Binge Eating and Substance Abuse: A Path to Recovery

Q: Binge Eating and Substance Abuse: A Path to Recovery

Hello, Mai Mai： First of all, I want to say that you have been through a lot! Maintaining a state of binge eating and purging for such a long time must have been very difficult for you. <br>In clinical practice, when we encounter cases of eating disorders, the first priority is t

Long-term binge eating, substance abuse, and inability to self-regulate?

I'm sorry to hear that you're feeling this way.
It's really important that you talk to someone who can help you, such as a mental health professional.

Mai Mai, 20~29 year old female. Ask Date: 2023/04/08

Dr. Lin Mianzhang reply Psychiatry

Hello, Mai Mai: First of all, I want to say that you have been through a lot! Maintaining a state of binge eating and purging for such a long time must have been very difficult for you.
In clinical practice, when we encounter cases of eating disorders, the first priority is to ensure the individual's physiological condition is stable.
I wonder what your current weight is? Is it within the normal range? (BMI between 18.5 and 24).
If you are underweight, it is likely that your endocrine system may be disrupted, which can affect many physiological functions.
In such cases, it is essential to address the physiological issues before moving on to psychological treatment.
On the psychological side, binge eating and purging can be coping mechanisms for stress, a lack of confidence in one's body image, or a way to exert control over oneself.
Ultimately, this often relates to a negative self-perception, excessive concern about others' opinions, or deficiencies in intimate relationships.
The concept of intimate relationships is often closely tied to family dynamics.
Although you mentioned that your family is very supportive, do they also have access to your health insurance information? I wonder what their reasons are for looking at your medical information? How do you feel about them doing this?
Additionally, you mentioned having social issues and difficulty interacting with others, which may also be related to your relationship with your family.
Since this is a public online platform, I cannot engage in a deep discussion to understand the underlying psychological factors behind your binge eating and purging.
Each person has a unique background and psychological state, so it cannot be generalized.
Therefore, I sincerely recommend that you seek medical assistance.
If you prefer not to let your family know, you can seek treatment privately without using your health insurance card, which would prevent your family from accessing your medical information.
Finally, I want you to know that I genuinely wish to help you, and you are not wasting my time.
On the contrary, I want to acknowledge that it is commendable that you have taken the time to reach out for help; that is not easy to do.
Wishing you peace and health!

Reply Date: 2023/04/08

More Info

Binge eating and substance abuse are complex issues that often intertwine, leading to a cycle of unhealthy behaviors that can be difficult to break. Your situation reflects a common struggle where individuals may turn to food or substances as coping mechanisms, even when external stressors have diminished. Understanding the underlying psychological factors is crucial for recovery.

Firstly, it's important to recognize that binge eating often stems from emotional distress, even if the current circumstances seem stable. The act of binge eating can serve as a temporary escape from feelings of emptiness, anxiety, or depression. In your case, it appears that the behavior has become a habitual response, ingrained over a decade, making it challenging to break free from the cycle. The transition to substance use, particularly with benzodiazepines, suggests a search for relief from anxiety or discomfort, which may have been exacerbated by the binge eating and purging behaviors.

Your feelings of confusion regarding your motivations are valid. Many individuals who engage in these behaviors report a sense of loss of control, and it can feel paradoxical when the behaviors do not bring the anticipated relief or satisfaction. This can lead to a deeper exploration of self-worth, identity, and the need for connection. It’s essential to understand that these behaviors are not merely about food or substances; they often reflect deeper emotional struggles.

While seeking professional help is the most effective route to recovery, there are several self-help strategies you can consider in the meantime:
1. Journaling: Keeping a journal can help you identify triggers for your binge eating and substance use. Write down your feelings before and after episodes, which may help you recognize patterns and emotional states that lead to these behaviors.

2. Mindfulness and Meditation: Practicing mindfulness can help you become more aware of your thoughts and feelings without judgment. Techniques such as deep breathing, meditation, or yoga can reduce anxiety and improve emotional regulation.

3. Structured Eating: Try to establish a regular eating schedule with balanced meals. This can help reduce the urge to binge by ensuring that your body receives adequate nutrition throughout the day.

4. Healthy Coping Mechanisms: Explore alternative coping strategies that do not involve food or substances. This could include physical activities, creative outlets (like art or music), or engaging in hobbies that bring you joy.

5. Support Groups: While you may feel isolated, consider online support groups for binge eating or substance abuse. These can provide a sense of community and understanding without the pressure of face-to-face interactions.

6. Education: Learning more about binge eating disorder and substance abuse can empower you. Understanding the psychological and physiological aspects of these behaviors can help demystify your experiences and reduce feelings of shame.

7. Gradual Exposure: If you feel comfortable, gradually expose yourself to situations that trigger your binge eating or substance use. This can help desensitize you to these triggers over time.

8. Limit Access: If possible, limit your access to substances or food that you binge on. This can create a buffer while you work on addressing the underlying issues.

9. Self-Compassion: Practice self-compassion and recognize that recovery is a journey. It’s okay to have setbacks, and treating yourself with kindness can foster resilience.

Lastly, while these strategies can be helpful, they are not a substitute for professional treatment. If at any point you feel overwhelmed or have thoughts of self-harm, it’s crucial to reach out for help, even if it feels difficult. There are confidential hotlines and resources available that can provide immediate support.

In summary, your journey involves understanding the emotional roots of your behaviors and finding healthier coping mechanisms. While the path may be challenging, taking small steps towards self-awareness and self-care can lead to significant changes over time. Remember, you are not alone in this struggle, and there are resources available to support you.

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