can be challenging. Effective treatment addresses the underlying emotional and mental health issues that can often date back to childhood and a person?s self-perception and self-image. Many of the treatment approaches described below help a person with bulimia break their unhealthy pattern of eating the binging and purging cycle. Treatment will also help a person with bulimia understand how their own negative self-image impacts their eating behavior. Some people with bulimia can be in what psychologists call ?denial.? Part of the challenge of treatment with bulimia, as with many eating disorders, may be just helping the person with bulimia understand they do have a serious mental health concern that needs professional treatment .While there are many different routes to treatment, virtually all of them begin with seeing an eating disorder specialist. Usually this individual is a psychologist who has deep experience and training in helping a person with bulimia. A physical examination and workup by a medical doctor is also an initial part of the standard treatment of bulimia, to understand and begin addressing the physical problems that may have occurred as a result of the disorder.