Fighting the "Purging Threshold"

Bulimia involves lots of rituals in the binge/purge process, possibly ranging from the route to the grocery store all the way through the method of cleaning up after purging.

One important point in the process is what I call the "purging threshold," that exact moment at which the person feels that it's absolutely necessary to purge. It's a powerful urge that feels almost irresistible. At least, it seems that way...

• The purging threshold is part of the ritual
• Rituals in bulimia spring from, and reinforce, shame
• Symptoms beyond rituals