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 do i overcome binge eating before i gain too much weight?
Q. I am fifteen and have been on a strict but healthy diet for the last six months or so. I reached a healthy weight that i was happy with and have managed to maintain it for a few months however, for the last few weeks i have recurrently been binge eating and i can't seem to control myself- how can i get my health back on track before i gain back all the weight and my binge eating gets even more out of control?
A. I have been having almost the same problem, I went vegan and began running doing yoga and kickboxing and lost about 50lbs. I think it may be because i deprived myself of things i loved like chocolate, and snack foods like chips and i hardly ate any fat. Try to keep cut up fruits and fill yourself up with that. Its worth a try im trying that starting today. I have been struggling with binge eating for months and i gained 14 lbs in one week. I eat until i am uncomfortably full and almost in pain. Its so ridiculous but hard to control. Let me know if u make any progress, good luck and ur not alone in ur struggle
How have any of you overcome binge eating disorder?
Q. I am 15 years old and I have binge eating disorder along with various other medical issues. My psychiatrist has acknowledged it but said he wasn't going to label me with it. My mom is impossible. She says we will have to agree to disagree and my dad believes me but doesn't do anything about it either. I feel very alone with this. I ask my family not to bring in junk food and to not let me have any either and to hide the junk food that they bring in the house (even though I always find it). My mom is the most unsupportive of them all. She tells me that I don't have BED and asks me why I always find the junk food. She tells me that I just need to work on it myself. I keep telling her thats not how it works but she wont listen. She hasen't even bothered to read one thing on this. I have been bingeing since I was 9 or ten and I didn't really become aware that it was a problem until I was 14. I am feeling so alone and I keep getting heavier and heavier. I don't know what to do and I desperately need suggestions. Has anyone else been through this and if so what have you done to overcome it? Treatment for this is not out of the question but it may take a while to convince my psychiatrist and family to let me go to it. My psychiatrist told me he wants me to try weight watchers first, but I don't think that will work, but I told him i'd try it anyway.
A. I have an eating disorder, and I tend to either over-eat or under-eat. My binge cycles usually last a long time, but less time than my starvation. I have tried countless times to try and get healthy on my own but I can not; the small part of me that wants to be healthy is overwhelmed by the rest of me, that tells me I don't deserve anything unless I am perfect. If you seriously think you have an eating disorder, please get help. The only time I have ever been able to control mine was when I was seeing a therapist who helped me through it, but because I was forced to stop seeing him I relapsed and part of me has given up on ever being 'healthy'. If I am binge eating and try to return to a healthy diet, I end up starving myself, and vice versa. Seek help, do anything you can to get your mother to understand, and tell your father that he need to help you. My mother encouraged my eating disorder and my father wasn't around to help me; your lucky to have them, make sure they know that you need their help.
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