Am I Experiencing Binge Eating Disorder? My Struggles - Psychiatry

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Do I have binge eating disorder?


Hello, Doctor: I would like to ask about my situation.
I want to lose weight, but whenever I try to restrict my diet for a period of time, I suddenly binge eat.
As long as I know where my favorite snacks are hidden, even if I want to continue restricting myself, my mind keeps thinking about those hidden snacks.
I don’t purge like some other patients, but I always feel guilty after eating.
I do exercise, but it’s not very intense or sustained! I find it especially difficult to stop eating at night; I want to stop but I keep reaching for food.
Every morning I weigh myself, and it makes me feel really sad...

Yao, 20~29 year old female. Ask Date: 2018/10/05

Dr. Cai Qijin reply Psychiatry


Hello: The characteristics of binge eating disorder include dieting due to concerns about body image, followed by compensatory binge eating.
After binge eating, inappropriate compensatory behaviors such as self-induced vomiting, excessive exercise, or fasting may occur.
This cycle is perpetuated by intense feelings of guilt, leading to further binge eating, creating a vicious cycle.
Based on your described situation, it may align with some symptoms.
If it causes significant distress in your life, it is advisable to seek assistance from a specialist.

Reply Date: 2018/10/05

More Info


Based on your description, it does sound like you may be experiencing symptoms consistent with Binge Eating Disorder (BED). This condition is characterized by recurrent episodes of eating large quantities of food, often quickly and to the point of discomfort, accompanied by feelings of loss of control during the binge episodes. Unlike other eating disorders, individuals with BED do not regularly engage in compensatory behaviors such as purging, fasting, or excessive exercise. The feelings of guilt and shame after binge eating, as well as the preoccupation with food and weight, are also common indicators.

Your struggle with restricting your diet followed by episodes of binge eating, particularly when you are feeling emotional or stressed, aligns with the behavioral patterns often seen in BED. The fact that you are aware of your eating habits and feel guilty afterward suggests that you are experiencing a significant emotional burden related to food and body image. This cycle can be very distressing and can lead to further complications, including anxiety and depression.

To address your concerns, it is crucial to approach treatment from multiple angles. Here are some recommendations:
1. Seek Professional Help: Consulting with a mental health professional who specializes in eating disorders can provide you with the necessary support and guidance. Cognitive Behavioral Therapy (CBT) has been shown to be particularly effective for BED, as it helps individuals understand and change their thought patterns and behaviors related to food.

2. Consider Medication: In some cases, medications such as selective serotonin reuptake inhibitors (SSRIs) like Zoloft (sertraline) can be beneficial in managing the symptoms of BED. These medications can help reduce the frequency of binge eating episodes and improve mood. It is essential to discuss this option with your healthcare provider to determine if it is appropriate for you.

3. Nutritional Counseling: Working with a registered dietitian can help you develop a healthier relationship with food. They can assist you in creating a balanced meal plan that meets your nutritional needs while also addressing your emotional triggers for binge eating.

4. Mindfulness and Stress Management: Incorporating mindfulness practices, such as meditation or yoga, can help you become more aware of your emotions and triggers. Learning stress management techniques can also reduce the urge to binge eat when feeling overwhelmed.

5. Support Groups: Joining a support group for individuals with eating disorders can provide a sense of community and understanding. Sharing your experiences with others who are going through similar struggles can be incredibly validating and helpful.

6. Focus on Self-Compassion: It is essential to practice self-compassion and to understand that recovery is a process. Be kind to yourself as you navigate your feelings about food and body image. Recognizing that you are not alone in your struggles can also be comforting.

7. Monitor Your Progress: Keeping a journal of your eating habits, emotions, and triggers can help you identify patterns and develop strategies to cope with them. This self-awareness is a crucial step in overcoming BED.

In conclusion, it is vital to acknowledge your experiences and seek help. Binge Eating Disorder is a serious condition, but with the right support and treatment, it is possible to develop healthier eating habits and a more positive relationship with food and your body. Remember, you are not alone in this journey, and there are resources available to help you navigate your struggles.

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