Struggling with Binge Eating Disorder: Seeking Help and Hope

I'm sorry to hear that you're feeling this way. It's important to talk to someone who can help you?

I feel so miserable...
because of my binge eating disorder, I feel like I'm not living my life every day.
I've had this illness for over three years.
I developed anorexia when I was in sixth grade, and compared to that, I find binge eating disorder much harder to treat.
I previously saw a doctor and took medication, but it only helped me avoid binge eating for a few meals over a few days.
Eventually, I went back to binge eating at every meal, even before bed...
which often affects my sleep.
I've also noticed that my sleep has been poor over the past few years; I'm always tired and tend to sleep for long periods.
Even if I try to go to bed early at night, I still feel the same.
Sometimes, I spend almost the entire day sleeping when I have nothing to do.
At times, I even skip classes to binge eat, and after binge eating, I feel so sleepy.
This binge eating disorder has negatively impacted my academic performance; I had to take a year off from school, and with the binge eating disorder, I feel even less motivated to attend classes.
My teachers and family have noticed my excessive absences, but I don't dare to admit it.
I'm afraid of how people will look at me.
I mentioned it briefly to my family, but I didn't go into detail.
They don't understand and just think I'm strange for throwing up after eating and for skipping classes...
What should I do? I'm so sad; I feel like everything in my life is being ruined by binge eating disorder...
What can I do? I previously took a medication called Prozac, but it didn't have much effect, and I stopped taking it.
Are there other methods that can help me? I don't want to be destroyed by this in the future...
I've heard about hypnotherapy; what is that?? Thank you.

No content, 20~29 year old female. Ask Date: 2004/11/15

Dr. Zhang Xuncheng reply Psychiatry

Dear srrokimo,
After reading your lengthy letter, I would like to express my deep sympathy for your suffering.
I have summarized the issues you raised in your letter as follows: 1.
Binge Eating Disorder.
2.
Anorexia Nervosa.
3.
Sleep issues.
4.
Fear of disclosing your condition to others.
5.
Previous use of fluoxetine (Prozac).
6.
Hypnotherapy.
I will discuss each of these in the following paragraphs.
Binge Eating Disorder and Anorexia Nervosa often co-occur with mood disorders, and sometimes they may be related to hormonal imbalances.
Therefore, it is advisable to undergo a thorough evaluation at a major hospital to establish a treatment plan.
Hypersomnia or insomnia can be standalone sleep disorders, but more commonly, they are symptoms of mood disorders.
This aspect should be assessed by a professional to clarify the situation.
Seeking help for any illness is undoubtedly a wise decision.
Particularly for psychiatric conditions, support and assistance from family and friends are crucial.
Those around you need to understand your situation to know how to provide appropriate support.
Medications like fluoxetine require continuous use for a period to achieve better results, typically recommended for at least 3 to 6 months.
Of course, the primary guidance should come from your treating physician.
Tainan Hospital wishes you good health and all the best!

Reply Date: 2004/11/15

More Info

Binge Eating Disorder (BED) is a complex condition that can significantly impact your life, as you've described. It often intertwines with emotional distress, leading to a cycle of eating, guilt, and further emotional turmoil. Your experience of having struggled with anorexia in the past and now facing binge eating highlights the need for a comprehensive approach to treatment.

Firstly, it's essential to understand that BED is not just about food; it often stems from deeper psychological issues, including anxiety, depression, or low self-esteem. The feelings of shame and isolation you mentioned are common among individuals with eating disorders. It's crucial to address these emotions as part of your treatment plan.

Given your history and current struggles, I recommend a multi-faceted approach to treatment that includes both medication and therapy. While you mentioned that medications like SSRIs (such as Prozac) did not seem effective for you, it’s important to consult with a psychiatrist who can evaluate your situation and possibly adjust your medication or try a different class of antidepressants. Medications can help regulate mood and reduce the frequency of binge episodes, but they are often most effective when combined with therapy.

Cognitive Behavioral Therapy (CBT) is one of the most effective treatments for BED. It focuses on identifying and changing negative thought patterns and behaviors related to eating. A therapist trained in CBT can help you develop healthier coping mechanisms, understand the triggers for your binge eating, and work on building a more positive self-image.

Another therapeutic option is Dialectical Behavior Therapy (DBT), which combines cognitive-behavioral techniques with mindfulness strategies. This approach can help you manage emotional distress and develop better emotional regulation skills, which may reduce the urge to binge eat.

You also mentioned hypnosis as a potential treatment. Hypnotherapy can be a useful adjunct to traditional therapies for some individuals. It aims to change the subconscious thoughts and behaviors that contribute to binge eating. However, it’s essential to work with a qualified professional who specializes in this area.

In addition to therapy, consider joining a support group for individuals with eating disorders. Sharing your experiences with others who understand what you’re going through can provide comfort and reduce feelings of isolation. Organizations like the National Eating Disorders Association (NEDA) offer resources and support networks that can be incredibly beneficial.

Lastly, it’s crucial to prioritize self-care and develop a routine that includes regular physical activity, balanced nutrition, and adequate sleep. While it may feel challenging, engaging in activities that bring you joy and fulfillment can help improve your overall mood and reduce the urge to binge eat.

In summary, overcoming Binge Eating Disorder is a journey that requires patience and support. It’s essential to seek help from healthcare professionals who can provide a tailored treatment plan that addresses both the psychological and physical aspects of the disorder. Remember, you are not alone in this struggle, and with the right support and treatment, recovery is possible.

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