Jenni L Harshbarger PhD Robert J Dole VAMC 03052013 Activity As I See It What is Binge Eating Disorder Binge Eating Disorder BED is a type of eating disorder Its normally characterized by recurrent binge eating without the regular use of compensatory behaviors ID: 672582
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Binge Eating Disorder: The Connection Between Food and Feelings
Jenni L. Harshbarger, Ph.D.
Robert J. Dole VAMC
03/05/2013Slide2
Activity
As I See It. . .Slide3
What is Binge Eating Disorder?
Binge Eating Disorder (BED) is a type of eating disorder.
It’s normally characterized by recurrent binge eating without the regular use of compensatory behaviors.
What is a binge?Slide4
What are the characteristics of BED?
Frequent
episodes of eating abnormally large amount of food
.
Frequent feelings of being unable to control what or how much is being eaten.Slide5
Characteristics of BED cont.
Several of the following:
Eating much more rapidly than usual
Eating until uncomfortably full
Eating large amounts of food, even when not physically hungry
Eating alone out of embarrassment at the quantity of food being eaten
Feelings of disgust, depression, or guilt after eatingSlide6
How common is BED?
BED is probably the most common eating disorder.
BED is estimated to affect 2% of all adults (about 1 million to 2 million Americans.)
BED is slightly more common in women than men (about 60% of people with BED are female).
BED is equally distributed across different races and ethnicities. Slide7
Where Do Eating Disorders Come From?
Bio-Psycho-Social Model
Bio
Psycho
Social
Genetics Personality Styles Media
Mood Disorders
Family
Styles Peer Pressure
Obsessive Compulsive
All
or Nothing Thinking
Messages
re Dieting
Physical Effects of Dieting Transitions
Addictions StressSlide8
What are the complications of BED?
Diseases that accompany obesity, including:
Diabetes
High blood pressure
High cholesterol levels
Gallbladder disease
Heart disease
Certain types of cancersSlide9
Other Complications
Lowered Self Esteem
Decreased productivity through missed work, school, or social activities to binge
Increased depression, anxiety and other mental health disordersSlide10
What is the connection between food and feelings?
As humans we are biologically programmed to focus on food when we’re under stress
As a culture, food is a cornerstone of tradition, family and connection
Food can serve as a distraction or a numbing agentSlide11
Emotional Hunger v/s Physical Hunger
Emotional Hunger
Is sudden
Is specific for food
Is “above the neck”
Is urgent
Is paired with an upsetting emotion
Involves automatic eating
Does not notice fullness
Feels guilty about eating
Physical Hunger
Is gradual
Is open to different foods
Is Based in the stomach
Is patient
Occurs out of physical need
Involves deliberate choices
Stops when full
Realizes eating is necessarySlide12
Activity
The Food-Feeling ConnectionSlide13
What treatments are available for BED?
Cognitive Behavioral Therapy
How do our thoughts, feelings and actions interact
?
Interpersonal Psychotherapy
What is the role of relationships, disputes, intimacy and feelings of loneliness
?Slide14
Treatments cont.
Medications
The role of
antidepressants
Self-help groups
The role of support
Researchers are still trying to determine which method or combination of methods is the most effective for controlling BED.Slide15
Short Term Planning for not Bingeing
Incorporate relaxation techniques into your daily routine. Take a yoga class, meditate for 20 minutes every morning and night, or simply take “quiet time” to be away from others an alone with your thoughts
Give yourself permission to eat what you crave, but do it with a capable support person who understands your goal is to increase self-awareness, not to binge. Then spend time talking about your feelings or writing them down.Slide16
Short Term Planning for not Bingeing cont.
Call or visit a “long lost” childhood friend whom you have thought about over the years but haven’t seen. Track them down. Catch up on each other’s life. They will not judge you for your binge eating; they have their own stories to tell.
Make
lists about your life: likes and dislikes; goals; priorities; accomplishments; things to do; people to call etc… Lists are good for organizing your thoughts instead of letting them spin.Slide17
Short Term Planning for not Bingeing cont.
Practice saying “NO.” Be assertive and express your needs, small or large. Set your own limits and boundaries. This may feel risky at first, but it gets easier as you get stronger. Always remember you have a fundamental human right to your own opinions and decision.Slide18
Short Term Planning for not Bingeing cont.
Take
a vacation. Get away from your usual routine, and decide not to binge while away. Be a “new” you while you are gone, and think about ways to continue with that attitude when you return home. Slide19
Short Term Planning for not Bingeing cont.
Try visual imagery, which can help you to later act out a situation in a positive way. Picture yourself doing something before you do it. For example, before dinner, mentally see yourself walking into the kitchen, preparing a healthy meal, eating it in a pleasant environment, and cleaning up afterwards. Imagine the scenario as purely enjoyable, then replicate it in reality.
Be wary of the scale!!!!Slide20
Remember!!!
Perfection is not possible – or necessary!
When you make a mistake – don’t miss the lesson!
Small changes slowly add up to big changes.Slide21
Activity
Mindful Eating ExerciseSlide22
Autobiography in Five Short
Chapters
by Portia Nelson
Chapter 1
I walk down the street.
There is a deep hole on the sidewalk.
I fall in. I am lost. I am helpless.
It isn’t my fault.
It takes forever to find a way out.
Chapter 2
I walk down the same street.
There is a deep hole in the sidewalk.
I pretend I don’t see it.
I fall in again. I can’t believe I am in the same place, but it isn’t my fault.
It still takes a long time to get out.
Chapter 3
I walk down the same street.
There is a deep hole in the sidewalk.
I see it there. I still fall in. It’s a habit.
My eyes are open.
I know where I am. It is my fault.
I get out immediately.
Chapter 4
I walk down the same street.
There is a deep hole in the sidewalk.
I walk around it.
Chapter 5
I walk down another street.Slide23
Questions?