I don't think I have anorexia or depression?
Hello Doctor: After the breakup, although I often cry and can't smile, I refuse to interact with others.
I can hardly muster the energy to respond to those who care about me.
Even when my family takes me out and forces me to walk, I still feel more than 80% dazed.
However, I can fall asleep every day without any issues with insomnia.
Although I often have thoughts of self-harm (which has been a habit in the past), I have managed to resist the urge time and again.
The only concerning issue is that I have completely lost my sense of hunger lately.
To avoid worrying my family, I still force myself to eat a little at every meal, but after eating, whether it's half an hour later or 3-4 hours later, I always feel nauseous and have the urge to vomit.
I go to the bathroom to induce vomiting, thinking it will make me feel better.
Sometimes I vomit 2-3 times after a single meal, and this cycle repeats: no sense of hunger > not wanting to eat anything > forcing myself to eat a little > then vomiting > vomiting > vomiting.
My family is very worried that I might be ill and hopes I will see a doctor, but I feel that I am not sick and do not have anorexia.
Even though my weight has been dropping lately, I wonder if this is just a consequence of my heartbreak and not an illness, right? Thank you, Doctor.
Weiii, 20~29 year old female. Ask Date: 2017/07/19
Dr. Cai Qijin reply Psychiatry
Hello: If the aftermath of a breakup lasts too long or significantly affects the body, it may lead to psychosomatic disorders and could potentially progress or combine with other mental illnesses.
Seeking assistance from professionals can help reduce discomfort and shorten the adjustment period.
If it greatly impacts daily life, it is advisable to seek an evaluation at a psychiatric outpatient clinic.
Reply Date: 2017/07/19
More Info
Emotional eating, particularly in the context of a breakup, can be a complex issue that intertwines psychological distress with behavioral responses to that distress. In your case, it seems that you are experiencing a range of emotional and physical symptoms that are significantly impacting your well-being. While you may not perceive yourself as "sick," the behaviors you describe—such as forcing yourself to eat despite a lack of hunger, feeling nauseous after eating, and engaging in self-induced vomiting—are concerning and suggest that you may be struggling with an eating disorder, possibly linked to your emotional state.
Firstly, it's important to understand that emotional eating often serves as a coping mechanism for dealing with stress, sadness, or anxiety. In your situation, the aftermath of a breakup has led to feelings of hopelessness and disconnection, which can trigger a cycle of emotional eating followed by purging behaviors. This cycle can be harmful both physically and psychologically. The fact that you are experiencing nausea and the urge to vomit after eating indicates that your body is reacting negatively to this pattern, which can lead to further complications, such as electrolyte imbalances, gastrointestinal issues, and potential long-term damage to your esophagus and teeth.
Your description of feeling "hazy" or "disconnected" from your surroundings, along with your history of self-harm, suggests that you may be experiencing symptoms of depression or anxiety. These mental health issues can exacerbate disordered eating behaviors, creating a vicious cycle that is difficult to break without intervention. It’s crucial to recognize that while you may feel that your weight loss and lack of appetite are simply reactions to your breakup, they can also be indicators of a deeper psychological struggle that requires attention.
Given these factors, I strongly recommend seeking professional help. A mental health professional, such as a psychologist or psychiatrist, can provide you with a safe space to explore your feelings and behaviors. They can help you understand the underlying issues contributing to your emotional eating and develop healthier coping strategies. Cognitive Behavioral Therapy (CBT) is particularly effective for addressing disordered eating patterns and can help you reframe negative thoughts and behaviors associated with food and body image.
In addition to therapy, it may be beneficial to consult with a registered dietitian who specializes in eating disorders. They can help you establish a balanced eating plan that meets your nutritional needs while addressing your emotional relationship with food. This approach can help you regain a sense of control over your eating habits and improve your overall health.
As for immediate coping strategies, consider engaging in activities that promote emotional well-being, such as journaling, mindfulness meditation, or physical exercise. These practices can help you process your emotions in a healthier way and reduce the urge to turn to food as a source of comfort. Additionally, reaching out to supportive friends or family members, even if it's challenging, can provide you with the connection and understanding you need during this difficult time.
In summary, while you may not view yourself as "sick," the behaviors you are exhibiting are concerning and warrant professional attention. Emotional eating, particularly when accompanied by purging behaviors, can lead to serious health issues. Seeking help from mental health and nutritional professionals can provide you with the support and tools necessary to navigate this challenging period in your life and foster a healthier relationship with food and your emotions. Remember, you are not alone in this, and there are resources available to help you heal.
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