Binge Eating Disorder: The Connection Between Food and Feelings - PowerPoint Presentation

Binge Eating Disorder:  The Connection Between Food and Feelings
Binge Eating Disorder:  The Connection Between Food and Feelings

Binge Eating Disorder: The Connection Between Food and Feelings - Description


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: 715947 Download Presentation

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Slide1

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?

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