Q. My older sister (in highschool) has been in and out of treatment centers for her bulimia and depression. I know I should "forgive her" because it is a terrible disease, but I am honestly fed up with her behavior. She is constantly lying to avoid eating (sleeping to avoid meal times, lying she is sick). Also she gained weight while getting treatment so she is trying to lose the weight again by avoiding eating but my parent don't know. When my parents tell her to eat, she screams and ruins the whole mood of the house. She also binges/purges in front of me and I am just sick of watching her slowly kill herself and refuse treatment. My parents give her everything she wants (designer bags, not eating, waking up late, not going to school) just so she would stop screaming/breaking glass because it is so scary when she gets mad. I told my mom that she is ruining my sister's life by giving her everything she wants and my mom said that it is the only way that she can deal with my sister... doesn't make sense right?
Meanwhile, she ALWAYS compares me and her because I am naturally very thin and have a fast metabolism. She always has to eat less than me , exercise, etc and it is making me very anxious, as I don't want to become disordered like her.
She is moping around all day and then gets crazy during the night. My parents are so tense around her too and I just can not deal with her anymore, using up all of the family money. ALso, she is always chatting people on facebook/asking for sympathy by lying. Any tips on how to cope? Should i just move out haha?
Meanwhile, she ALWAYS compares me and her because I am naturally very thin and have a fast metabolism. She always has to eat less than me , exercise, etc and it is making me very anxious, as I don't want to become disordered like her.
She is moping around all day and then gets crazy during the night. My parents are so tense around her too and I just can not deal with her anymore, using up all of the family money. ALso, she is always chatting people on facebook/asking for sympathy by lying. Any tips on how to cope? Should i just move out haha?
A. Dietitian is the best to consult in such situations.
tips from people who have overcome binge eating?
Q. i'm not over weight.. but if i lost 10 lbs i would look perfect;)
i don't want to be a crazy but i can't control it. I'm just looking for tips that REALLY work to overcome binge eating. Sometimes I eat because i feel like I just have to finish something or just have to eat 2 more chocolate bars (like OCD).
i don't want to be a crazy but i can't control it. I'm just looking for tips that REALLY work to overcome binge eating. Sometimes I eat because i feel like I just have to finish something or just have to eat 2 more chocolate bars (like OCD).
A. Perhaps the greatest controversy in the field of eating-disorder treatment is the debate over how to treat binge-eating disorder. The condition--currently a provisional category in the Diagnostic and Statistical Manual--is marked by recurrent binge-eating without purging and is typically seen in people who are obese.
Like people with bulimia nervosa, those with binge-eating disorder carry distorted attitudes about eating, shape and weight, as well as mood symptoms such as depression and personality disorders. The disorder affects about 2 percent of the general population and 8 percent of people who are obese.
Because binge-eating disorder involves both weight and eating-disorder concerns, researchers in both the obesity and eating-disorders fields perceive treatment goals through the lens of their own training. On one side of the debate, eating-disorders experts believe binge-eating is best treated by traditional eating-disorder approaches, such as helping patients reduce or eliminate bingeing, improving their self-esteem and body acceptance, and treating underlying psychological problems such as depression and anxiety.
On the other side, obesity experts maintain, it's better to treat the obesity first. They believe that tackling psychological problems without addressing excess weight puts the cart before the horse.
"Public health experts who deal with obesity would say, 'If you're not treating the weight, it's like helping someone get rid of a hangnail and leaving the cancer,'" says Kelly Brownell, PhD, a psychologist who heads the Yale Center for Eating and Weight Disorders and treats people with binge-eating disorder and obesity. "Binge-eating itself is not of public health significance--eliminating it does not address all of the potential long-term sequelae of obesity such as hypertension, stroke and heart attack."
Because the disorder is multifaceted, there are numerous tacks to treat it, believes Columbia University psychiatrist B. Timothy Walsh, MD, who chaired the DSM-IV working group on eating disorders. For example, the literature shows that cognitive behavioral therapy is useful for depression and bulimia, that interpersonal therapy aids depression, and that behavioral weight-loss management can help treat obesity.
"There's a lot going on when you're trying to look at the utility of these interventions," Walsh says. "For many people with binge-eating disorder, you can think of at least three potential targets, and it's not clear whether you should aim at all of them at the same time."
Managed care can make matters worse, he says, because it may only pay for one approach when more may well be needed.
WHAT SHOULD TREATMENT TARGET?
Clinicians who treat binge-eating disorder as an eating disorder say that addressing the specific and general psychopathology that underlies the condition eliminates binge-eating and helps patients feel better about themselves. Treatments that fall into this camp include cognitive behavioral therapy, which addresses a person's thoughts and behaviors about eating and self-image, and interpersonal psychotherapy, which helps a person face and heal rifts in current relationships.
As an example of the effectiveness of interpersonal therapy in treating binge-eating disorder, Denise Wilfley, PhD, a binge-eating disorder expert at San Diego State University, describes a woman she helped using this treatment: The woman had been living in another country, and once she returned to the United States, lost all of her social support. She began to binge-eat, and in addition, developed major conflicts with her son, which added to her level of distress.
Treatment helped the woman address her relationship difficulties with her son and build her social network, both hallmarks of the interpersonal approach. The woman's depression gradually vanished, and at the one-year follow-up, she continued to be binge-free. But treating personal problems is not the only thing these therapies can do, Wilfley maintains. They can also have a positive effect on the very thing obesity experts bark about: clients' weight.
In a study now in press in the Archives of General Psychiatry, Wilfley shows how this might come about. The study, the largest on binge-eating disorder to date, compares outcomes of 162 overweight binge-eating disorder patients. Half received group cognitive behavioral therapy and half received interpersonal therapy. Both therapies showed high long-term success in reducing binge-eating and treating a range of psychological problems.
And for 25 percent of the sample, the therapies also helped reduce weight: Participants who abstained from binge-eating at post-treatment and maintained abstinence at a one-year follow-up lost weight, while those who continued to binge-eat gained weight.
The pattern provides a clue for further interventions, Wilfley believes. "If we help people eliminate binge-eating patterns, it should have an impact on body weight," she
Like people with bulimia nervosa, those with binge-eating disorder carry distorted attitudes about eating, shape and weight, as well as mood symptoms such as depression and personality disorders. The disorder affects about 2 percent of the general population and 8 percent of people who are obese.
Because binge-eating disorder involves both weight and eating-disorder concerns, researchers in both the obesity and eating-disorders fields perceive treatment goals through the lens of their own training. On one side of the debate, eating-disorders experts believe binge-eating is best treated by traditional eating-disorder approaches, such as helping patients reduce or eliminate bingeing, improving their self-esteem and body acceptance, and treating underlying psychological problems such as depression and anxiety.
On the other side, obesity experts maintain, it's better to treat the obesity first. They believe that tackling psychological problems without addressing excess weight puts the cart before the horse.
"Public health experts who deal with obesity would say, 'If you're not treating the weight, it's like helping someone get rid of a hangnail and leaving the cancer,'" says Kelly Brownell, PhD, a psychologist who heads the Yale Center for Eating and Weight Disorders and treats people with binge-eating disorder and obesity. "Binge-eating itself is not of public health significance--eliminating it does not address all of the potential long-term sequelae of obesity such as hypertension, stroke and heart attack."
Because the disorder is multifaceted, there are numerous tacks to treat it, believes Columbia University psychiatrist B. Timothy Walsh, MD, who chaired the DSM-IV working group on eating disorders. For example, the literature shows that cognitive behavioral therapy is useful for depression and bulimia, that interpersonal therapy aids depression, and that behavioral weight-loss management can help treat obesity.
"There's a lot going on when you're trying to look at the utility of these interventions," Walsh says. "For many people with binge-eating disorder, you can think of at least three potential targets, and it's not clear whether you should aim at all of them at the same time."
Managed care can make matters worse, he says, because it may only pay for one approach when more may well be needed.
WHAT SHOULD TREATMENT TARGET?
Clinicians who treat binge-eating disorder as an eating disorder say that addressing the specific and general psychopathology that underlies the condition eliminates binge-eating and helps patients feel better about themselves. Treatments that fall into this camp include cognitive behavioral therapy, which addresses a person's thoughts and behaviors about eating and self-image, and interpersonal psychotherapy, which helps a person face and heal rifts in current relationships.
As an example of the effectiveness of interpersonal therapy in treating binge-eating disorder, Denise Wilfley, PhD, a binge-eating disorder expert at San Diego State University, describes a woman she helped using this treatment: The woman had been living in another country, and once she returned to the United States, lost all of her social support. She began to binge-eat, and in addition, developed major conflicts with her son, which added to her level of distress.
Treatment helped the woman address her relationship difficulties with her son and build her social network, both hallmarks of the interpersonal approach. The woman's depression gradually vanished, and at the one-year follow-up, she continued to be binge-free. But treating personal problems is not the only thing these therapies can do, Wilfley maintains. They can also have a positive effect on the very thing obesity experts bark about: clients' weight.
In a study now in press in the Archives of General Psychiatry, Wilfley shows how this might come about. The study, the largest on binge-eating disorder to date, compares outcomes of 162 overweight binge-eating disorder patients. Half received group cognitive behavioral therapy and half received interpersonal therapy. Both therapies showed high long-term success in reducing binge-eating and treating a range of psychological problems.
And for 25 percent of the sample, the therapies also helped reduce weight: Participants who abstained from binge-eating at post-treatment and maintained abstinence at a one-year follow-up lost weight, while those who continued to binge-eat gained weight.
The pattern provides a clue for further interventions, Wilfley believes. "If we help people eliminate binge-eating patterns, it should have an impact on body weight," she
How can i stop cutting myself ?
Q. i cut myself with a push up knife i have slight problems at home and now i do it over the littlist things, i cry everyday i feel like i want to slit my wrists all the time....
is there any distractions/ Tips..... please
is there any distractions/ Tips..... please
A. Here is a major tip...
Do you have any of these symptoms?
1) Frantic efforts to avoid real or imagined abandonment. (do you have a fear of being left or abandoned)
2) A pattern of unstable and intense interpersonal relationships
3) persistently unstable self-image or sense of self.
4) Impulsivity in at least two areas that are potentially self-damaging (e.g., promiscuous sex, eating disorders, binge eating, substance abuse, reckless driving).
5) Recurrent suicidal behavior, gestures, threats, or self-mutilating behavior such as cutting, interfering with the healing of scars (excoriation) or picking at oneself. ( i think you have this one)
6) Intense episodic depression, irritability, or anxiety usually lasting a few hours and only rarely more than a few days.
7) Chronic feelings of emptiness, worthlessness.
8) Inappropriate anger or difficulty controlling anger
9) Been molested, raped, or phyically abused.
If more than half apply to you, You are Boarderline. Which means you have boarderline personality disorder, and cutting yourself isn't just a coping mechanism, but a cry for help and attention. (weather its subconsious or consiously)
Seek help. there is treatment for this. And it can be unlearned. Therapy and drugs can make it better. Above all, just dont do it.
Do you have any of these symptoms?
1) Frantic efforts to avoid real or imagined abandonment. (do you have a fear of being left or abandoned)
2) A pattern of unstable and intense interpersonal relationships
3) persistently unstable self-image or sense of self.
4) Impulsivity in at least two areas that are potentially self-damaging (e.g., promiscuous sex, eating disorders, binge eating, substance abuse, reckless driving).
5) Recurrent suicidal behavior, gestures, threats, or self-mutilating behavior such as cutting, interfering with the healing of scars (excoriation) or picking at oneself. ( i think you have this one)
6) Intense episodic depression, irritability, or anxiety usually lasting a few hours and only rarely more than a few days.
7) Chronic feelings of emptiness, worthlessness.
8) Inappropriate anger or difficulty controlling anger
9) Been molested, raped, or phyically abused.
If more than half apply to you, You are Boarderline. Which means you have boarderline personality disorder, and cutting yourself isn't just a coping mechanism, but a cry for help and attention. (weather its subconsious or consiously)
Seek help. there is treatment for this. And it can be unlearned. Therapy and drugs can make it better. Above all, just dont do it.
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