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PEP-Easy Tip: To save PEP-Easy to the home screen

PEP-Web Tip of the Day

To start PEP-Easy without first opening your browser–just as you would start a mobile app, you can save a shortcut to your home screen.

First, in Chrome or Safari, depending on your platform, open PEP-Easy from You want to be on the default start screen, so you have a clean workspace.

Then, depending on your mobile device…follow the instructions below:


  1. Tap on the share icon Action navigation bar and tab bar icon
  2. In the bottom list, tap on ‘Add to home screen’
  3. In the “Add to Home” confirmation “bubble”, tap “Add”

On Android:

  1. Tap on the Chrome menu (Vertical Ellipses)
  2. Select “Add to Home Screen” from the menu


For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Herzog, D.B. Franko, D.L. Brotman, A.W. (1989). Integrating Treatments for Bulimia Nervosa. J. Amer. Acad. Psychoanal., 17(1):141-150.

(1989). Journal of American Academy of Psychoanalysis, 17(1):141-150

Integrating Treatments for Bulimia Nervosa

David B. Herzog, M.D., Debra L. Franko, Ph.D. and Andrew W. Brotman, M.D.

The treatment of bulimia nervosa is challenging. Bulimic patients are characteristically secretive about their symptoms and ambivalent about seeking and maintaining treatment. Moreover, bulimia nervosa is associated with significant co-morbidity and frequently coexists with other Axis I and Axis II disorders. Although bulimia nervosa, in an uncomplicated form, may respond well to cognitive, interpersonal, or psychodynamic psychotherapy or psychopharmacotherapy, this paper will focus on the refractory bulimic patient who requires an integrated multimodal treatment approach.

DSM-III-R criteria for the diagnosis of bulimia nervosa (formerly designated as bulimia in DSM-III) include at least two binge eating episodes per week for three months, a feeling of being out of control during a binge, the regular use of vomiting, laxatives, diuretics, dieting, or exercise to counteract the effect of a binge, and preoccupation with weight or body. Although bulimia nervosa can occur in individuals who are obese or underweight, most bulimics are normal weight. According to the DSM-III-R, bulimia nervosa can coexist with the diagnosis of anorexia nervosa.

The onset of this disorder frequently precedes presentation for treatment by several years. In the Eating Disorders Unit at Massachusetts General Hospital the mean duration of symptoms prior to presentation is almost six years. Typically the bulimic is ashamed of her disordered eating behaviors and has kept it a secret. Approximately 10% of the patients we see in our clinic are in ongoing psychotherapy but have not been able to inform their therapist of their disordered eating behaviors out of shame or guilt.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

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