Bulimia · Brussels and Belgium

Bulimia: signs, support and care in Brussels

Understand binge episodes, compensatory behaviours, and the first steps towards a specialist assessment in Brussels or elsewhere in Belgium.

What is bulimia?

Bulimia involves recurrent binge-eating episodes with a sense of loss of control, followed by regular compensatory behaviours intended to prevent weight gain, such as self-induced vomiting, fasting, laxative use, or excessive exercise. Weight alone cannot identify the disorder.

Signs that warrant consultation

  • Binge episodes experienced as uncontrollable, often hidden or followed by shame.
  • Self-induced vomiting, fasting, restriction, laxatives, or compensatory exercise.
  • Persistent preoccupation with weight, shape, meals, or compensation.
  • Fatigue, faintness, digestive symptoms, dental problems, or social withdrawal.

Bulimia or binge-eating disorder?

Both may involve binge episodes with loss of control. The central distinction is that bulimia includes regular compensatory behaviours after binges, whereas binge-eating disorder does not. Only a clinical assessment can clarify an individual situation.

Understand

Who should I contact in Brussels?

  • A GP to assess general health and medical risk and coordinate referral.
  • An eating-disorder psychologist or psychiatrist for mental-health assessment and care.
  • A specialised dietitian to work on eating patterns without reinforcing restriction or guilt.
  • For people aged 0–23, a treating physician can check eligibility for the Belgian care pathway.

What does nutritional support involve?

Support starts by understanding binge episodes, restriction, compensation, medical context, and the professionals already involved. Nutritional care belongs within multidisciplinary treatment and does not replace medical or psychological assessment.

See the care pathway

When is urgent help needed?

Loss of consciousness, chest pain, vomiting blood, severe dehydration or weakness, suicidal thoughts, or immediate danger require urgent help. In Belgium, call 112 in an immediate emergency.

Frequently asked questions about bulimia

Can someone have bulimia without being underweight?

Yes. People with bulimia may be at different weights. Weight alone cannot confirm or rule out an eating disorder.

Should I wait until binges are frequent before seeking help?

No. Loss of control, compensatory behaviour, distress, or persistent concern is enough to request an initial assessment.

Is dietetic care enough to treat bulimia?

Care is generally multidisciplinary. Dietetic work is coordinated with medical and mental-health professionals according to need.

Editorial review

Roxane Aglave

Dietitian-nutritionist · Master’s degree in public health · University diploma in child and adolescent eating disorders

Last reviewed :

This page informs and guides. It cannot diagnose and does not replace medical advice.

  • La Ramée Clinic / CRAB-TCA
  • Supraregional EMAS team
  • UPDLF
  • INAMI working group on the Belgian eating-disorder care pathway

This website provides orientation guidance and does not replace diagnosis or urgent medical care.

Sources and references

General clinical definitions and the Belgian referral framework.

Practical info

Practical information

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About

Who is supporting you?

Roxane Aglave

During consultations, I work with each patient to build practical eating strategies adapted to their situation, pace and environment, involving relatives and the care team whenever this supports recovery.

What I offer
  • Personalised nutrition consultations
  • Collaboration with family and healthcare teams
Address : 34, Boulevard du Souverain, 1170 Watermael-Boitsfort
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Phone : 0470 18 61 59
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Email : contact@roxaneaglave.com
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INAMI number : 5-63023-62-601
Care pathway coverage : Covered within the Belgian eating-disorder care pathway (ages 0–23), depending on eligibility criteria.
LinkedIn : Roxane Aglave
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Languages : Français, Italiano