Tag:

BED

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In therapy this week I talked about how I’ve been bingeing and overeating and how it felt like there was no end in sight. I felt there was an elephant in the room, that maybe it was time for another ECT (It has been awhile). But my therapist said she didn’t think that was a sign I needed one or a symptom of depression.

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She said it was a message, then went on to say that a lot of people think having an eating disorder is about control, but it’s not. She asked me what I thought and immediately I said comfort. She nodded her head.

I don’t remember the first time I binged, but I know I did it because I wanted to be comforted. That a heavy problem was looming, and I didn’t know how to sit with my feelings, instead eating until I couldn’t breathe so I could feel something other than scared or uncomfortable. It helped me then. I didn’t know it would turn into the beast that it is now, but a beast it is.

So now I wonder…why do I need comfort? Why am I seeking it in the wrong way?

I was hoping my therapist would give me the answers, but she didn’t. She told me it was up to me to figure that out. But really I have no clue. My best guess is that I wanted comfort after spending time with my parents for Christmas and having to leave earlier than I wanted. I’ve lived away from them for more than a decade, and it never gets easier leaving them.

But it has been three weeks since I was there. Do I really need that much comforting — three weeks’ worth?

What else is going on? As I’m writing this I remember the fact that my mother-in-law is still out of town. She usually takes the kids on the weekend so I can get a break, and I just haven’t had one in about five weeks. That could be a contributing factor. I’m used to taking breaks, but it just hasn’t happened. Thankfully, she’s coming home this weekend.

Is that it? Sigh. I just don’t know.

I’m going to meditate on it while the kids are at school and see if I can come up with any other answers. Until then the only thing I can do is do what I feel I need to do to survive. If that means overeating, I understand it. I don’t condone it, but I do understand survival. That’s what my life has been about for the past few years.

But I know it’s time to live, not just survive.

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Dear Binge Eating Disorder,

I have to let you go. It has served me in the past to have you near, but I can no longer run to you to hide from my emotions. You and I lived together for many years, and I know you started out with good intentions, but I’m becoming another person, and those intentions are now holding me back from who I want and need to be.

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The person I want to become no longer needs a crutch, no longer needs a distraction and to hide from uncomfortable emotions. I have to sit with those feelings and grow into them.

Oddly enough, I appreciate you and everything you’ve done to protect me and help me. I know you tried hard to protect me, to give me comfort when I was in pain. You saw me through depression and anxiety. And so much more.

But things are so different now. You’re hurting me; I’m hurting me. Lately I’ve been turning to you everyday because things have been hard, and I’ve been struggling. It’s easy to turn my higher brain off and plan a binge. And so easy to enjoy the first few bites of food and forget what made me sad or mad in the first place. I love shoving food in my mouth — but wait, it’s not food I’m shoveling in, it’s my emotions. I can’t keep doing that.

I’ll miss the feeling I get when I binge, that high that makes me forget. I’ll miss the anticipation of a binge; the feeling that I’m about to feel happy and full.

But I won’t miss the pain that bingeing brings. The indigestion and guilt. Oh the guilt, is so strong and partnered with shame. I won’t miss the scale going up, up and up even though I’ve had weight loss surgery. I won’t miss hiding food from my family. I definitely won’t miss eating so much that I throw up (because my stomach is surgically smaller, or was).

As I write this, tears are streaming down my cheeks. There’s a huge part of me that doesn’t want to let go. You’ve been a security blanket to me. I always used you to feel safe and comforted and now it feels like I’m losing it all. Like we’re breaking up.

I’m scared. There’s so much fear inside me that I’ll never feel safe and comforted again — that you’re irreplaceable. But my higher brain tells me you’re not.

This is will be hard, and I will likely stumble along the way, but that’s OK. The need to be a new person propels me forward, whether I’m ready or not.

Again, I’m grateful to you because you helped me survive. I’m just not that person anymore. I’ve been surviving; now it’s time to thrive.

Goodbye, old friend. I wish you no ill will.

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I’ve been doing a lot of thinking and reading about my binge eating disorder, and I can finally say that I’m moving into recovery for the first time ever. That doesn’t mean I won’t binge anymore, but now I’m actively trying to stop. If it does happen, I’ll practice self-compassion and jump back on the horse.

I’ve read one great book on BED recovery, and now I’m reading a second. The takeaways are amazing, even though there are differing thoughts on what causes the disorder. For instance, the first book says that a BED episode is triggered from emotions or stress — that bingeing is a learned. way to self-soothe and feel better when there’s a lot going on. I agree with that; I also have the urge to binge when I’m stressed or unhappy about something.

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“It is often an inherent drive to survive and feel safe by disconnecting from fear and shame.”

The other book says that binges are triggered by urges sent from the “lower brain,” or primal brain, also known as the limbic system (pleasure center). The limbic system has three objectives: to survive, to seek pleasure and to avoid pain, both emotional and physical. The book says the reward system is activated by healthy, life-promoting activities, such as eating and sex. But also destructive habits that have become connected to reward and reinforced over time, especially habits that involve pleasurable substances like drugs and large amounts of binge foods.

The book says that people can learn to “override” the primal or lower brain with their higher brain, the prefrontal cortex that’s responsible for rational thinking. It’s very interesting, and I have a lot more reading to do on that book.

I recommend both to anyone with BED. The first book is Binge Eating Disorder: The Journey to Recovery and Beyond by Amy Pershing and Chevese Turner. The second is The Brain Over Binge Recovery Guide by Kathryn Hansen.

A couple things that the books agree on is that restricting calories and having a list (even unspoken) of “bad” foods is detrimental to recovery. I completely agree. I think the best thing to do is eating healthy foods but allow all foods in moderation. There should be no shame tied to eating a particular food. I’ve lost 19 pounds recently, and I eat all kinds of foods. If I want donuts, I eat donuts, but usually I’ll try to have protein for every meal (because I’ve had gastric sleeve, I need protein the most).

Last weekend was my kids’ birthday party and I ate cake and didn’t feel guilty at all. In the past, I would’ve obsessed about the cake, trying to avoid it, then eventually break and eat too much. The book also says that those with BED, binge eating can be an act of rebellion, which I agree with too. If I know a certain food is “off-limits” then I will purposely eat food. I don’t know why I’m like that but apparently it’s common.

Both books point out that BED is the most common eating disorder in the U.S. by fivefold. Most struggling with BED are female but it’s suggested that 40 percent of people with the diagnosis are male. That surprised me. Also, of those with BED, 60 percent struggle with at least one other diagnosable mental health issue, including PTSD, depression and anxiety disorders. That’s me.

What strikes me about those high numbers is the fact that so many are struggling with BED yet nobody talks about it, at least in my little world. I don’t know if it’s the stigma, keeping people from speaking up or maybe it’s because an eating disorder is so public, for lack of a better word. When I’m bingeing consistently, my weight goes up dramatically. There’s no getting around the fact that my body is changing and everyone is so obsessed with being thin, so I feel powerful bouts of shame and self-hate. It’s a very public failure, rooted in deep-seated shame. Mostly shame that I’m not good enough.

But I am. And so are you.

If you think you might have Binge Eating Disorder, take a look at the clinical definition that’s now part of the DSM-V.

  • Recurrent episodes of binge eating occurring at least once a week for three months
  • Eating a larger amount of food than would be considered “normal”
  • Feeling out of control/unable to stop the binge episode

Binge eating episodes are also associated with three or more of the following:

  • Eating until feeling uncomfortably full
  • Eating large amounts of food when not physically hungry
  • Eating much more rapidly than normal
  • Eating alone out of embarrassment over quantity eaten
  • Feeling disgusted, depressed, ashamed or guilty after overeating

I still have a long way to go; you can’t undo decades’ worth of bingeing overnight, but I have hope for the first time ever. I can do this, and I feel like I have to if I want to give Isla and Eli any kind of support or advice if they go through the same. And I sure as hell hope they don’t.

For more information on eating disorders, go here.

Stay in the light, friends.

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Last Friday I had an ECT treatment. I hadn’t been there in four weeks, so they asked to weight me (to calculate how much anesthesia I get). Usually, I avoid the scale. The number shouldn’t matter to me, but it does. Big time. I looked down after I stepped on the scale, and I was shocked. I’ve gained 26 pounds since the pandemic — 26 POUNDS! I’m almost 200 pounds, which I swore to myself I’d never be again. I mean, who has weight loss surgery and doesn’t lose the weight? Me, apparently.

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I have all the reasons in the world to lose weight and be healthy, mainly my kids. I want them to see me be healthy so that they can be healthy. I want to lose the weight because I want to live a long time. It would benefit my mental health greatly if I maintained a healthy lifestyle. But I don’t.

Even after my ECT, while feeling happy and more stable, I had the intense urge to overeat and binge. And I did. The ECT is supposed to reset my brain. Last week, I was so depressed and even had suicidal ideation, so I needed the ECT. But the ECT can only take me so far. I’m responsible for making health decisions for myself. And I need to hold myself accountable. At some point, I have to make the effort to be healthy without expecting something or someone else to help me.

I don’t know what drives me to overeat or binge. It sort of makes sense when there’s conflict in my life, and I feel the need to be comforted by food. But right now, there’s no conflict in my life. There’s no logical reason for me to shove food in my face. It bothers me so much that I don’t know why I binge, and I’m not sure it would even help if I did know. It’s just frustrating. And I know it’s a hard time because of the pandemic, but we’re not getting back to any kind of “normal” I know any time soon. So, it has to be now. I have to make changes now. But honestly, I don’t know if I will. I don’t know what it will take.

I bought a treadmill that will be delivered this week. I bought a food journal to help me track my water and meals. I have a brand new pair of running shoes to use for exercise. Conditions are favorable for change. My brain, my stubborn brain, is the only thing holding me back. Even now, as I’m typing this, I want to eat, to be comforted. To lose myself in the taste and texture of something delicious. I fear my urge to escape the real world will be permanent, as it manifests in other ways, too like abusing my anxiety meds. And again, I don’t know why or what I’m trying to escape. I have a great life — better than most — and I’m so grateful for everyone in my life and everything I have. So, I really can’t tell you why I want to escape.

At one time, I thought it was emotional pain that was holding back — trauma from my past. But I feel like I’ve dealt with that. I’ve talked to my therapist about it extensively. I wrote a blog about it that I will never share. I got if off my chest, but still the pain resides. At least, I think so. Why else would I be trying to fill this unrelenting void?

I so want to be able to wake up in the morning and not immediately think about what I’m going to eat. To plan my next meal, as I’m licking off my current meal’s crumbs from my lips. I live meal to meal, snack to snack, and I hate it.

I hope this week I can make changes to my daily life and incorporate healthy habits. I pray for strength and guidance. I pray for what feels like a miracle.

Next week is National Eating Disorders Awareness Week. It may not seem like a big deal, but there are 30 million Americans who suffer with an eating disorder. There are so many people suffering right now, who are suffering more because of the pandemic. Only 1/3 of people receive help for their eating disorder. Eating disorders have the second highest mortality rate of any mental illness, with nearly one person dying every hour as a direct result of their eating disorder.

If you are struggling with an eating disorder, please know that you are not alone. It’s a challenging time for us, but it’ll be OK.

We will be OK.

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