Overview

An eating disorder is a compulsion to eat, or avoid eating, that negatively affects both one's physical and mental health. Eating disorders are all encompassing. They affect every part of the person's life. According to the authors of Surviving an Eating Disorder, "feelings about work, school, relationships, day-to-day activities and one's experience of emotional well being are determined by what has or has not been eaten or by a number on a scale." Anorexia nervosa and bulimia nervosa are the most common eating disorders generally recognized by medical classification schemes, with a significant diagnostic overlap between the two. Together, they affect an estimated 5-7% of females in the United States during their lifetimes. There is a third type of eating disorder currently being investigated and defined - Binge Eating Disorder. This is a chronic condition that occurs when an individual consumes huge amounts of food during a brief period of time and feels totally out of control and unable to stop their eating. It can lead to serious health conditions such as morbid obesity, diabetes, hypertension, and cardiovascular disease.

Thursday, August 13, 2009

The Dangerous Escape Food Provides

Overeating, binge eating, stress eating, and emotional eating are powerful coping mechanisms because they help people escape whatever uncomfortable feelings are in front of them.

Christine, a 40-year-old patient of mine, had just moved back to Los Angeles from Alabama. While she was living in the south she gained 50 lbs. It wasn't just the down home cooking; it was being in an abusive relationship and then living alone in an unsafe neighborhood. She was already ashamed about her weight when she moved back home to LA. After all, she used to be a model. But she was determined to have a fresh start. This time, she was going to get what she deserved from her job and from her relationships. She was going to do everything right from day one. But when she was offered a job, within the first week back, she didn't negotiate a high enough salary for herself. She got off the phone feeling defeated, her chance to have a clean slate ruined. Just like when you blow your diet and you figure, Why bother, for the rest of the day. She didn't realize that she was feeling all of these things. She just hung up the phone and suddenly felt hungry.

I define emotional eating as using food to deal with your experience of powerlessness over the struggles and stresses of life. Something always triggers you to overeat, perhaps some friction with someone or an emotionally relevant event in your life. It's not the person or the event per se that sets you off but how those things made you feel. At first you may not even know how you feel. As you work on being your own psychotherapist, you'll observe the places you're at or the people you're around when you tend to overeat. Then you'll pay close attention to what feelings come up for you around those people or situations.

Simply identifying the times you overeat is a huge first step. Why is it a huge step? It's a huge step because as things start to come in to focus you'll be able to put a spotlight on them and that will allow you to analyze them. Inevitably, you'll have to confront the bad feelings that, up until now, you've been trying to get rid of by eating.

Let's face it; there isn't anyone who welcomes bad feelings. We look to do something with them, like wish them away. We try to forget them. We take a nap, go for a jog, talk to a friend, distract ourselves with television or a book, have a drink, smoke a cigarette, have sex, or eat a snack. Ideally, you can get to a point where bad feelings are like bad weather-- you know they'll pass. Just like when you know it's going to rain and you bring your umbrella, you'll know how to predict your feelings and what you'll need to get through them. If you haven't yet arrived at this place of acceptance, where even bad feelings are a part of you to include rather than to banish, then food will remain your preferred method of medicating yourself.

Why has food become the thing that you consistently turn to when feelings triggered by people or events feel unbearable? Food serves two very effective purposes. First, it helps you avoid feelings. I call the desire to avoid emotions the "feeling phobia." Also, food gives you a way to replace bad feelings with the pleasurable experience of eating. I call the pleasurable experience that food provides the "food trance." In short, eating protects you from the feelings that you don't want to feel.

If your feelings open the door to your interior world, then eating slams the door shut. It keeps you functioning on a surface level. Although you're feeling powerless to control what and how much you eat, at least you don't have to focus on the deeper things that really make you feel powerless (failed relationships, unsatisfying careers, difficult children, etc.). Remember Christine from the beginning of this article. Not handling her job opportunity well made Christine feel a flood of bad feelings: disappointment, fear that her new start was already ruined, and anger at herself. By eating, she got to avoid confronting all those feelings.

Many people report to me that as they're approaching their goal weight they often sabotage themselves and all of their efforts. They wonder why that is. It doesn't seem to make any sense. You may be able to relate to that experience. The answer, time and again, proves to be simple: if you didn't have your weight to think about you might have to think about what's really bothering you and that's very frightening. It's frightening because you feel powerless to change the things that really bother you. You've made what I call the "unexamined powerlessness conclusion." It's the conclusion that you're powerless over your feelings and the circumstances in your life that the feelings point towards, so why not just eat instead.

Eating takes you to an earlier place in your development, predominantly because, as infants and children, food is often associated with comfort and love. However, childhood is also associated with powerlessness. As a child, you were, in fact, powerless. You might have been mistreated. Maybe you couldn't control your impulses. Perhaps you were subject to abandonment or dependent on others to protect and nurture you. Even if food provides you with some of the comfort of infancy by taking you back to that state of mind, when you use food in this way you're reverting back to a childish way of dealing with the world. And that reminds you of the powerless feeling of being a child. You're an adult now and you have choices. You can be the powerful agent of your own life by facing your feelings and hearing what they have to say to you. Or you can continue eating to cope with emotions, knowing that it actually keeps you stuck in childhood, a place where you were powerless. Facing your feelings brings you to adulthood, the only place where you have the possibility to finally be powerful.

Emotional eaters can't see the forest for the trees. In the moment when feelings have been triggered and an unexamined powerlessness conclusion has been reached, eating feels like a life or death decision. When you distract yourself with food it's not an apple or a simple cookie. It tends to be large quantities of food, typically unhealthy foods, and the foods are eaten in a voracious aggressive way -more like stuffing than eating. By the time the eating frenzy has ended the bad feelings have vanished; but they aren't really gone. They're just buried under food almost like lost files on a hard drive. They exist somewhere but are temporarily irretrievable. You're addicted to the escape that the food provides more than the food itself.

You can stop using food as an escape. By finding the upsetting feeling or situation and addressing it directly you can avoid overeating and recover your power at the same time.



Autor: Roger Gould, M.D.

Roger Gould, M.D.
Psychiatrist & Associate Clinical Professor, UCLA
One of the world's leading authorities on emotional eating and adult development
Author & Creator of Shrink Yourself
Shrink Yourself is the Proven Online Program Designed to End Emotional Eating


Added: August 13, 2009
Source: http://ezinearticles.com/

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