Is It Depression? Emotional Eating and Mental Health - Psychiatry

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Is this depression?


I am a 17-year-old girl, and for about a year now, I have been experiencing emotional instability, which leads me to binge eat and then purge.
I have tried to control it, but I fail every time.
I feel guilty about eating, yet I constantly feel empty and compelled to eat.
I increasingly dislike myself and have become more irritable.
My daily routine has deteriorated; I either can't sleep well or sleep for over 20 hours.
I have no idea what to do or what is wrong with me.
I have vaguely informed my family about my situation, but they think it's just me being unable to control my emotions and throwing tantrums.
I go through this cycle of eating and purging every day, and I feel like I can't do anything.
It’s very painful, and I feel exhausted.
Is this depression? Should I see a doctor? Or is it just that my stress levels are too low? My family believes this isn't an illness.
What should I do?

ane, 10~19 year old female. Ask Date: 2004/02/23

Dr. Chen Wenyu reply Psychiatry


Hello, Ane: Your issue is not just depression; based on the symptoms described, it has even reached the level of "psychogenic binge eating disorder," which is different from what most people experience.
I believe you are aware of this.
You need to seek assistance from a psychiatrist as soon as possible for treatment.
As for your family, you can ask them to accompany you to the doctor's appointment so they can gain a deeper understanding of this condition.
Thank you for your message!

Reply Date: 2004/02/23

More Info


It sounds like you are experiencing a very challenging and distressing situation that could indeed be related to both emotional eating and depression. Emotional eating is often a coping mechanism for dealing with negative feelings, such as sadness, anxiety, or stress. When you mention that you eat excessively when feeling emotionally unstable and then purge, it suggests a possible eating disorder, which can be closely linked to underlying mental health issues like depression.

From what you've described, your feelings of guilt after eating, the emptiness you feel that drives you to eat, and the self-hatred you experience are significant indicators that you may be struggling with more than just a phase of emotional eating. These symptoms can be associated with depression, which is characterized by persistent feelings of sadness, loss of interest in activities, changes in sleep patterns, and feelings of worthlessness or guilt.

It's important to recognize that emotional eating and depression often coexist. Many individuals who struggle with depression may turn to food for comfort, leading to a cycle of binge eating and purging, which can exacerbate feelings of guilt and self-loathing. This cycle can be incredibly exhausting and can lead to a decline in overall mental and physical health.

Given your situation, it would be advisable to seek professional help. A mental health professional, such as a psychologist or psychiatrist, can provide you with a proper diagnosis and help you understand the root causes of your emotional eating and feelings of depression. They can also offer you effective treatment options, which may include therapy (such as cognitive-behavioral therapy) and possibly medication to help manage your symptoms.

It's understandable that you may feel hesitant to seek help, especially if your family does not recognize the seriousness of your situation. However, your mental health is important, and seeking help is a sign of strength, not weakness. You deserve support and guidance to navigate through this difficult time.

In addition to professional help, consider reaching out to trusted friends or support groups where you can share your experiences and feelings. Sometimes, just talking about what you're going through can provide relief and help you feel less isolated.

Lastly, it's essential to practice self-compassion. Recognize that you are not alone in this struggle, and many people face similar challenges. Allow yourself to feel your emotions without judgment, and remember that recovery is a journey that takes time. With the right support and treatment, you can work towards understanding and managing your emotions in healthier ways, ultimately leading to a more fulfilling life.

In summary, based on your description, it is highly recommended that you seek professional help to address your emotional eating and potential depression. You are not alone, and there are resources available to help you through this difficult time.

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