Hani Raoul Khouzam
Bulimia nervosa is a severe, life-threatening feeding and eating disorder. This report describe a case of 33 year old female with chronic bulimia nervosa , who favorably responded to the combination of a Cognitive behavior therapy and Christian based self –help group and the serotonin norepinephrine reuptake inhibitor antidepressant levomilnacipran which has only been approved for the treatment of major depressive disorder. Controlled trials would need to be conducted to confirm the effectiveness of this combination in the treatment of other patients with bulimia nervosa.