problem: some kind of eating/exercising disorder or function?

Q. umm.sorry its long!

let's see i exercise as much as i can maybe 1 and a half hours a day. at least 5 days a week. i wake up eat some fruit then start exercising. i try to eat pretty healthy. maybe a salad for lunch too. but whenever i eat something unhealthy i freak out and i feel i have to do something about it. like sort of punishments:no dinner. or food unless its extremely heathly. or exercise an extra hour or whatever. whenever i eat too much food i get depressed and angry at myself.AND im having trouble sleeping.i wake up in the middle of the night and stay awake for hours. and this causes me to sleep in. i usually get nine hours and lately ive been over or under sleeping. ill either get 10 hours or like 6... anything will help.

A. well i obviously don't know all the facts, but here are a few things i've come up with.

Anorexia Athletica (Compulsive Exercising)

Anorexia athletica is a condition where people over-exercise because they believe this will control their bodies and give them a sense of power, control and self-respect. It isn't a clinically recognized diagnosis in the same way that anorexia nervosa or bulimia are, but compulsive exercising can have serious health consequences.

Symptoms of anorexia athletica include:

Exercising more than is good for our health.
Being fanatical about our weight and diet.
Taking time off work, school and relationships to exercise.
Focusing on the challenge exercise poses and forgetting that it can be fun.
Believing that our self-worth depends on our physical performance.
Rarely being satisfied by what we achieve physically.
Saying that this exercise is okay because we are athletes, or insisting that the behaviour is healthy.

Binge Eating Disorder (BED)

Individuals with binge eating disorders eat excessive amounts of food at one time. They do this for two reasons:

They are very hungry because they have been dieting or restricting their eating in some way. The binge is a response to that hunger.
They over-eat to comfort themselves, to avoid uncomfortable situations, or to numb their feelings. The binge is an attempt to soothe themselves emotionally.
People who binge-eat are often ashamed and embarrassed. They also tend to be genetically heavier and larger than the "average" person. They do not, however, generally try to compensate for their over-eating by vomiting, fasting, over-exercising or abusing laxatives as people with anorexia or bulimia may do.

Symptoms of binge eating disorder include:

Eating large amounts of food frequently and in one sitting.
Feeling out of control and unable to stop eating.
Eating quickly and in secret.
Feeling uncomfortably full after eating.
Feeling guilty and ashamed of their binges.
In addition, people who binge eat may have a history of diet failures, and may also be obese. About one in five obese people engage in binge eating.

Disordered Eating

Disordered eating includes a wide range of abnormal eating. This includes the behaviours seen in eating disorders such as anorexia and bulimia, chronic restrained eating, compulsive eating and habitual dieting. It includes irregular, chaotic eating patterns. Often physical hunger and satiety (fullness) are ignored.

Disordered eating has negative effects on overall health - emotional, social and physical. It may cause the individual to feel tired and depressed, decrease mental functioning and concentration, and can lead to malnutrition with risk to bone health, physical growth and brain development.


Orthorexia ("Correct" eating disorder)

Orthorexia is a cluster of food- and weight-related symptoms, including:

Eating only foods regarded as healthy.
Relying only on "natural" products to treat an illness.
Finding more pleasure in eating "correctly" rather than in simply eating.
Although orthorexia is not a recognized diagnosis, it does - like other forms of disordered eating - lead to an obsessive focus on food. People with orthorexia experience emotional satisfaction when they stick to their goals, but intense despair when they fail to do so. Weight is commonly used as a measure of their success. Their behaviours and beliefs can lead to social isolation and ill health.

you should research these. and try to figure out the problem. and once you figure it out. get some help.

How can the development of an eating disorder be prevented while losing weight?
Q. I know that losing weight does not cause eating disorders, but I know it can be the seed that spurs the begginning of the behaviors. I am embarking on my own weight loss journey and have seen 3 of my close friends suffer with eating disorders after they had lost moderate amounts of weight. I am nervous because I've been anxious my whole life with a less than stellar body image, similar to their experiences. Is there any attitudes or methods I can use to make sure I have a healthy weight loss journal both physically and psychologically?

A. Remember that "slow and steady wins the race." Many dieters are reinforced (rewarded) by their early weight-loss and begin eating less and less in order to increase weight-loss. This is especially as your metabolism slows down to prevent weight loss (the body prefers a state known as homeostatsis. Historically, weightloss was not good, it meant starvation, and the body slows down the metabolism to prevent dangerous weight loss). It is a bad idea to begin eating less than around 1200 calories per day. Research has shown that severe food restriction during dieting leads to the development of repeated binge eating episodes for years into the future. Thus, ironically, to lose weight you will need to stop yourself for reducing your caloric intake too drastically.
Insofar as developing anorexia and bulimia, these disorders are partially due to environmental factors besides how you initially approach dieting (low self image, feeling of no control over life). However, you may put yourself at risk for developing those eating disorders if you allow dieting to become an obsession and your weight to become the main source of how you define your self-worth. Seek out friends who are not weight obsessed and size "0"s to help remind you that you can be popular and stylish without being model thin. Also, combat extreme thinking in regard to dieting. I would even encourage you to purposely allow yourself a high calorie treat per week just to remind yourself that you will not allow yourself to become too terrified of food or too restrictive in your intake.

Good Luck!
Dr. Eli

Will bulimia leads to aneroxia nervosa?
Q.

A. No...read on:
Mental Health: Bulimia Nervosa
Bulimia nervosa, also called bulimia, is a psychological eating disorder that is characterized by episodes of binge eating (consuming a large quantity of food in one sitting) followed by inappropriate methods of weight control, such as vomiting, fasting, enemas, excessive use of laxatives and diuretics, or compulsive exercising.

Bulimia tends to develop late in childhood or in early adulthood. It affects females more often than males. People with bulimia often perform the behaviors in secret, feeling disgusted and ashamed when they binge, yet relieved once they purge. People with bulimia usually weigh within the normal range for their age and height. However, they may fear gaining weight, have desire to lose weight, and may feel intensely dissatisfied with their bodies.

What Causes Bulimia Nervosa?
The exact cause of bulimia is not known, but research suggests that a combination of certain personality traits, emotions and thinking patterns, as well as biological and environmental factors might be responsible. Researchers also believe that bulimia may begin with a dissatisfaction of the person's body and extreme concern with body size and shape. Usually individuals suffering from bulimia have low self-esteem and fear becoming overweight. The fact that bulimia tends to run in families also suggests that a susceptibility to the disorder might be inherited.

What Are the Symptoms of Bulimia Nervosa?
Symptoms of bulimia may include:

Eating uncontrollably followed by purging
Vomiting or abusing laxatives or diuretics in an attempt to lose weight
Using the bathroom frequently after meals
Excessive exercising
Preoccupation with body weight
Dental problems
Sore throat
Depression or mood swings
Feeling out of control
Swollen glands in neck and face
Heartburn, indigestion, bloating
Irregular periods
Weakness, exhaustion, bloodshot eyes


Complications of bulimia may include:



Erosion of tooth enamel because of repeated exposure to acidic gastric contents
Dental cavities
Tooth sensitivity to hot or cold food
Swelling and soreness in the salivary glands (from repeated vomiting)
Stomach ulcers
Ruptures of the stomach and esophagus
Disruption in the normal bowel release function
Dehydration
Irregular heartbeat
Heart attack (in severe cases)
Lower libido (sex drive)
Higher risk for suicidal behavior
How Is Bulimia Treated?
Bulimia treatment requires the consideration of the physical as well as the psychological needs of the person. Treatment may include psychological counseling and medications such as antidepressants. In many cases, treatment is undertaken by a team of medical, nutritional, and mental health professionals. The ideal outcome of treatment is to restore physical health and normal eating patterns.

What Is the Outlook for People With Bulimia?
Bulimia is a condition that is difficult to cure. Many people improve, but relapses may recur from time to time in some cases. In addition, some people who are considered "cured" continue with less-than-normal eating patterns throughout their lives. In general, however, the outlook for people with bulimia is more positive than the outlook for people with anorexia.

Can Bulimia Be Prevented?
Because the true reason for the development of bulimia is not known, it is difficult to say how bulimia can be prevented. However, we live in a society where the "ideal" woman portrayed by the media is far from realistic. Educators and parents can help young people to put that "ideal" picture into perspective. Adolescents should be encouraged to understand that appropriate body weight does not equal extreme thinness.

When Should I Seek Help?
If you or any member of your family develops an unhealthy preoccupation with weight and size and/or appears unduly interested in food, you should consult a health care professional. The earlier treatment is received the better the chances for a cure.

Reviewed by the doctors at The Cleveland Clinic Department of Psychiatry and Psychology.




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