rate of any mental health issue, and yet doctors continue to remain clueless ?
I don't know how you guys think med school and training after med school work but...

... ENTs know about ENT diseases.

... Visceral surgeons know about visceral surgery.

... Radiologists know about radiology.

The only doctors educated about EDs are psychiatrists and the psychosomatic crowd. And even then eating disorders are a subspecialty.
 
#9 ·
well, if you look at the DSM criteria there is not one mention of "how much you should weigh to be diagnosed with bulimia"

Bulimia is diagnosed by behaviour not by weight.

That's a terrible doctor. Even if it's only one course during med school - being a decent human being should be standard.

Had the same experience. Was too fat for anorexia, too slim for bulimia, I feel like doctors don't want to have anything to do with EDs. That's what Psychiatrist are for or some bullshit they tell you.
 
#11 ·
I highly doubt that but if you have different information, please post a link.

Of course we as an eating disordered population deem eating disorders as a very important topic. However, to the majority of the population it's most likely not.
 
#12 ·
In Australia even the training for psychiatrists is pretty dismal. I've experienced more than one psych say "I know nothing about EDs". Can you imagine if they said "I know nothing about mood disorders!?" Kills me.

OP I'm so sorry you had that experience. Like you said, weight is just one part of a very complex picture.

I wonder if we could organise to create change.org petitions in our own countries to demand better training for doctors?