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Binge and Emotional Eating 101 - Understanding Binge Eating

Along with this presentation, we recommend viewing the webinar recording here: http://bit.ly/1KALNgp

Like millions of other women, you may be struggling—and frustrated—by binge eating.

This free Binge Eating 101 webinar will be hosted by our own BED specialist, Dr. Kari Anderson, Chief Clinical Director, President & Founder of our new Women’s Center For Binge & Emotional Eating.

Kari will speak about the latest understanding and advances in binge eating, as well as speaking from her own personal experiences with binge eating disorder and recovery.

You'll Learn:
- What binge eating actually is
- The often surprising purposes binge eating serves
- Why most people don’t know about BED (and why it often goes undiagnosed)
- Our recommended approaches for recovering from binge & emotional eating

So check out the webinar recording here: http://bit.ly/1KALNgp

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Binge and Emotional Eating 101 - Understanding Binge Eating

  1. 1. Binge and Emotional Eating 101 Understanding Binge Eating Dr. Kari Anderson LPC, LCMHC, CEDS WOMEN’S CENTER FOR BINGE & EMOTIONAL EATING
  2. 2. Your Presenter Kari Anderson DBH, LPC, CEDS President & Chief Clinical Director Women’s Center for Binge & Emotional Eating 25 years of experience treating disorders Personal & professional understanding of BED © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  3. 3. © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating My Story…
  4. 4. Binge and Emotional Eating 101: Understanding Binge Eating Disorder • What is Binge Eating • Purpose Binge Eating Serves • Undiagnosed and Undertreated • Treatment Approach © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  5. 5. What is Binge Eating?
  6. 6. Continuum of Behaviors Emotional Eating Emotional Overeating Binge Eating © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  7. 7. Other Terms Related to Binge Eating STRESS eating COMPULSIVE eating FOOD addiction © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  8. 8. Binge Eating is More Than Overeating While overeating is a challenge for many and part of normal eating, recurrent binge eating is far more severe, and associated with significant physical & psychological struggles. © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  9. 9. • Eating an amount of food, in a discrete period of time, that is definitely larger than most would eat in a similar period of time under similar circumstances • A sense of lack of control over eating during the episode • A feeling that one cannot stop eating or control what or how much one is eating © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating Diagnostic Criteria - DSM5
  10. 10. Diagnostic Criteria - DSM5 The binge eating episodes are associated with three or more of the following: • Eating much more rapidly than normal • Eating until feeling uncomfortably full • Eating large amounts of food when not feeling physically hungry • Eating alone because of being embarrassed by how much one is eating • Feeling disgusted with oneself, depressed or very guilty after overeating © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  11. 11. • Marked distress regarding binge eating • The binge eating occurs on average at least once a week for three months • The binge eating is not associated with the recurrent use of inappropriate compensatory behaviors (purging) and does not occur exclusively during the course of anorexia or bulimia © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating Diagnostic Criteria - DSM5
  12. 12. Binge Eating vs. Obesity • Those who are overweight or struggle with obesity do not necessarily struggle with binge eating, but those with binge eating often struggle with weight. • More impairment in daily living • Greater self-reported distress • Impaired quality of life • More coexisting emotional struggles © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  13. 13. BED Not Always Overweight BED occurs in normal weight, overweight, and obese individuals. 19% normal weight 36% overweight 45% obese © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  14. 14. More Clinical Conditions • Depression, Anxiety, ADHD • Subset of those with BED (30%) have higher level emotional struggles, including suicide ideation, unstable emotions, panic with severe isolation which require more clinical support than traditional BED. © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  15. 15. Purpose Binge Eating Serves
  16. 16. Of Course! The behavior is reasonable and understandable given someone’s needs and life circumstances “I’ve never met anyone who didn’t have a good reason for their eating disorder”. © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  17. 17. Soothes, Calms, Numbs Physical and emotional states are altered through binge behavior Mechanically: crunching, chewing, swallowing, digesting, distending (digestive pathway often holds emotion) Chemically: food floods the pleasure centers releasing feel good compounds throughout the body (systemically) © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  18. 18. Dissociation and Distraction Bingeing becomes a trance-like state: • To escape emotions • To escape thinking about the long- term consequences of actions or to procrastinate unpleasant activities • To escape one’s critical thoughts and feelings of inferiority © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  19. 19. Protects from Harm Binge eating may be a valuable tool in helping someone protect themselves from harm, rejection, failure, power or other threatening situations. This is supported by a strong belief system. An unconscious decision occurs when faced with the choice to do it differently. © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  20. 20. Punishment • For some, especially those with some form of trauma history, may use bingeing as a form of punishment • The very act of bingeing is abusive. Stuffing until it hurts creates pain which is distracting (similar function as cutting) • Some punish because of their lack of perfectionism on their diets, self loathing. © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  21. 21. Sometimes “Just” Habit • Long standing cue-response-reward neuropathways • Automated, mindless patterns created by the brain for the ease of survival © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  22. 22. Undiagnosed and Undertreated
  23. 23. Found Seeking Weight Loss • Over 30% of those with BED: • Seek professional help for weight loss • They don’t know that these solutions only aggravate the disorder © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  24. 24. Society Has Internalized Thin Ideal • Advertising, media and culture • Public health “obesity” campaigns • Overvaluation of weight and shape • Multi billion dollar diet Industry • Food fads and trends © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  25. 25. Misunderstood Medical Complications • Chronic GI symptoms (GERD, IBS, bloating) • Bingeing creates high demand on insulin response creating insulin resistance over time. • BED has behaviors that lead to chronic disease states (we focus on weight as problem instead of eating behaviors) © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  26. 26. Shame and Secrecy • Binge Eating Disorder goes largely unnoticed because people who have it do not readily disclose the behaviors done in private • Many with BED eat normally around others, or may exhibit restrictive eating and yo-yo dieting. © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  27. 27. Treatment Confusion Eating Disorder Treatment or Lifestyle Intervention… © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  28. 28. Treatment Approach
  29. 29. Heal Relationship with Food CONTROLLED EATING (PRESSURE/RULES) AUTONOMOUS EATING (PERSONAL CHOICE) Appearance focus Health and wellbeing focus Rigid eating Flexible eating Avoid food Approach food Quantity of food Quality of food Depleted energy Sense of vitality Having to change Wanting to change © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  30. 30. Structure and Choice © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  31. 31. Mindful Eating • Be mindful of internal and external eating experience. Focus on eating process, before, during and after. • Re-set hunger through predictability and nutritional balance • Limit choices in beginning with goal of experimentation and wonder. • Encourage visualizing balance and portions (the plate model) without weights and measures. © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  32. 32. Challenge Perfectionism • Inability to live in ambiguity, things are right or wrong, good or bad (including themselves) • Learning to live in a mostly and sometimes world © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  33. 33. © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  34. 34. Neutralize Thin Ideal • Developed through long term exposure to our culture • Stop evaluating self-worth based on body size and weight © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  35. 35. Self Compassion • Disengages the fear response (stress) • Creates a positive, safe environment for change • Replaces the critical thought dialogue © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  36. 36. Merge Mind and Body • Adopt “body neutrality” • Mindfully embrace movement • “Something is better than nothing” © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  37. 37. Stop Binge Eating • Empowerment through skills and strategies for self regulation of emotional and physical states without using food to cope. May overeat sometimes, but the goal is to stop bingeing. • Cognitive Behavioral Therapy is the gold standard therapy, including DBT, ACT, MBSR. • Group Interpersonal Therapy • May need individual trauma work. © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  38. 38. Mindfulness Lifestyle The ability to be aware of your thoughts, emotions, physical sensations, and actions in the present moment without judging or criticizing yourself or your experience. — JON KABAT-ZINN © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  39. 39. Stop Focusing on Weight © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  40. 40. A “Healthy Weight” is supported by Essential Self Care • Sleep and rest • Predictable, nourishing and mindful eating • Joyful movement and physical activity • Finding a safe, supportive environment to heal • Stress management © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  41. 41. Support • Surround yourself with others that “get you”. • Decrease isolation, get out there and live life now! © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  42. 42. Upcoming Weekend Intensive Program for Binge & Emotional Eating © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating Reserve by October 31st to Save 10%
  43. 43. Women’s Center for Binge & Emotional Eating: Opening Soon! FINA LLY, A SPECIA LIZED PROGRA M FOR BINGE & EMOTIONA L EATING only, FOR W OMEN only. Announcing COME SEE US AT BOOTH # 4 FINA LLY, A SPECIA LIZED PROGRA M FOR BINGE & EMOTIONA L EATING only, FOR W OMEN only. INSURANCE ELIGIBLE CLINICAL SERVICES 70 Main Street, Ludlow VT 0 5149 (80 2) 975-0 435 / info@fit woman.com FitWoman.com/ binge Announcing CENTER FOR BINGE & EMOTIONAL EATING AT GREEN MOUNTAIN AT FOX RUN COME SEE US AT BOOTH # 4
  44. 44. Questions? Contact me at kari@fitwoman.com DR. KARI ANDERSON, LPC, LCMHC, CEDS Binge Eating Specialist President & Chief Clinical Director Green Mountain Fox Run Women’s Center for Binge & Emotional Eating Ludlow, Vermont 802-975-0435 www.FitWoman.com © Green Mountain at Fox Run Women’s Center for Binge & Emotional Eating
  • ssuser9adeb6

    Jul. 9, 2020

Along with this presentation, we recommend viewing the webinar recording here: http://bit.ly/1KALNgp Like millions of other women, you may be struggling—and frustrated—by binge eating. This free Binge Eating 101 webinar will be hosted by our own BED specialist, Dr. Kari Anderson, Chief Clinical Director, President & Founder of our new Women’s Center For Binge & Emotional Eating. Kari will speak about the latest understanding and advances in binge eating, as well as speaking from her own personal experiences with binge eating disorder and recovery. You'll Learn: - What binge eating actually is - The often surprising purposes binge eating serves - Why most people don’t know about BED (and why it often goes undiagnosed) - Our recommended approaches for recovering from binge & emotional eating So check out the webinar recording here: http://bit.ly/1KALNgp

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