Am I Struggling with Binge Eating Disorder? Seeking Help for My Eating Habits

Do I have binge eating disorder?

After losing over ten kilograms through exercise and dieting, my weight has plateaued, and I have grown tired of this method, leading me to stop.
However, I am very afraid of gaining weight and am extremely concerned about my body shape and weight fluctuations.
About a year ago, I started using self-induced vomiting as a way to maintain my weight.
I would try to expel any food I consumed.
Unfortunately, I found that this method not only failed to keep my weight stable but actually led to an upward trend.
Even when I am not hungry, I have a strong urge to eat.
Whenever I encounter food, I tend to binge eat, stuffing myself with anything I can until I feel uncomfortably full.
I can eat three or four pieces of bread or an entire pot of rice in one sitting.
After eating, I feel an overwhelming sense of guilt and rush to the bathroom to induce vomiting.
Sometimes, I find the act of vomiting to be very painful, and I end up crying in the bathroom.
Afterward, I feel exhausted and just want to sleep.
I know this is harmful to my body, and I keep telling myself to stop, but I can't seem to control it.
I don't know what to do to stop this behavior.
Do I really need to see a doctor?

Konghuan Nü, 20~29 year old female. Ask Date: 2005/07/03

Dr. Wang Chongren reply Psychiatry

Dear Dr.
Wang Chong-Ren of the Tainan Hospital, Department of Health, Executive Yuan:
It seems that you are experiencing significant contradictions and conflicts within your mind and body.
An excessive concern about body image has led to considerable mental turmoil and burden.
This may also result in metabolic abnormalities in your brain function.
The best approach is a combination of medication and psychotherapy.
Please do not hesitate; seek help from a psychiatrist as soon as possible.
Let a professional psychiatrist assist you, and you will rediscover yourself.
The Tainan Hospital wishes you good health and all the best!

Reply Date: 2005/07/03

More Info

It sounds like you are experiencing a very challenging situation with your eating habits, and it is important to recognize that what you are describing aligns with symptoms of Binge Eating Disorder (BED) and possibly Bulimia Nervosa. Both of these conditions are serious eating disorders that can have significant physical and emotional consequences.

Binge Eating Disorder is characterized by recurrent episodes of eating large quantities of food, often to the point of discomfort, accompanied by feelings of loss of control during the binge, and feelings of shame or guilt afterward. In your case, the cycle of bingeing followed by purging (vomiting) is indicative of Bulimia Nervosa, where individuals engage in compensatory behaviors to prevent weight gain after binge eating. The fact that you are experiencing guilt and distress after eating, and that you feel compelled to purge, suggests that you are struggling with these disorders.

It is crucial to understand that these eating disorders are not just about food; they often stem from deeper emotional issues, such as anxiety, depression, or low self-esteem. The behaviors you are engaging in, like purging, can lead to severe health complications, including electrolyte imbalances, gastrointestinal issues, and dental problems, among others. Additionally, the emotional toll can lead to increased feelings of isolation, depression, and anxiety.

Given your situation, seeking professional help is highly recommended. A healthcare provider, such as a psychologist or psychiatrist, can provide a proper diagnosis and develop a treatment plan tailored to your needs. Treatment for eating disorders often includes a combination of psychotherapy (such as Cognitive Behavioral Therapy), nutritional counseling, and sometimes medication to address underlying mental health issues.
Cognitive Behavioral Therapy (CBT) is particularly effective for treating eating disorders as it helps individuals understand and change their thought patterns and behaviors related to food and body image. Nutritional counseling can help you develop a healthier relationship with food, focusing on balanced eating rather than restrictive diets or compensatory behaviors.

It's also important to build a support system. Talking to friends or family members about what you're going through can provide emotional support. Support groups, either in-person or online, can also be beneficial as they connect you with others who are experiencing similar struggles.

You mentioned feeling a strong urge to eat even when you are not hungry, which can be a sign of emotional eating. This is often a coping mechanism for dealing with stress, anxiety, or other emotional distress. Learning healthier coping strategies, such as mindfulness, stress management techniques, or engaging in activities that bring you joy, can help reduce the reliance on food for emotional comfort.

In conclusion, it is vital to take your feelings and experiences seriously. You are not alone in this struggle, and there is help available. Seeking professional guidance can be a critical step towards recovery and developing a healthier relationship with food and your body. Remember, recovery is a journey, and it is okay to ask for help along the way.

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