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/

Why Can't I Stop Eating?

So, you ask yourself,'Why can't I stop eating?' or 'What's wrong with me that I’m eating a huge amount of food—when I’m not even hungry?'

Did you ever consider you may have an eating disorder? Okay, it's harsh to even consider the idea. Nobody wants to be "labeled" with a disorder. I get that. I have binge eating disorder and denied it for years until one day (after gaining and losing and gaining close to 100 pounds) I came to my senses and admitted I had an eating disorder and gradually changed my relationship with food; hence, my journey to recovery began. Was it easy? Certainly not! Was it doable? Absolutely!

Let's face it, change doesn't come easy for most of us and learning we might have a disorder that requires cognitive/behavioral changes is darn right scary. So what does one do? I believe the answer begins by making choices towards a healthy life style. We can hunker down to what is familiar—not willing to budge—or we can step out of our comfort zone and try recovery strategies that may seem foreign at first.

As an expert in eating disorders, I have found answers not only for myself but also for my patients who have binge eating disorder, bulimia, anorexia, food addiction, or a combination of all four. You may wonder if it’s possible to move in and out of binge eating, purging, and restricting—the answer is yes. In fact, it’s not uncommon to dance between a mix of eating disorders.

You may find it interesting to learn, bulimia and anorexia are the eating disorders most familiar, but not most common. Patients often gasp when they learn that eating a large amount of food in a small period of time with little regards for consequences (and not purging) actually has a name and is considered an eating disorder that is more common than bulimia and anorexia. Most of my patients (including myself) have binge eating disorder without purging food. After an episode of bingeing, often the person harbors guilt and shame promising after this last binge they’ll get back to their diet and never engage in volume eating again.

Once my patients get past the fact they have a disorder, and that it actually has a name—binge eating disorder—they move into acceptance and a recovery plan.

So now, when you ask yourself, ‘why am I bingeing', you may want to take a closer look at what's going on in your life? Let's be clear, if you spend the evening hunkered down in a coma-state watching television, and to your surprise realize you inhaled an entire bag of potato chips, you are not automatically a binge eater. A binge eater frets over the fact they lost control over their food and may even fear they can't stop eating once they start and an intense fear of weight gain. Furthermore, it's not uncommon for a compulsive eater to hide their food and binge alone—filled with shame when the binge is over.

The cause and recovery strategy for compulsive eating is up for grabs—with many theories. Some say it is a chemical imbalance and name it food addiction. Some find it is an emotional crisis and bingeing is a way to avoid something bothersome. And still others find it is a spiritual deficit. I say, it's a three-prong problem: spiritual, emotional, and physical.

Most of my patients contact me because they want to lose weight and they tried every "diet" imaginable and still can't stop eating. Eating beyond full is common with a person suffering from binge eating disorder. What is causing this behavior? Perhaps you're sensitive to sugar, flour, and wheat due to a chemical imbalance causing you to crave more and more food, especially from sweet and starchy food choices.

You may have trouble resisting a binge because you suffer from a food addiction and/or an eating disorder. The answer is not simple and it requires a process that involves change in thoughts and behaviors. The first step for you is to get familiar with trigger foods and start weaning off of them. After a binge (or before would be ideal!) ask yourself a series of questions:

1. Was I hungry? When was the last time I ate? If it was more than five hours you most likely were hungry.
2. Was I angry about something? Is there something going on in my life that I feel out of control, anxious, hopeless, and/or helpless?
3. Am I lonely or feeling alone?
4. Am I tired? Did I get an ample amount of sleep?
5. Am I stressed? Do I have too much to do and little time for relaxation and fun?

If you answered yes to any of these questions, it may be the first place to address your eating issues. Also, pay attention to the foods you’re eating. Perhaps you are sensitive to processed foods such as: bread, cakes, cookies, flour, et cetera. So, if you ask yourself, 'Why can't I stop bingeing?' or 'What is wrong with me that I'm eating a huge amount of food when I’m not even hungry?', you may have an eating disorder or a chemical imbalance that triggers uncontrollable cravings and volume eating. My suggestion is to seek a certified eating disorder professional who can help you address these issues and move into recovery and quality living.

Celebrating and Mourning Simultaneously...

Happy Birthday America! Today is the Fourth of July...a day worth remembering and reminiscing. Today is the day America decided to become independent of Great Britain. This day represents freedom to make our own rules and be responsible for our welfare.

My day began with sunny, blue skies, white puffy clouds, birds singing. A picture perfect South Florida day! A time for America to remember and celebrate what was and what is. Although a truly glorious day, somewhere someone is mourning. Someone is sick. Someone is losing someone. I think of Mom and recall several Fourth of Julys after she suffered a massive stroke (days before her 64th birthday), I was filled with sadness and questioned how the world could still be moving forward while I was suspended in gripping emotional pain.

The same holds true on this fourth day of July celebration. Even though some of us might be grappling with an emotional, physical, or spiritual loss, the 4th of July must go on. It is no doubt a time for celebration, which includes: picnics, boat outings, Barbeques, et cetera. Of course, with celebrations come foods, drinks and temptations. This is the American way! But...perhaps not everyone is so festive. Many suffer from illnesses and losses. Certainly Michael Jackson's family is mourning their loss. And in my own life I have losses and family members suffering from illnesses and aging.

I can't help but wonder what role food plays in illnesses, losses, and death. Take Michael Jackson for instance. He was a 50 year old icon, weighing in at 112 pounds at the time of his death. It is my understanding he was somewhere between 5-8 and 5-10 in height. In my line of work (eating disorders, body image dysmorphia, and mood disorders) this would be a huge red flag. Did he suffer from a low self body image? It seems evident by his history of plastic surgery and total change in body appearance he did. Did he suffer from addictions to prescription drugs? With all the surgeries and other medical issues he had he was in chronic pain and may have become addicted to prescription medications. I have witnessed in my practice as a certified addiction professional, addictions to medications quite common. Did he have an eating disorder tied in? Maybe. I did not hear anything regarding this; however, he definitely was not of a normal weight and did seem to have an issue with growing up. Perhaps he kept his body frame boy-like to avoid growing up.

Many female anorexics keep their body's girl-like, stop menses, and appear to harbor a flat chest to hide their femininity perhaps to be in control. My Mom did not restrict, she was the opposite. She wore her weight and then some. She ate large portions of high fat, salty foods. Perhaps she grew her body rather than restricted to accomplish the same goal of hiding her feminine side. As pointed out with Michael Jackson, men are not free from eating disorders and/or body image dysmorphia. My uncle, a rather large man, died from cancer. He ate heavy meals, did not exercise, wore extra weight, and may not have been spiritually connected. He died young...late fifties. I believe unprocessed foods play a huge role in healthy minds and healthy bodies. All of my self-hypnosis CDs address the importance of clean eating, exercise, and spiritual recovery.

And so here we are on this glorious day. The Florida sun tucked away for the evening as festivities of 4th of July come to a halt. I wonder, as the last bits of fireworks fall from the sky, sounds still within ear shot, how many close this day with full bellies and empty bellies both rumbling from restricting or binging. Many are alone and lonely, turning to food for comfort...or not. Eating disorders come in many guises. It does not matter if your black or white...or somewhere in between. It does not matter if you're rich or poor...or somewhere in the middle.

Look at Michael Jackson, Elvis Presley, Elizabeth Taylor, Oprah...all rich and famous, all suffered/ suffering from eating disorders and/or addictions of some type. Today, I celebrate America's Independence. I celebrate my independence. I broke away from food controlling me...and now live free. I hope those suffering and hurting today will find independence from pain and sadness...and the loss of loved ones. Life is to be celebrated. America is to be celebrated. Let's wave our flag proudly. We live in a country that offers help and hope to all.

Photos by: Dr. Lisa Ortigara Crego