Abstract
Here, we report a case of bulimia nervosa who responded positively to transactional analysis after taking Mazindol. A 20-year-old woman, who started dieting at the age of 18,consulted our hospital complaining of binge eating, cathartic drug abuse, and depressive moods. She was diagnosed as having bulimia nervosa according to DSM-III-R and admitted to our hospital. She underwent transactional analysis, behavior therapy and antipsychotic drug therapy, but she resisted and her eating behavior and depressive moods worsened. Only Mazindol, which has an appetite-suppressive effect, stopped her binge eating. Her depressive moods gradually improved after she underwent transactional analysis with the cooperation of her parent and her boyfriend. We discuss the mechanism of onset and pathology of this case from the viewpoint of transactional analysis. That the appetite-suppressive effect of Mazindol may contribute to the therapy of bulimia nervosa is suggested.
