Binge Eating Disorder: When to Seek Help for Your Symptoms

Regarding binge eating disorder?

Hello doctor, about six months ago, I felt that I was overweight, and one day after eating a bit too much, I induced vomiting.
Since then, whenever I eat a little more than usual, I have been inducing vomiting, increasing from once or twice a week to six or seven times a week.
My weight has dropped from 52 kg to 45 kg (height 158 cm).
Three months ago, I started to gradually reduce my food intake because I thought that if I didn't eat too much, I wouldn't need to induce vomiting.
For example, I would only eat one convenience store rice ball a day, thinking that would be enough.
However, it's not feasible to eat just rice balls every day, so I still want to eat other foods, but in portions that are about one-third of what an average person would eat.
At that point, I start to feel like I've eaten too much and quickly induce vomiting.
I understand that binge eating disorder typically involves consuming a large amount of food in a short period, followed by purging or using laxatives, but I haven't been eating large quantities of food, so I'm unclear whether I have binge eating disorder.
Should I seek help from a psychiatrist?

A Bin, 20~29 year old female. Ask Date: 2023/03/26

Dr. Qiu Junda reply Psychiatry

Hello.
Your condition regarding binge eating disorder still needs to be evaluated, and it is important to seek improvement.
It is recommended that you visit a mental health professional (psychiatrist) to facilitate early recovery.

Reply Date: 2023/03/26

More Info

Binge Eating Disorder (BED) is a serious eating disorder characterized by recurrent episodes of eating large quantities of food, often to the point of discomfort, followed by feelings of shame or guilt. However, it is essential to recognize that not all individuals with disordered eating patterns fit neatly into the criteria for BED. Your situation, where you have developed a pattern of purging after eating even small amounts, indicates a significant concern that warrants professional evaluation.

From your description, it seems you have developed a cycle of restrictive eating followed by purging, which can be indicative of a condition known as Bulimia Nervosa rather than BED. In Bulimia Nervosa, individuals often engage in binge eating followed by compensatory behaviors such as vomiting, excessive exercise, or misuse of laxatives. However, it is also possible to have disordered eating behaviors that do not fully meet the criteria for a specific eating disorder, which can still be harmful and require intervention.

Given that you have experienced a significant weight loss (from 52 kg to 45 kg) and have developed a compulsive behavior around eating and purging, it is crucial to seek help from a mental health professional, particularly one who specializes in eating disorders. Here are several reasons why seeking help is important:
1. Health Risks: Purging can lead to severe health complications, including electrolyte imbalances, gastrointestinal issues, dental erosion, and heart problems. The physical toll of these behaviors can be detrimental, and early intervention can help mitigate these risks.

2. Psychological Support: Eating disorders often co-occur with other mental health issues such as anxiety, depression, and low self-esteem. A mental health professional can provide you with the necessary support to address these underlying issues and develop healthier coping mechanisms.

3. Nutritional Guidance: A registered dietitian who specializes in eating disorders can help you establish a balanced eating plan that meets your nutritional needs without triggering the urge to purge. They can also help you understand the importance of regular meals and the role of food in your overall health.

4. Therapeutic Approaches: Cognitive Behavioral Therapy (CBT) is one of the most effective treatments for eating disorders. It focuses on changing negative thought patterns and behaviors related to food, body image, and self-worth. Other therapeutic modalities, such as Dialectical Behavior Therapy (DBT) or Acceptance and Commitment Therapy (ACT), may also be beneficial.

5. Support Groups: Engaging in support groups can provide a sense of community and understanding. Sharing experiences with others who are facing similar challenges can be incredibly validating and can help reduce feelings of isolation.

In conclusion, it is essential to take your symptoms seriously and seek help from a qualified mental health professional. They can provide a comprehensive assessment to determine the nature of your eating behaviors and guide you toward appropriate treatment options. Remember, you are not alone in this journey, and there is support available to help you regain control over your relationship with food and your body. Taking the first step to seek help is a courageous and vital move toward recovery.

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