Is binge eating a healthy way of coping?

Q. It must be so because no one takes my bulimia seriously I am exhausted but all they do is say go to school. And it seems like drugs are the only solution to my appetite.
I do have a sister, yes. But I really want my parents to leave me alone & think I'm non existent. I just wonder why don't they admit there's no cure for bulimia and allow us to do drugs?

A. Firstly, binge eating disorder and bulimia nervosa are two different eating disorders. With binge eating disorder, you eat a load of food to make yourself feel better. With bulimia, you may not necessarily over-eat, but you purge (making yourself throw up, use of laxatives, use of diuretics or with the use of the deadly ipecac syrup) to remove the food from your system.
With both, there are numerous health implications that follow:

Binge-eating disorder:

People with binge eating disorder may become ill due to a lack of proper nutrition. Bingeing episodes usually include foods that are high in sugar and/or salt, but low in healthier nutrients.

People with binge eating disorder are usually very upset by their binge eating and may become very depressed.

People who are obese and also have binge eating disorder are at risk for type 2 diabetes, high blood pressure, high blood cholesterol levels, gallbladder disease, heart disease, and certain types of cancer.

Most people with binge eating disorder have tried to control it on their own, but have not been able to control it for very long. Some people miss work, school, or social activities to binge eat. Obese people with binge eating disorder often feel bad about themselves and may avoid social gatherings.

Most people who binge eat, whether obese or not, feel ashamed and try to hide their problem. Often they become so good at hiding it that even close friends and family members don't know they binge eat.

Bulimia:

Chronic gastric reflux after eating
Dehydration and hypokalemia caused by frequent vomiting
Electrolyte imbalance, which can lead to cardiac arrhythmia, cardiac arrest, and even death
Esophagitis, or inflammation of the esophagus
Oral trauma, in which repetitive insertion of fingers or other objects causes lacerations to the lining of the mouth or throat
Gastroparesis or delayed emptying
Constipation
Enlarged glands in the neck, under the jaw line
Peptic ulcers
Calluses or scars on back of hands due to repeated trauma from incisors.

The frequent contact between teeth and gastric acid, in particular, may cause:

Severe caries
Perimolysis, or the erosion of tooth enamel
Swollen salivary glands


So, as you can see, eating disorders are not a healthy way of coping.
1 in 5 of those who suffer from bulimia die. Half of these are as a result of suicide.

I know first-hand what it's like to suffer from an eating disorder. I've had bulimia for 2 years now, since I was 13, and my parents still haven't found out. Only my closest friends know, but they really don't care. They tell me to just not get sick, but they don't realise how hard it is for me. I really want to get help, but I'm finding it so hard. A lot of people think that eating disorders are just phases or fad diets, when in fact, they are mental illnesses.

You can contact me if you want to: wormyeyelid@gmail.com

I wish you the best of luck!

What are all the symptoms of an anorexic person?
Q. I have this friend who is, well i think, anorexic. What are all the symptoms of anorexia.

A. This probably isn't the best choice because being anorexic can have long term health risks. You should pick a healthy diet of less calories and more exercise

Anorexia nervosa is a complex psychological illness that can have devastating physical consequences. Twenty percent of anorexics die of their illness, many from heart attacks and starvation. The self-starvation that occurs in anorexia nervosa can lead to:

Dehydration
Malnutrition
Heart damage
Liver damage
Infertility
Personality changes
Kidney damage
Osteoporosis
Damage to the immune system
Starvation
Permanent health damage
Death

There are many signs that someone may have anorexia nervosa. The most frequently noticed is the extreme thinness that characterizes someone with this eating disorder. There are other physical, emotional, and behavioral signs that signal anorexia.

Extreme weight loss
Refusal to eat enough to maintain a healthy body weight
Persistent negative comments about body shape and size
Distorted body image and self-perception
Inability to recognize true body size/thinness
Excessive exercise
Continuing to diet although thin
Obsessive calorie and fat gram counting
Constant weighing
Refusing to eat in public/avoidance of eating situations
Denial of the problem
Claiming lack of hunger
Attributing life successes or failures to weight
Dressing in layers to hide weight loss
Thinning hair
Dry, yellow skin
Dry, brittle hair and nails
Complaints of being cold all the time
Refusal to eat solid food
Disguising lack of eating or reduced food intake by playing with food, picking at food, rearranging food on the plate, hiding food
Fine, downy hair that develops on face or body
Lack of menstrual period; loss of menses
Personality changes
Inability to accept compliments; frequent self-belittling comments
High expectations of perfection

Diagnostic Criteria
Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances
a sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating)
Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, enemas, or other medications; fasting; or excessive exercise.
The binge eating and inappropriate compensatory behaviors both occur, on average, at least twice a week for 3 months.
Self-evaluation is unduly influenced by body shape and weight.
The disturbance does not occur exclusively during episodes of Anorexia Nervosa.
Specify type:
Purging Type: during the current episode of Bulimia Nervosa, the person has regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas
Nonpurging Type: during the current episode of Bulimia Nervosa, the person has used other inappropriate compensatory behaviors, such as fasting or excessive exercise, but has not regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas.

Anorexia nervosa is an illness that usually occurs in teenage girls, but it can also occur in teenage boys, and adult women and men. People with anorexia are obsessed with being thin. They lose a lot of weight and are terrified of gaining weight. They believe they are fat even though they are very thin. Anorexia isn't just a problem with food or weight. It's an attempt to use food and weight to deal with emotional problems.

Has anyone ever heard of border-line personality disorder?
Q. I was wondering if anyone has ever heard of border-line personaltiy disorder. Does anyone know what this disorder does?

A. Borderline personality disorder is often a devastating mental condition, both for the people who have it and for those around them.

Perhaps shaped by harmful childhood experiences or brain dysfunctions, people diagnosed with borderline personality disorder live in a world of inner and outer turmoil. They have difficulty regulating their emotions and are often in a state of upheaval. They have distorted images of themselves, often feeling worthless and fundamentally bad or damaged.

And while they yearn for loving relationships, people with borderline personality disorder typically find that their anger, impulsivity, stormy attachments and frequent mood swings push others away.

Over the last 10 years, increasing awareness and research are helping improve the treatment and understanding of borderline personality disorder. At the same time, it remains a controversial condition, particularly since so many more women than men are diagnosed with it, raising questions about gender bias. Although definitive data are lacking, it's estimated that 1 percent to 2 percent of American adults have borderline personality disorder (BPD). It occurs in about one in every 33 women, compared with one in every 100 men, and is usually diagnosed in early adulthood.

Contrary to lingering perceptions, emerging evidence indicates that people with BPD often get better over time and that they can live happy, peaceful lives.



I was diagnosed with Borderline 3 years ago and life can be a struggle...Thanks to my psychiatrist I am on a good combination of medication (Prozac for Depression, Campral and Lyrica for Anxiety, Abilify and Geodon for Schizophrenia) and I'm managing my life pretty well. I also see a therapist once a week that teaches me Dialektical Behavior Therapy (DBT), which is next to medication the most successful treatment for Borderline. My biggest problems are my impulsivity and my tendency to abuse drugs.

I encourage you to inform yourself, here is a website from the Mayoclinic, that tells you everything you need to know about Borderline Personality Disorder, including Signs and Symptoms, Causes, Risk factors, When to seek medical advice, Screening and diagnosis, Complications, Treatment, and Self-care.
https://www.mayoclinic.com/health/borderline-personality-disorder/DS00442/DSECTION=2

This link leads you to a website about Dialektical Behavior Therapy:
http://www.aapel.org/bdp/BLDBTresumeUS.html


If you have any questions or problems that I might be able to help you with, you may contact me by e-mail.


I disagree with some of the previous answerers about criteria for Borderline, here is a list of the Official Criteria for Borderline Personality Disorder, as indicated by five (or more) of the following:

-frantic efforts to avoid real or imagined abandonment
-a pattern of unstable & intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation
-identity disturbance: markedly and persistent unstable self-image or sense of self
-impulsivity in at least two areas that are potentially self-damaging (e.g. spending, sex, substance abuse, reckless driving, binge eating)
-recurrent suicidal behavior, gestures or threats, or self-mutilating behavior
-affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days)
-chronic feelings of emptiness
-inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights)
-transient, stress related paranoia or severe dissociative symptoms




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