Emotional Eating Issues After a Breakup: A Guide - Psychiatry

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I apologize for asking on behalf of a friend?


The doctor would like to ask if my friend, who is very heartbroken after breaking up with her partner, has not eaten or slept for two days.
Now, whenever she tries to eat something, she keeps vomiting.
I have looked up many ways to help her regain her appetite, but nothing seems to work.
I want to ask the doctor if this is a psychological issue or if her gastrointestinal system has already started to have problems.

A-Xiang, 20~29 year old female. Ask Date: 2024/02/26

Dr. Wu Enliang reply Psychiatry


It should be a psychological issue, according to Dr.
Wu En-liang.

Reply Date: 2024/02/26

More Info


Emotional eating, particularly following a significant life event such as a breakup, can manifest in various ways, including loss of appetite, nausea, and even vomiting. Your friend's situation is concerning and could be indicative of both psychological and physiological issues.
Firstly, it's essential to understand that emotional distress can significantly impact one's eating habits. In the aftermath of a breakup, feelings of sadness, anxiety, and depression can lead to changes in appetite. Some individuals may turn to food for comfort, while others may lose their appetite entirely, as seems to be the case with your friend. This loss of appetite can be a natural response to emotional turmoil, but when it extends to not eating for two days and experiencing nausea or vomiting after attempting to eat, it raises red flags.

From a psychological perspective, your friend may be experiencing acute stress or depression. These conditions can lead to a range of symptoms, including changes in appetite, sleep disturbances, and gastrointestinal issues. The body and mind are interconnected, and emotional pain can manifest physically. In this case, the stress from the breakup may have triggered a physiological response that affects her digestive system, leading to nausea and vomiting when she tries to eat.

On the physiological side, prolonged periods without food can lead to gastrointestinal distress. The stomach may become sensitive after not being used to process food, and when your friend attempts to eat, her body may react negatively, resulting in nausea or vomiting. This can create a vicious cycle where the fear of eating due to the unpleasant experience reinforces her reluctance to eat, further exacerbating her condition.

Given these factors, it is crucial for your friend to seek professional help. A healthcare provider can assess her physical health, including any gastrointestinal issues that may have arisen from her emotional state. Additionally, a mental health professional can help her process her feelings regarding the breakup and develop healthier coping mechanisms. Therapy options such as cognitive-behavioral therapy (CBT) can be particularly effective in addressing emotional eating and the underlying issues contributing to her distress.

In the meantime, here are some strategies that may help your friend regain her appetite and manage her emotional state:
1. Small, Frequent Meals: Encourage her to try eating small amounts of bland foods that are easy on the stomach, such as crackers, toast, or bananas. This can help her gradually reintroduce food without overwhelming her system.

2. Hydration: Ensure she stays hydrated. If solid food is difficult, she might try clear broths, herbal teas, or electrolyte drinks to maintain hydration.

3. Gentle Movement: Light physical activity, such as walking, can help stimulate appetite and improve mood. Exercise releases endorphins, which can help alleviate feelings of sadness.

4. Mindfulness and Relaxation Techniques: Encourage her to practice mindfulness, meditation, or deep-breathing exercises to help manage anxiety and stress.

5. Social Support: Being there for her as a friend can provide emotional support. Encourage her to talk about her feelings and remind her that it's okay to seek help.

6. Professional Help: As mentioned earlier, seeking help from a therapist or counselor can provide her with the tools to cope with her emotions and develop a healthier relationship with food.

In conclusion, your friend's situation is likely a combination of psychological distress and physiological response. It is essential for her to receive appropriate support and treatment to address both aspects. Encourage her to seek help as soon as possible, as early intervention can significantly improve her recovery and overall well-being.

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