Struggling with Binge Eating and Purging: Seeking Help Discreetly - Psychiatry

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Binge eating and purging?


Hello, I am a student from the Dance Department in Taichung.
I have been struggling with obesity for a long time, and since November 2014, I developed a habit of self-induced vomiting.
I feel an immense sense of guilt about what I eat.
Although I managed to lose weight down to 52 kg (165 cm), I now have bowel movement issues that require me to take traditional Chinese medicine to relieve constipation.

After returning from an overseas tour last August, I began to binge eat uncontrollably, gaining weight up to 64 kg with a body fat percentage of approximately 31.1%.
I consume all the food available at home, especially anything that is easy to prepare, and then I vomit it all back up.
Sometimes, if I feel I haven't purged completely, I drink water to rinse and vomit again.
I experience episodes of binge eating followed by vomiting daily, sometimes 4 to 5 times a day.
Despite warning myself to stop, I find it impossible to control my urges.
During a recent university health check, my liver function test (ALT) showed a level of 6.00, and my ECG indicated a right axis deviation with nonspecific T-wave changes.
This was the first time I noticed these results, and I suspect they may be related to my vomiting behavior.
I am eager to seek medical help but do not want my family to find out.
There is a Tai An Hospital near my school, but I fear that if I seek treatment, my parents will discover my struggles, so I have not taken steps to address this issue.
I also feel quite depressed; my family life puts a lot of pressure on me.
What should be the warmest home feels the coldest to me as a 19-year-old girl.
I have tried losing weight multiple times (using traditional Chinese medicine for weight loss) and have recently engaged in a nutrition shake diet plan (He X Fu) at the gym.
Initially, it was effective, but I eventually regained weight due to my inability to control binge eating.
I have spent nearly all my part-time job earnings on this, and I do not want to waste any more money.

I hope the doctor can provide me with some advice or suggest ways I can seek treatment while minimizing my parents' knowledge of my situation.
Thank you!

Lin Tongxue, 10~19 year old female. Ask Date: 2016/02/27

Dr. Su Zongwei reply Psychiatry


The only but most important advice: Please make sure to seek medical attention, it is essential.

Reply Date: 2016/02/27

More Info


It sounds like you are going through a very challenging time, and I commend you for reaching out for help. Binge eating and purging are serious issues that can have significant physical and emotional consequences. It's important to address these behaviors not only for your physical health but also for your mental well-being.

Firstly, it’s crucial to understand that you are not alone in this struggle. Many individuals face similar challenges, and seeking help is a brave and important step. The feelings of guilt and shame associated with binge eating and purging can be overwhelming, but there are effective treatments available that can help you regain control over your eating habits and improve your overall mental health.

Given your situation, here are some steps you can consider taking:
1. Seek Professional Help: While you may be concerned about your parents finding out, it’s essential to consult with a healthcare professional who specializes in eating disorders. Many clinics and therapists offer confidential services, and you can inquire about their privacy policies. You might consider visiting a therapist or a dietitian who specializes in eating disorders. They can provide you with coping strategies, nutritional guidance, and emotional support tailored to your needs.

2. Consider Online Therapy: If you are worried about being seen at a clinic, online therapy could be a viable option. Many therapists offer virtual sessions, which can provide you with the support you need without the fear of being recognized. This can be a discreet way to access help.

3. Join Support Groups: Look for online support groups for individuals dealing with binge eating and purging. These groups can provide a sense of community and understanding, allowing you to share your experiences and learn from others who are facing similar challenges.

4. Focus on Nutrition: It might be beneficial to work with a nutritionist who can help you develop a balanced eating plan that addresses your nutritional needs without triggering binge eating. They can help you learn about portion sizes, meal timing, and healthy food choices that can reduce the urge to binge.

5. Practice Mindfulness and Stress Management: Engaging in mindfulness practices, such as meditation or yoga, can help you manage stress and emotional triggers that lead to binge eating. These practices can also improve your body image and self-acceptance.

6. Develop Healthy Coping Mechanisms: Instead of turning to food as a way to cope with stress or emotions, try to identify other activities that bring you joy or relaxation. This could include hobbies, exercise, or spending time with friends who support you.

7. Educate Yourself: Learning more about the psychological and physiological aspects of eating disorders can empower you to understand your behaviors better. Knowledge can be a powerful tool in your recovery journey.

8. Consider Medication: In some cases, medication may be prescribed to help manage symptoms of anxiety or depression that can accompany eating disorders. Discuss this option with a healthcare professional who can provide guidance based on your specific situation.

9. Set Realistic Goals: Recovery is a process that takes time. Set small, achievable goals for yourself, and celebrate your progress, no matter how minor it may seem.

10. Communicate with Trusted Friends: If you have friends you trust, consider sharing your struggles with them. Having a support system can make a significant difference in your recovery journey.

Remember, it’s okay to ask for help, and taking the first step towards recovery is a sign of strength. You deserve to feel better and to have a healthy relationship with food and your body. Please take care of yourself, and know that there is hope and support available to you.

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