What is Binge Eating Disorder
Almost everyone occasionally finds comfort in food and overeats on occasion. This is totally normal and typical for the fast paced, stressful world that we live in today. Emotional eating can be a way of sometimes coping with stress and is part of normal life. On the other hand, individuals struggling with Binge Eating Disorder (BED) may experience this at a more frequent and extreme level. This may include eating much more than most people would in a sitting on a weekly basis (at least 1 day a week for 3 months), feeling out of control and guilty around food, and eating until uncomfortably full with or without feeling physically hungry. BED is not associated with compensatory behaviors such as excessive exercise, purging, or fasting as is common in other eating disorders such as Anorexia and Bulimia.
Signs and Symptoms
Since many children and teens struggling with BED feel embarrassed or guilty about their food behaviors, many do not reach out for support or share their struggles with family members. It’s important to look for key signs and symptoms that your child may be struggling such as:
Large quantities of food missing, hidden wrappers, and sneaking food
Eating unusually large amounts of food in a specific amount of time, such as over a two-hour period
Rapid weight fluctuations
Regularly skipped meals throughout the day
Frequent isolation and eating in private
Increased feelings of depression, guilt, or shame
How To Support
Allow all foods to be available in the home. We tend to sometimes place moral values on our food, calling things “good” and “bad.” This is normal in the world that we live in today, full of diet advertisements and toxic food/body culture. It’s important to try to take these words away from food and understand that all foods can be healthy when eating in variety and moderation. By only allowing desserts on special occasions and labeling certain foods as “off limits,” it may trigger kids to eat excessively when given the option since they don’t know the next time they will be “allowed” to have it. It also puts a feeling of guilt for eating “bad” when in reality they are honoring their body’s physical and mental cues for hunger.
Eat consistently throughout the day. Skipping meals may cause your child to feel overly hungry and out of control around food. This is the body’s natural reaction to extreme hunger; it is no longer able to sense its true cues and may end up leading to binging behaviors. Try helping your children with packing lunch for school and asking if they need assistance with preparing breakfast in the morning to keep on a consistent eating schedule.
Speak positively about yourself. Children learn by example and tend to hold onto your words more than you might think. Showing your child that you can love and appreciate your body (and the food you eat) for what it does will help them try to feel the same way, especially with all of the bodily changes during puberty.
Start the conversation. Instead of making statements around food such as “Are you sure you’re hungry for all of that?” and “Do you really want to be eating that?” try reframing your statements to focus on your child’s struggles. Asking questions/making statements such as “How can I support you right now?” or “It looks like you might be struggling, I’m here for you” can be helpful to open the conversation around the triggers and stressors in your loved one’s lives. It can be really difficult to reach out for support especially when feeling shame and guilt around eating patterns and body image. Showing that you care and accept them as they are rather than focusing on the behavior can be helpful for building trust and allowing them the space to talk.
Practice movement as a family. Getting outside together as a family can be a great way to relieve stress and improve relationships and mental health. As the weather gets nicer, try going for walks with the dog, swimming at the beach, or playing sports as a family to continue to practice having an active and fun lifestyle.
Seek treatment. Treatment for eating disorders is readily available by mental health professionals and can include many different courses of action. At Lift, you can seek out treatment that works for you and your loved ones including individual therapy, group therapy, parent support sessions, nutrition therapy, and psychiatry.
References:
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Written by Kelsey Riesbeck, our director of dietary services.
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