Am I Binge Eating? Eating Habits and Concerns

Is this binge eating?

Hello Doctor, from June to August this year, I experienced autonomic nervous system dysregulation due to exam stress, which led to gastrointestinal discomfort and loss of appetite.
After some relief in September, my food intake increased, especially snacks, as they were readily available.
Today, I slept until noon and in the afternoon, I ate several mini crispy rolls and a few small bags of cookies, along with a main meal of fried rice for dinner and a cup of bubble tea.
I want to lose weight, but I feel happy while eating, and I don't experience purging or guilt.
Instead, I'm worried about diabetes.
Is this considered binge eating? Thank you, Doctor.

Yuan Yuan, 10~19 year old female. Ask Date: 2022/10/29

Dr. Xiao Minghong reply Psychiatry

Hello Yuanyuan,
From the information you provided, it seems that you are experiencing significant stress lately.
When under stress, the secretion of cortisol in the body increases, which stimulates the body's need for sugar, as sugar can quickly provide energy to cope with the stress.
Additionally, consuming sugar can temporarily calm emotions and improve mood; however, excessive intake may lead to sugar-related health issues.
Since the amount of food you are consuming does not reach the level that an average person cannot eat in a short time, and you do not exhibit behaviors such as purging or feelings of guilt, it appears that you may not have reached the level of binge eating disorder.
If you continue to feel troubled by this, it is advisable to seek evaluation and discuss better stress coping strategies with a psychiatrist or a psychosomatic medicine specialist.
Wishing you all the best,
Dr.
Hsiao Ming-Hong, Psychiatry

Reply Date: 2022/10/29

More Info

It sounds like you are experiencing a complex relationship with food, particularly in the context of stress and emotional eating. Based on your description, it’s important to clarify what binge eating is and how it might relate to your current eating habits.

Binge eating disorder (BED) is characterized by recurrent episodes of eating large quantities of food, often quickly and to the point of discomfort. Individuals with BED may feel a lack of control during these episodes and often experience feelings of distress afterward. However, it’s crucial to note that not everyone who eats large amounts of food is necessarily binge eating. The absence of guilt or purging behaviors, as you mentioned, suggests that your eating patterns may not fit the clinical definition of binge eating disorder.

From your account, it seems that your eating habits have changed significantly due to stress from exams, leading to a period of decreased appetite followed by an increase in food intake, particularly snacks. This is not uncommon; many people turn to food for comfort during stressful times. The fact that you enjoy eating and do not feel guilt afterward indicates that your relationship with food may be more about coping with stress rather than a compulsive behavior.

However, your concern about developing health issues, such as diabetes, is valid. Consuming large amounts of sugary snacks and processed foods can lead to weight gain and increase the risk of metabolic disorders. It’s essential to be mindful of your overall dietary patterns and how they may affect your long-term health.

Here are some suggestions to help you navigate your eating habits:
1. Mindful Eating: Practice being present during meals. Pay attention to your hunger cues and try to eat slowly. This can help you enjoy your food more and recognize when you are full.

2. Balanced Diet: Aim for a balanced diet that includes a variety of food groups. Incorporate more fruits, vegetables, whole grains, and lean proteins into your meals. This can help you feel satisfied without relying heavily on snacks.

3. Healthy Snacks: If you find yourself snacking frequently, consider healthier options. Instead of reaching for sugary snacks, try nuts, yogurt, or fruit. These can provide satisfaction without excessive calories.

4. Stress Management: Since your eating patterns seem to be influenced by stress, consider exploring stress management techniques. Activities such as exercise, meditation, or talking to a friend can help alleviate stress without turning to food.

5. Regular Meals: Try to establish a regular eating schedule. Skipping meals can lead to increased hunger and cravings later in the day, making it more likely that you’ll overeat.

6. Consult a Professional: If you continue to have concerns about your eating habits or if you feel that your relationship with food is becoming problematic, consider speaking with a healthcare professional or a registered dietitian. They can provide personalized guidance and support.

In conclusion, while your current eating habits may not fit the strict definition of binge eating, it’s essential to be aware of how stress and emotional factors can influence your relationship with food. By adopting mindful eating practices and focusing on a balanced diet, you can work towards healthier habits that support both your physical and emotional well-being. Remember, it’s about progress, not perfection, and seeking help is a sign of strength.

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