Am I Suffering from Binge Eating Disorder? the Signs - Psychiatry

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Am I suffering from binge eating disorder?


Hello Dr.
Chen,
I have been controlling my diet for a long time because I care about my body shape, but I have recently noticed that I often binge eat, consuming several portions of food in a short period.
After feeling excessively full, I go to the bathroom to induce vomiting.
Sometimes, when no one is home, I keep searching for food, eating and then vomiting repeatedly until someone returns.
This used to happen occasionally, but it has become increasingly severe.
I know that this behavior is harmful to my body, but I can't seem to control it.
I am afraid to let my family and friends know, and I feel so distressed.
What should I do? Interestingly, I only eat normally for breakfast without vomiting.

Miao Mei, 10~19 year old female. Ask Date: 2005/11/26

Dr. Chen Meizhu reply Psychiatry


Hello: Based on your letter, we will indeed consider whether you have an eating disorder (binge eating disorder).
Typically, eating disorders are often associated with emotional and behavioral issues, and binge eating can severely harm the body.
Therefore, I recommend that you seek a thorough evaluation and treatment at a psychiatric outpatient clinic as soon as possible.
Best wishes!

Reply Date: 2005/11/26

More Info


It sounds like you are experiencing a very challenging situation, and I want to commend you for reaching out for help. Based on the symptoms you've described, it does seem that you may be exhibiting signs of Binge Eating Disorder (BED). This disorder is characterized by recurrent episodes of eating large quantities of food, often quickly and to the point of discomfort, followed by feelings of distress, disgust, or guilt. The fact that you are engaging in behaviors such as purging (vomiting) after binge eating is particularly concerning and suggests that you may be struggling with a more complex eating disorder, possibly bulimia nervosa.

Binge Eating Disorder is often linked to emotional distress, and many individuals who suffer from it use food as a way to cope with negative feelings or stress. The cycle of bingeing and purging can create a vicious cycle that is difficult to break. You mentioned that you are controlling your diet due to concerns about your body image, which is a common trigger for eating disorders. The pressure to maintain a certain appearance can lead to unhealthy eating behaviors, including both restrictive eating and binge eating.

Here are some signs that may indicate you are suffering from Binge Eating Disorder:
1. Recurrent Episodes of Binge Eating: This involves eating an unusually large amount of food in a discrete period, often accompanied by a sense of loss of control over eating during the episode.

2. Eating in Secret: Many individuals with BED eat alone or in secret due to feelings of shame or embarrassment about their eating habits.

3. Feelings of Distress: After binge eating, individuals often feel guilty, ashamed, or disgusted with themselves.

4. Physical Discomfort: Binge eating can lead to physical discomfort, such as feeling overly full or experiencing stomach pain.

5. Use of Purging: Engaging in behaviors such as vomiting, excessive exercise, or fasting after binge eating episodes.

6. Emotional Triggers: Many people with BED use food to cope with emotions, such as stress, anxiety, or depression.

Given the severity of your symptoms and the impact they are having on your life, it is crucial to seek professional help. Here are some steps you can take:
1. Consult a Mental Health Professional: A therapist or counselor who specializes in eating disorders can provide you with the support and tools you need to address the underlying issues contributing to your eating behaviors.

2. Consider Nutritional Counseling: A registered dietitian can help you develop a healthier relationship with food and create a balanced eating plan that meets your nutritional needs without focusing solely on weight control.

3. Join a Support Group: Connecting with others who are experiencing similar struggles can provide a sense of community and understanding. Support groups can be a safe space to share your experiences and learn from others.

4. Practice Mindfulness: Mindfulness techniques can help you become more aware of your eating habits and emotional triggers. This awareness can be the first step in breaking the cycle of binge eating.

5. Avoid Isolation: It can be tempting to hide your eating behaviors, but reaching out to trusted friends or family members for support can be beneficial. You don’t have to go through this alone.

6. Educate Yourself: Learning more about eating disorders can help you understand your behaviors and the importance of seeking help.

Remember, recovery from an eating disorder is possible, and taking the first step by acknowledging your struggles is a significant move toward healing. Please consider reaching out to a healthcare provider who can guide you through this process and help you find the support you need. You deserve to feel better and to have a healthy relationship with food and your body.

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