Why Am I Always Hungry Even After Eating Enough? Emotional Eating - Psychiatry

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Even though I feel full, I still have the urge to eat?


Hello Dr.
Tang: Recently, I've noticed that my temper has become increasingly irritable and volatile.
Everything seems displeasing, and there's a constant feeling of dissatisfaction that feels like it could erupt at any moment.
The worst part is that even though I eat a lot and feel full during meals, I still have an incessant craving to eat more.
I can only stop when I feel overly stuffed.
Sometimes, after a short break, I find myself wanting to eat again.
Every day feels like a struggle between my desire for food and my willpower (this has been going on for about two months).
I'm worried that if I continue this way, my weight will keep increasing (I've tried eating smaller meals more frequently, but it doesn't provide any satisfaction).
Can you please tell me what's happening to me? (I can hardly stand myself anymore.) Is there a way to improve this? Sincerely, Xiao You.

Xiao You, 30~39 year old female. Ask Date: 2004/11/24

Dr. Tang Xinbei reply Psychiatry


Dear Little Worry: It seems that you are feeling troubled and concerned about your excessive eating habits.
It appears that your emotions have also changed: you are becoming increasingly irritable, agitated, dissatisfied with everything, and feeling on the verge of an outburst.
These emotional changes are related to eating behaviors; some people tend to overeat when they are anxious, while others may do so when they are feeling down.
Many women experience increased appetite during or just before their menstrual period, and some may overeat when they are feeling euphoric.
Your situation has been ongoing for more than two months.
I recommend that you visit the Metabolism Department at a nearby general hospital for evaluation and diagnosis by a specialist.
If you are advised to see a psychiatrist, please seek an appointment at a nearby medical facility's psychiatric department for assessment and necessary treatment as soon as possible.
Wishing you peace and joy!

Reply Date: 2004/11/24

More Info


Feeling persistently hungry even after eating enough can be a complex issue that intertwines physical, emotional, and psychological factors. It’s important to understand that hunger is not solely a physical sensation; it can also be influenced by emotional states, habits, and even hormonal changes.


Understanding Hunger
Hunger is regulated by a complex interplay of hormones, including ghrelin (which stimulates appetite) and leptin (which signals satiety). When you eat, these hormones should ideally work together to signal to your brain that you are full. However, several factors can disrupt this balance:
1. Emotional Eating: Emotional states such as stress, anxiety, or depression can lead to increased cravings for food, often referred to as "emotional eating." This can occur even when you are not physically hungry. The act of eating can provide temporary relief from negative emotions, leading to a cycle of overeating.

2. Diet Composition: The types of foods you consume can also impact your feelings of fullness. Diets high in refined carbohydrates and sugars can lead to rapid spikes and drops in blood sugar levels, which can trigger feelings of hunger shortly after eating. On the other hand, meals that are rich in protein, fiber, and healthy fats tend to promote satiety and keep you feeling full longer.

3. Hormonal Imbalances: Conditions such as insulin resistance or thyroid disorders can affect hunger signals. If your body is not responding properly to insulin, it may lead to increased hunger and cravings.

4. Psychological Factors: Your mental state can significantly influence your eating habits. Feelings of dissatisfaction, irritability, or restlessness can lead to a desire to eat as a way to cope with these emotions. This can create a cycle where you eat not out of physical hunger but to manage emotional discomfort.


Strategies for Improvement
1. Mindful Eating: Practice being more aware of your eating habits. Pay attention to your hunger cues and try to distinguish between physical hunger and emotional cravings. Eating slowly and savoring each bite can help you recognize when you are truly full.

2. Balanced Diet: Focus on a balanced diet that includes a variety of food groups. Incorporate whole grains, lean proteins, healthy fats, and plenty of fruits and vegetables. This can help stabilize blood sugar levels and promote feelings of fullness.

3. Emotional Awareness: Consider keeping a journal to track your emotions and eating habits. This can help you identify patterns and triggers for emotional eating. If you notice that certain feelings lead to cravings, find alternative coping strategies, such as exercise, meditation, or talking to a friend.

4. Professional Support: If you find that your eating habits are significantly impacting your life, it may be beneficial to seek support from a healthcare professional. A registered dietitian can help you develop a personalized eating plan, while a therapist can assist you in addressing emotional issues related to food.

5. Regular Physical Activity: Engaging in regular exercise can help regulate appetite hormones and improve mood. Physical activity can also serve as a healthy outlet for stress and frustration.


Conclusion
Feeling persistently hungry despite adequate food intake can be a sign of underlying emotional or psychological issues, as well as dietary choices. By understanding the factors that contribute to your hunger and implementing strategies to address them, you can work towards a healthier relationship with food. If these feelings persist, consider reaching out to a healthcare provider for further evaluation and support. Remember, it’s important to be kind to yourself during this process and recognize that change takes time.

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