Promoting Recovery From Binge Eating Disorder Adrienne Ressler, MA, LMSW, CEDS & Jessica Setnick, MS, RD, CEDRD

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Clementine Shonda Walker
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1 PROMOTING RECOVERY FROM BINGE EATING DISORDER Adrienne Ressler, MA, LMSW, CEDS Jessica Setnick, MS, RD, CEDRD AS MANY AS HALF OF ALL INDIVIDUALS SEEKING MEDICAL HELP FOR OBESITY HAVE BED ALTHOUGH THEY WILL BE OFFERED MANY OPTIONS FOR WEIGHT LOSS, FEW WILL EVER RECEIVE TREATMENT FOR THEIR EATING DISORDER THE REAL VOYAGE OF DISCOVERY LIES NOT IN SEEKING NEW LANDSCAPES, BUT IN HAVING NEW EYES. -MARCEL PROUST 3 TYPES OF BINGE EATING 1

2 UNDER EATING AND OVER EATING ARE TWO PARTS OF ONE CYCLE. DEPRIVATION SENSITIVE Caused by actual or mental restriction of certain foods or food in general Solved with an appropriate daytime meal schedule, adequate energy intake, and eating enjoyable foods Enjoyable eating may require practice, permission and mindfulness as relinquishing old rules may take time MANY FEELINGS FEEL EMPTY LIKE HUNGER, BUT NONE OF THEM ARE FIXED BY FOOD. AFFECT-TRIGGERED Eating in response to strong emotions Solved with more appropriate response to feelings This will require identifying feelings, or at least identifying them separately from hunger Counseling is needed for appropriate responses to feelings DIETITAN SECRET Shhhh Patients are convinced that food or weight is causing their bad feelings - this explains why weight loss is the best solution However they are feeling after eating is how they were feeling before they were eating Use this to help patients recognize strong feelings before they lead to eating behavior DISSOCIATIVE Eating used to numb out, forget my problems or wind down Having trouble ending a meal Key words: bored, overwhelmed Help patients plan ahead for activities Counseling is needed to identify need for escape May be a sign of anxiety or depression requiring medication 2

3 This is a brain problem. I have no willpower Willpower doesn t work. 1 I am Identity Issues What is Body Image? HOW HOW YOU SEE YOUR SELF HOW YOU OTHERS SEE 2 TRANSLATING 3

4 3 4 PRACTICE DECREASE SHAME 4

5 SHAME IS NOT Collapse AN EFFECTIVE TOOL Collapse REGRET ALLOWS REFLECTION, WHICH ALLOWS CHANGE TO OCCUR Panic Shame Lapse Acceptance Lapse Implement Plan with Regret Continued Recovery 5 I M CRYING BECAUSE MY PAIN IS GONE AND I AM NOT YET USED TO LIVING WITHOUT IT. ~ANAIS NIN BIOCHEMICAL MARKERS ESTABLISH A BASELINE IN THE BODY IT FEELS WRONG TO CHANGE. RDS ARE APPRECIATED! How would you describe your dietitian in terms of your recovery? Helpful to my recovery 61.8% Essential to my recovery 25.0% 13.2% The single most important factor in my recovery 5

ADDITIONAL RESOURCES Gurze Books catalog (includes educational materials and information about treatment), www.bulimia.

com The ADA Pocket Guide to Eating Disorders, Jessica Setnick, www.eatright.org Eating Disorders Boot Camp www.understandingnutrition.

6 ADDITIONAL RESOURCES Gurze Books catalog (includes educational materials and information about treatment), Counseling Tips for Nutrition Therapists, Molly Kellogg (workbooks and free e-newsletter), The ADA Pocket Guide to Eating Disorders, Jessica Setnick, Eating Disorders Boot Camp The Renfrew Center Foundation Conference, International Federation of Eating Disorder Dietitians, Academy Dietetic Practice Groups with ED/DE subunits: Sports, Cardiovascular & Wellness (SCAN), Behavioral Health (BHN), Pediatrics LIFE ITSELF IS THE PROPER BINGE! -Julia Child 6

Binge Eating Disorder. Ashley Gilmore, LCSW Binge Eating Disorder Therapist Texas Health Behavioral Health Dallas

Binge Eating Disorder. Ashley Gilmore, LCSW Binge Eating Disorder Therapist Texas Health Behavioral Health Dallas Binge Eating Disorder Ashley Gilmore, LCSW Binge Eating Disorder Therapist Texas Health Behavioral Health Dallas 1 Binge Eating Disorder in Patients 3x more common than Anorexia Nervosa and Bulimia Nervosa