Help! Do I Have an Eating Disorder?

“Most powerful is he who has himself in his own power.”

~Seneca

Have you ever gone back for an extra serving of food when you weren't hungry? How about mindless eating between meals on occasion? I’m sure most of us at some time or another took an additional serving (or two) of food or ate unplanned meals especially during holidays, birthdays, hurricanes and long weekends. Let's face it temptations to over-indulge are all around us. But when is it a problem—an illness?

When was the last time you binged on a block of spinach or a bushel of apples? I'm willing to bet not too often. How about a box of brownies, chocolate chip cookies, or a bag of potato chips? Ah...hitting a nerve am I? If you watch your friends, acquaintances, or how about a stranger in a restaurant, I’m certain you will witness at every turn someone who binge eats. Do you?

So, what makes the difference between an occasional over indulgence and an eating disorder? When is it an eating disorder? And of course addiction plays into the mix too. What about food addiction? To make matters more confusing, when is it binge eating disorder and when it is food addiction? And, could it actually be a combination of the two?
 Let’s face it, millions of Americans hide, steal, and hoard food anticipating a secret binge. After their indulgence they're filled with remorse and shame promising to never over eat again. One of the least discussed and most common eating disorder is binge eating disorder. Binge eating is defined as over eating a large amount of food in a small period of time, at least three times a week for six months or longer. Binge eating, or compulsive eating—as it is more familiarly known—affects more than 20 million people in the United States alone. And yet, we focus more on bulimia nervosa and anorexia when it comes to eating disorders.

Although bulimia and anorexia nervosa are the eating disorders that pop into most minds when discussion of dysfunctional eating surface, in my practice, the majority of my eating disordered patients suffer from binge eating disorder and/or obesity. This isn't to say all bingers are obese or even overweight, because some actually can be of normal weight. Also, not all overweight persons binge eat. And where does food addiction fit into the mix?

 Confusing? Yes, for sure it is…

 The biggest challenge is to sort through whether the patient has food addiction, binge eating disorder, or a combination of the two.

The food addict also eats a large amount of food in a small period of time, and like compulsive eating, it comes with consequences that can be lethal, such as obesity, heart disease, relationship issues, body image, and et cetera. The big difference between the two disorders is food addicts crave specific foods that are uncontrollable no matter what attempts they put forth to stop (i.e., dieting, restricting, exercising, et cetera).

I liken food addiction, an uncontrollable craving for high sugar and processed foods, to recreational drugs such as cocaine, heroin, and nicotine. And the food addict needs to consume the sugary/starchy substance in order to function—to feel "normal." In all addiction cases, the substance dependent consumes larger amounts of their drug for longer periods than were normally intended with persistent desires or repeated unsuccessful attempts to quit—even if it interrupts social, recreational, and family interaction—because the addicted substance takes precedence.

When it comes to treatment for binge eating disorder it is often not about the food but rather about the emotional deficits. When it comes to treatment for food addiction it is about the food—specific foods that trigger the compulsion to consume large amounts of it no matter what the cost. Although binge eating disorder and food addiction share many of the same symptoms, food addiction shares the emotional component of binge eating disorder as well as the symptoms such as obsession with body, weight, mood shifts, closet eating, stealing, where compulsive eating is about the inability to deal with emotions.

I suffered from food addiction and binge eating disorder as far back as I can remember—I just didn't know what it was called. I thought there was something wrong with me mentally. I craved chocolate, doughnuts, chips, and anything gooey and sweet beyond normalcy and I tried every diet under the sun—including diet pills, commercial diet centers, starvation, over exercising, none of which helped me tame the compulsion to eat beyond full in spite of the detrimental consequences, which in my case was obesity.

I wish I knew then what I know now about eating disorders, treatment, and spiritual recovery. Perhaps I could have avoided all the pain and suffering with my weight up and my weight down—an endless battle—until now. Today, I live life without the torture of worrying about getting heavy, craving foods I can’t control the amount of. And spiritually my cup is full.

So, if you are one to eat an extra serving, two, or three beyond holidays, birthdays, hunkered down for hurricanes, and long weekend temptations, when you weren't hungry, to the point of devastating consequences that hamper the quality of your life, perhaps you may suffer from an eating disorder such as food addiction, binge eating disorder (compulsive eating) or both intertwined.

 My 20 years experience as a clinical psychotherapist, a PhD in addiction psychology, certified eating disorder specialist, certified addiction professional, and national board certified clinical hypnotherapist has not only made me a recognized expert in my field, but also made me privy to understanding the experience of those (and myself) releasing their obsessions with food and turning to their connection with the divine energy (known as God for some) and people.

 http://weightcontroltherapy.com/

Photos by Dr. Lisa Ortigara Crego

 

You Might be a Food Addict If...

Did you ever eat well beyond full for days upon days without any relief from a full belly? Did you ever eat tray after tray of sweetened pastries? Do you think about eating every wakened moment? Do you shake when you abruptly stop eating certain foods? Have you been on a series of diets with little to no success? Well, if you've said yes to more than three of these questions you just might be a food addict.

Food addiction is defined as an uncontrollable urge for excess food, particularly refined carbohydrates such as sugar and flour substances, which are quick to metabolize. The disease, food addiction, is truly a disease—it's biochemical in nature because the body of the food addict reacts differently to some foods than the bodies of other people. A common link between food addicts is sensitivity to sugars and certain carbohydrates.

Food addiction is often scorned upon by the public, some doctors, and even eating disorder treatment centers. I’ve heard some call this idea cult-like thinking.

Eating disorders are broken down to anorexia, bulimia, and binge eating disorder. As far as eating disorders go, anorexia and bulimia get the most attention. But it turns out that binge eating is the most common. It's not uncommon for a binge eater to wolf down five chocolate eclairs in one sitting and still want for more.

A new survey of more than 9,000 Americans published in the current issue of the Journal of Biological Psychiatry found that binge eating disorder occurs in nearly 4 percent of people, whereas anorexia and bulimia occur in 0.6 percent and 1 percent, respectively.

Binge eaters typically consume more than 1,500 calories in one sitting between meals when they're not particularly hungry, and they binge at least two times a week. As a result, they're five times as likely to be severely obese, which puts them at a greater risk of obesity-related problems like heart disease, diabetes, liver disease, and colon cancer.

Binge eating is an ingredient to food addiction. Not all binge eaters are food addicts; however, all food addicts binge eat. I liken food addiction to heroin or any drug or alcohol addiction in that sufferers find that taking a small taste of chocolate leads them to inhale en entire six-pack of bars followed by a bag of chips and anything else they can get their hands on. This is the same loss of control noted with all addictions followed by the same remorse after. Depression ensues along with self-hate.

Sadly, most binge eaters suffer alone telling no one of their secret never getting the help they need. Psychiatrists tend to treat binge eating as an anxiety/eating disorder prescribing Topamax or Meridia. Yes, these medicines may slow down the urge to eat but it's treating the symptom rather than the problem. Instead, treatment with goals to change and redirect the thoughts, perception, and behavior can produce long term, life changing results. This is not to say medication is not needed in some cases for it most surely is. In some situations medication is needed with therapy.

It's my experience, as a clinician, hypnosis and cognitive/behavioral therapy, along with removing sugar, flour, and wheat from the diet, produces amazing long–term results—quieting the monster within normalizing the eating.

You may be a food addict particularly if you demonstrate the following behaviors several times per week or more:

1. I think about what I’m going to eat at all hours of the day regardless if I just ate a full meal.

2. I plot and plan and worry about cutting down on specific foods. I promise I’ll just eat one slice of cake and save the rest for later, and of course later never comes because I consumed the entire cake.

3. I feel sluggish or fatigued from overeating. I passed out in a nearly finished bowl of spaghetti.

4. I eat past full in spite of pain from my distended stomach.

5. I hide foods and eat them in the locked bathroom (turning on the bath water to drown the sound of opening packages of sweets and crunchy starches) or bedroom where no one can see me.

6. I suffer from withdrawal symptoms when I try to abstain from specific foods like chocolate candy bars, ice cream, cake, or pasta.

7. I steal foods and have left or considered leaving my child unattended to get my food fix.

8. I panic when my “trigger foods” run low or at the thought of never eating them again. I'll simply curl up in a corner and die if I can never eat chocolate cake again!

9. I must have certain foods regardless of who I might hurt to get them.

10.I eat full meals right after I just ate a full meal—there is no full button.

11. I sleep in a reclining chair or with several pillows propped under my head for fear of regurgitation from previously inhaling a large amount of food in a short period of time.

12. I turn down most events to stay home alone to eat.

So, what's the answer to recover from such a debilitating disease?

In my practice I find the most success with patients is combining cognitive behavioral therapy, hypnosis, and for some who are comfortable with a twelve-step anonymous program (Food Addicts Anonymous) geared for spiritual recovery from food addiction.

 
I also suggest eating three meals a day plus a metabolic boost every four hours to prevent hunger and reaching blindly for the wrong foods out of sheer panic.

Avoid sugar, flour, and wheat and instead add fresh fruits, vegetables, lean protein, low fat dairy, whole grains and starches, and a tablespoon of fat to your daily food regime. In addition, eat a wide variety of foods rather than consuming the same types of foods at each meal to avoid developing sensitivity to these foods as well.

Remember to never let yourself get too hungry and carry foods with you when you know you won't be home or close to a place where you can get the right foods.

No doubt it’s challenging to overcome food addiction in our environment, which is almost unlimited amounts of tasty processed foods laced in sugar, fat, and starch but you can, I'm living proof.

Photos by: Benjamin Crego and Dr. Lisa respectively

http://weightcontroltherapy.com/

10 Ways to Increase the Release of Obsessive Eating

When I first started Dr. Lisa Weight Control Therapy Blog, I really didn’t have any goals or objectives. I just wanted a place to write my thoughts that didn’t fit the academic writing I’m trained for in addiction psychology. As such, I didn’t think I’d have too much of an audience in the beginning. I was wrong. From the start, my thoughts as a practitioner and as an individual in recovery from binge eating disorder and food addiction on topics that addressed obsessive eating, weight control, spiritual recovery, and emotional recovery pulled in interests from around the globe. I learned implementing goals and steps increases the success in the release of obsessive eating. I also learned sharing stories without the academia flare was more palatable.

I won’t bore you with the details, but I now consistently hear and see positive results in my practice and from my blog and/or emails from a wide population seeking to release obsessive eating. I found with the goal to contribute steps to build a strong recovery foundation successes increased. True, it didn’t all happen at once, patients and blog readers confessed there were some ups and downs along the way. I’ve found that the 10 steps below can help any food addict increase their ability to release weight and/or make peace with their obsessive eating—whether it’s a new issue or struggles long lived. 

 Here are my 10 ways to increase the release of obsessive eating:

1.    Remove all forms of sugar from your diet with the exception of fruit for breakfast and a fruit included in the metabolic boost later in the day. Sugar is not just an empty calorie; its effect on the food addict is much more insidious. Obese patients think it’s about the calories, but it has nothing to do with the calories. It’s a poison by itself.  Forget the fact that obesity and diabetes has skyrocketed in America in the past 30 year and it’s responsible for diseases such as heart disease, hypertension, and many common cancers, it also triggers obsessive eating and thinking.

2.    Exercise daily at least 30 minutes. It’s important to exercise because it helps maintain a healthy body, reduce stress, and improves blood circulation. More importantly, it’s important to exercise because exercising is healthy. It’s proven to help peoples overall moods, and their health, such as boosting their immune system. Exercise has also been known to keep your mind healthy as well. Get outside and connect with nature and your Higher Source while you move.

3.    Sleep seven to eight hours each night. Sleep is crucial for overall health. This is because sleep helps your body to recover and rejuvenate from your days stressors, ridding your body of fatigues. It’s your body’s chance to recharge and heal. The only way to rejuvenate all of our organs is to rest the body and sleep. Our brains need time to process all of the information it receives daily. Some even say it’s your time to clear your mind and connect with the Divine Source.

4.    Write a daily gratitude journal. Journal writing is very personal and very intimate. It allows you to tap into your inner feelings and figure out what’s going on for you in your life. Journal writing takes many forms. I, myself, especially enjoy “diary writing,” which for the most part involves the unstructured, chronological recording of the extent of a person’s life. With that, I write daily gratitude posts listing all the blessings and treasure that unfold in daily life.

5.    Meditate daily. Meditation is the act of embracing an open and inviting clear space in the mind. It’s the discovery of a corner of the mind, a quietness within the mind, a sanctuary, a resting place—paradise in the mind, a place of peace. Meditation is performed in quiet—with no agenda. Some individuals meditate by using one word to concentrate on, while others hum one note, and still others focus on something to look at, such as a cloud or flower or even a spot on the wall. Some will use a mantra, repeating it over and over again. In meditation, we spend some time in the spaciousness of not knowing.

6.    Pray throughout the day. The beauty of prayer is that it’s personal. There’s no right way to pray, and there’s no wrong way—just your way. You can talk, sing, sit in silence, dance, cry, run, embrace nature, hug a baby, kiss a puppy, and/or watch a butterfly swirl around a daffodil—all in the name of prayer. Prayer is powerful. Prayer can change your life anywhere, any time—alone in quiet or in the middle of a room full of people. You can be rich, poor, belong to a church, temple, synagogue, or mosque, or sit alone in a field that stretches out as far as the eye can see. Our higher source is everywhere—within us and around us.

7.    Drink at least eight glasses of water daily. Just as plants and animals need water to survive so do human beings need water to survive and function properly. In fact, humans can’t live without drinking for more than a few days before deterioration and death set in.  About 55% of the female body (60% of the male body) is made up of water with the muscles and the brain about 75% water. Although hydration for survival is of the utmost importance in drinking water, drinking water hydrates your skin and makes you look younger, helps fend off hunger, and helps to combat ailments.  All good reasons to include water in your daily ritual. Hmmm, seems it might be a good idea to add pure water to the system!

8.    Eat three balanced meals (breakfast, lunch, and snack) and one metabolic boost (snack) daily every four to five hours. The best way to begin your food recovery journey is to follow a simple formula of having four meals a day and breaking down each meal according to an easy structure of specific foods: fruit, protein, fat, vegetables, low-fat dairy, and whole grains (see weightcontroltherapy.com for detailed menu and food suggestions). I've found, too, that at the beginning, the most workable way to do this is to commit to your food plan prior to the start of your day, rather than merely hoping you'll arrive at this optimal arrangement by random eating.

9.    Hug an adult, child, baby, and/or your fury child several times a day every day. According to the famous family therapist, Virginia Satir, “We need four hugs a day for survival, eight hugs a day for maintenance, and twelve hugs a day for growth.”  In the right setting and situation a hug is the best natural therapy for all kinds of conditions, a sign of approval and affection. It is such a simple uncomplicated gesture that speaks more to the other than actual words.  A simple hug—a universal cure available to all of us—is positive energy transmitted in its simplest and maybe oldest form.  

10.   Laugh, giggle, and smile. A simple smile goes a long way. It immediately puts a person at ease and often is returned spontaneously. Giggles and laughter, like a smile has medicinal benefits. When I think of the benefits of laughter Norman Cousins immediately comes to mind. About 30 years ago Cousins was diagnosed with an incurable and fatal spinal column illness with no known cause or cure. Against the advice of his doctors, he checked out of the hospital and secluded himself in his home reading humorous stories and watching movies that brought tears of laughter hour upon hour for a month only to return to the hospital with marked improvement—no sign of the disease whatsoever.

     Since then, research has shown that the health benefits of laughter are far-reaching including it can help relieve pain, bring greater happiness, and even increase immunity. So, laugh yourself to health—beat down compulsive eating with a good belly laugh. Think of little kids when they laugh so hard they fall down. Like smiling and kindness, laughter is contagious. Imagine if everyone partakes what kind of world we’d be in. Now go giggle....

Photos Taken by: Dr. Lisa
http://weightcontroltherapy.com/

Thanksgiving!

Be comforted dear soul! There is always light behind the clouds.

~Louisa May Alcott, Little Women

Thanksgiving is a day of thanks, a day of praise, a day of gratitude for the fortunate. Who is fortunate? Is it the rich person? Perhaps the one with a roof over the head? Or is it purely existence?  Is the fortunate one the person present living? It's different for everyone. My fortunate is the ability to stay present—in the now—and give thanks and praise. Present living was not always a possibility for me in the past, but now, living in this moment befriends me. Of course it's not always so easy when life is filled with trials and tribulations. 

Is there always a light behind the clouds?

Can you sit still on this day of Thanksgiving and connect to the present even if there’s a dark cloud over you? Have you ever tried to stay quiet in the mind driven by gratitude? It's pure heaven. The mind always wants to think about what needs to be done next or what we already did. It's not so easy to focus on the here and now and bask in grace and gratitude when daily worries distract you from the abundance that is yours. Mortgage payments, troublesome spouses, out of control children, roofs leaking, a headache, even sour milk can interfere with your gratitude on this day of Thanksgiving, but your Higher Source (Whomever you turn to—God, Jesus, Sun, Energy, etc.) during challenging times showers continuous blessings and love down on you.

What makes me fixed on staying present when chaos surrounds me is deep breathing my way to calm—the present moment. Like you, many of my loved ones are not here on this day of giving thanks, they died or live in another state but they remain in my heart, which encourages me to sit still in gratitude for what I have in the here and now.

I took a long luxurious bike ride this morning along the Inter-coastal and Atlantic ocean with the most spectacular view before me side by side with one of my sons. As we pedaled our way up the bridge we witnessed the sun peak out over the purple/orange backdrop on the ocean shoreline breathing in the sea air.  My legs are strong and my energy abound. My bike moves with me as if we are one. A new day is about to begin. I am in the now—present.

Thanksgiving was not always a time for me to sit in gratitude. I’m a recovering food addict, and in the past, today marked the eating frenzy that launched my holiday eating. Actually, truth be told, that’s not true,  my out of control food fest began from Halloween until January 1 when I’d make my New Year’s resolution. On Thanksgiving day I’d until I could eat no more—until the food was all the way up to the rim of my throat and my pants cut into my bulging stomach—promising I’d diet come Monday. And Monday never came.

I am an addict addicted to processed foods and this holiday for most food addicts is lethal because there is no end to the eating or at least until we are so full the pain is greater than the need for that one more bite.

Food addiction is a loss of control over eating coupled with the physiological tolerance and psychological dependence that occurs when a specific stimulus (food) is ingested. Typically, this addiction can result in negative consequences for basic life functions and relationships with family; social situations; intimate relationships; the sufferers relationship God and spiritual development; or in relation to the law, health, and work life.

Early in childhood I was fixated on sugar—never getting enough and going to great extremes to obtain it: stealing, hiding and hoarding. Although I didn’t have an awareness of food addiction, I knew something was wrong. In hindsight, I realize I ate out of control and bargained with myself and God to stop—after this one last pastry. I felt shame if I got caught stealing food or money to buy food; yet, I didn’t have the mentality to understand I was compulsive eating until my adolescent years when weight began to pile on. And even then I didn’t know there was an actual eating disorder called, binge eating disorder—and that I had it.

What I did know was my friends ate when they were hungry and stopped when they had enough and didn’t hide or sneak their foods nor had shame. Food addicts have a severe and ongoing disturbance in the manner in which they handle food. The depiction of addiction to food resembles the hallmarks of any addiction. The food addict is caught in the grip of a compulsive, habitual behavior that can’t be controlled.

The binge eater begins eating when she didn’t plan to and can’t stop eating when she wants to. Addiction is the persistent and repetitive enactment of a behavioral pattern the person recurrently fails to resist and that consequently leads to significant physical, psychological, social, legal, or other major life problems. Loss of control over eating and obesity produce changes in the brain, which is similar to those produced by drugs of abuse.

Today I practice mindfulness. The dictionary defines mindfulness as calm awareness of one's body functions, feelings, content of consciousness, or consciousness itself. I am totally conscious of my fingers dancing over the keys putting words together. I am told mindfulness is the path to liberation and enlightenment. It is the intense purpose of staying in the now. I get this. 
 

So, today I am present. I refuse to think about what needs to be done next or what I already did. I am present with each breath in and out. I am present to the sounds of birds singing and the whispers of the wind as it folds through the palm trees out my window. I am here and now. What makes me fixed on staying present is is the peace and tranquility it brings. And of course the whiff of turkey baking in the oven doesnt' hurt! 

Photos by:  Dr. Lisa Ortigara Crego

I Was On the Oprah Show—Almost!

Okay, so I wasn't on Oprah, and perhaps almost was only from my perspective. The show was on persons who lost over 100 pounds and kept it off and of course were inspired by Oprah. I got close to being chosen but my mistake was not pinpointing a specific Oprah show that inspired me.

I had trouble picking a show because ALL of Oprah's shows motivated me  in one way or another. I watched her from back in the early Chicago days on AM Chicago when I was struggling financially, physically, and emotionally. Often I only had a few dollars to my name and barely enough money to fill my gas tank and yet I never found it difficult to binge eat. Hmmm, an addict—food in my case—always finds money for the substance one way or another.

When the Chicago brutally cold winters became more than I could stand, I moved to Florida—very saddened at the idea of not watching AM Chicago which Oprah hosted. But, as luck would have it, the Oprah Show was syndicated a few months after I moved (September 8, 1986) and one day before my birthday day on September 9, 1986. What a gift!

A few years back I dragged my sister Christy to Oprah's store in Chicago to purchase something from Oprah's closet. My sister didn't "get" why I had to have a piece of Oprah's personal wardrobe in my closet. She thought I wanted to wear it—but of course I wanted it authentic—untouched by my body. So, in my closet hangs an Oprah shirt, and not just any old shirt. It's a Richard Metzgar crisp white cotton shirt with bell sleeves that fan out at the bottom.

And of course while I was in Oprah's store I purchased an O baseball cap, magnets with her slogans of motivation for my refrigerators and I snapped a gazillion pictures of Harpo's buildings.

Yes, no doubt Oprah has inspired me, not only in weight loss success but in all of my successes, even though I couldn't pick a particular show.

So, what does this have to do with almost being on Oprah's show—or anything for that matter.  Although I failed to mention what particular show inspired me, which cost me the chance to appear as a guest on Oprah's show, it didn't stop me from reflecting on how far I've come in understanding my food addiction and helping scores of others find answers and direction to their eating disorders.

No doubt, Oprah has been a mentor to me from back in the days when I was a young woman who branched out alone from a small town in Wautoma Wisconsin back to my roots in Chicago, Illinois at the age of 21, without any degrees or money in my pocket and made my way through college, master's degree and a doctorate degree. I had tons of student loans to carry me through my dreams and to date I am happy to report I'm debt free because I learned to respect myself and my money. Yes, I learned this from many of Oprah's shows.

I always felt (and feel) each step towards growth Oprah made I did too—even with weight going up and weight going down. I, like Oprah, had a best friend Yvonne, who I cherished and still do. She died in 1997 in her sleep. Watching Oprah helped me through the most trying loss I had ever had at that time.

Prayer, meditation, intentions, intention map were tools I learned years back from Oprah's shows—with the intent to go on Oprah.

Dr. Wayne Dyer, in Excuses Begone! states, "...when you engage in the act of active contemplation, you set in motion a powerful force—you allow yourself to be lived by the great universal mind or Tao (p.103). In other words when you set the process of creation into action, what you contemplated comes to fruition.

The day the show I almost was on aired my heart ached with anticipation as it began and then as I watched each persona twirl and unveil their large clothes, letting them fall to the floor, a burst of relief took hold. This is not what I represent—diet mentality and showing off weight loss. Instead, my goal is to paint a picture of hope and relief from food addiction and eating disorders. I aspire to light the way to a better way of living. I bring focus to recovery and the added boost is weight loss if needed.

I  hold a doctorate in addiction psychology and I'm certified as a certified eating disorder specialist and have personal recovery from an eating disorder which helps me to help others.

So, I didn't make it on the Oprah Show, I'm still contemplating and sending out my intentions which I intend to manifest to appear on OWN but in a different capacity than a rah rah look at me and my weight loss to let me show you the way to peace and tranquility once and for all—to break free from your food addiction and obesity.

I'm relieved my Higher Source didn't manifest my intention prematurely. My time will come. Oprah's made a huge impact in my life and will continue to in all my adventures left to unfold.                                              

I no longer want to be on the outside looking in to what might have been but rather to what will be.

Photos taken by: Dr. Lisa Ortigara Crego

Obesity in America...

On an Oprah show I heard Mrs. Obama discussing the obesity epidemic in America and how change needs to take place, especially getting children to incorporate more exercise and healthy foods as part of their daily lifestyle.

Great idea! But is it realistic?

I can't count how many families have sought my help with their children's obesity. When I suggest the entire family get off sugar, white flour and processed foods they get the deer-caught-in-the head-lights look. Or they stare at me like I sprouted horns right in front of their very eyes.

I go on gently to explain how attracted we are to processed foods because they are addictive and I discuss what food addiction looks like in children and adults. I share my food addiction story along with my recovery and often, in time,  they begin to nod their heads as they hear their story in my story.

Early in childhood I was fixated on sugar—never getting enough and going to great extremes to obtain it: stealing, hiding and hoarding.

Although I didn’t have an awareness of food addiction, I knew something was wrong.

In hindsight, I realized I ate out of control and bargained with myself and God to stop—after this one last pastry. I felt shame if I got caught stealing food or money to buy food; yet, I didn’t have the mentality to understand I was compulsive eating until my adolescent years when weight began to pile on. And even then I didn’t know there was an actual eating disorder called, binge eating disorder—and that I had it.

What I did know was my friends ate when they were hungry and they instincually knew to stop eating when they were full, and they didn’t hide or sneak their foods, nor did they have shame every time they ate.

Food addicts have a severe and ongoing disturbance in the manner in which they handle food. The depiction of addiction to food resembles the hallmarks of any addiction. The food addict is caught in the grip of a compulsive, habitual behavior that can’t be controlled.

The binge eater begins eating when she didn’t plan to and can’t stop eating when she wants to. Addiction is the persistent and repetitive enactment of a behavioral pattern the person recurrently fails to resist and that consequently leads to significant physical, psychological, social, legal, or other major life problems.

Loss of control over eating and obesity produce changes in the brain, which is similar to those produced by drugs of abuse.

Food addiction is a loss of control over eating coupled with the physiological tolerance and psychological dependence that occurs when a specific stimulus (food) is ingested. Typically, this addiction can result in negative consequences for basic life functions and relationships with family; social situations; intimate relationships; the sufferers relationship with God and spiritual development; and/or in relation to the law, health, and work life.

Research indicates more than half of Americans are overweight and at least a quarter near obesity. Weight loss products and services  cost consumers over 50 billion dollars annually and the numbers are climbing. More than 325,000 deaths are attributable to obesity-related causes each year.

My mother and grandmother were included in these statistics; their lives were shortened through a series of strokes and finally pneumonia as a result of their obesity.

So, yes I applaud Mrs. Obama for addressing children and family obesity and the wonderful suggestions she brings to the table. Unfortunately, I believe the problem goes deeper than exercise and healthy food choices. Food addiction is rampant and until their is a clear understanding about what it is and what the signs are all the diet and exercise suggestions will continue to go unheard.

Photo Taken by: Benjamin Crego

Binge Eating Disorder vs. Food Addiction

Do I have Binge Eating Disorder or is it Food Addiction, or Could it be a Combination of Both? Have you ever gone back for an extra serving of food when you weren't hungry? How about mindless eating between meals on occasion? I’m sure most of us at some time or another took an additional serving (or two) of food or ate unplanned meals especially during holidays, birthdays, and long weekends. Let's face it temptations to over-indulge are all around us.

So, what makes the difference between an occasional over indulgence, or binge eating? What about food addiction? When is it a food addiction? To make matters more confusing, when is it binge eating disorder and when it is food addiction? And, could it actually be a combination of the two?

When was the last time you binged a bushel of apples or a bucket of broccoli? I'm willing to bet not too often. How about a box of cookies, bag of potato chips, or chocolate bars? Ah...hitting a nerve am I? If you look around I am certain you will see at every turn someone who binge eats. Do you?

Millions of Americans hide, steal, and hoard food anticipating a secret binge. After their indulgence they're filled with remorse and shame promising to never over eat again. One of the least discussed and most common eating disorder is binge eating disorder. Binge eating is defined as over eating a large amount of food in a small period of time, at least three times a week for six months or longer. Binge eating, or compulsive eating—as it is more familiarly known—affects more than 20 million people in the United States alone. And yet, we focus more on bulimia nervosa and anorexia when it comes to eating disorders.

In my practice, the majority of my eating disordered patients suffer from binge eating disorder and/or obesity. This isn't to say all bingers are obese or even overweight, because some actually can be of normal weight. Also, not all overweight persons binge eat. And where does food addiction fit into the mix? The biggest challenge is to sort through whether the patient has food addiction, binge eating disorder, or a combination of the two.

The food addict also eats a large amount of food in a small period of time, and like compulsive eating, it comes with consequences that can be lethal, such as obesity, heart disease, relationship issues, body image, and et cetera. The big difference between the two disorders is food addicts crave specific foods that are uncontrollable no matter what attempts they put forth to stop (i.e., dieting, restricting, exercising, et cetera).

I liken food addiction, an uncontrollable craving for high sugar and processed foods, to recreational drugs such as cocaine, heroin, and nicotine. And the food addict needs to consume the sugary/starchy substance in order to function—to feel "normal." In all addiction cases, the substance dependent consumes larger amounts of their drug for longer periods than were normally intended with a persistent desires or repeated unsuccessful attempts to quit—even if it interrupts social, recreational, and family interaction—because the addicted substance takes precedence.

When it comes to treatment for binge eating disorder it is often not about the food but rather about the emotional deficits. When it comes to treatment for food addiction it is about the food—specific foods that trigger the compulsion to consume large amounts of it no matter what the cost. Although binge eating disorder and food addiction share many of the same symptoms, food addiction shares the emotional component of binge eating disorder as well as the symptoms such as obsession with body, weight, mood shifts, closet eating, stealing, where compulsive eating is about the inability to deal with emotions.

I suffered from food addiction and binge eating disorder as far back as I can remember—I just didn't know what it was called. I thought there was something wrong with me mentally. I craved chocolate, doughnuts, chips, and anything gooey and sweet beyond normalcy and I tried every diet under the sun—including diet pills, commercial diet centers, starvation, over exercising, none of which helped me tame the compulsion to eat beyond full in spite of the detrimental consequences, which in my case was obesity.

I wish I knew then what I know now about eating disorders, treatment, and spiritual recovery. Perhaps I could have avoided all the pain and suffering with my weight up and my weight down—an endless battle—until now. Today, I live life without the torture of worrying about getting heavy, craving foods I can’t control the amount of—and spiritually my cup is full. So, if you are one to eat an extra serving, two, or three beyond holidays, birthdays, and long weekend temptations, when you weren't hungry, to the point of devastating consequences that hamper the quality of your life, perhaps you may suffer from an eating disorder such as food addiction, binge eating disorder (compulsive eating) or both intertwined.

My 20 years experience as a clinical psychotherapist, a PhD in addiction psychology, certified eating disorder specialist, certified addiction professional, and national board certified clinical hypnotherapist has not only made me a recognized expert in my field, but also made me privy to understanding the experience of those (and myself) releasing their obsessions with food and turning to their connection with the divine energy (known as God for some)and people.

Photos by Dr. Lisa Ortigara Crego