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Binge/emotional eating disorders treatment and WLS

lllellielll

New Member
This subject has come up a few times during discussions so I thought I would open a separate thread and try to answer all the questions at once.

I have been diagnosed with an eating disorder about 3 years ago (though obviously I have had it for much longer than that). Some specialists put it as binge eating disorder, others as atypical bulimia. I personally think I suffer from emotional overeating with some binge episodes. But emotional eating is not treated on NHS, so I didn't object the doctors' opinion.

I started treatment almost straight away but very soon realised that nobody (apart from my dietitian who was brilliant) really knew how to treat me. Only a year later I discovered that I am not alone here and overall, unfortunately, there's a general agreement (even among industry experts) that Eating Disorders services are not good at dealing with binge or emotional eating. They try to apply the same techniques as with bulimia (and even anorexia) but come to a conclusion that they are useless with overeating because it's a completely different mindset to binge-purge pattern.

However, in the last couple of years a new approach started to emerge. It is more suitable for binge/emotional eaters BUT it is NOT aimed at weight loss. Worse than that - weight gain is common. And this is exactly what happened to me. To be fair the amount you put on is not huge and then the gain stops altogether.

This method is effective in a way that it stops binges, helps to find solution to emotional problems but it's a drop in the ocean if you are still dangerously overweight and your health is under threat. Sooner or later you NEED to start weight loss program and no matter what kind of program it is it contradicts the eating disorder therapy. The whole idea of the method is based upon belief (and I agree with it) that deprivation (while on a diet) leads to binges (yo-yo dieting is the direct result of it). Instead they teach view food as your tool to become healthy (it turns out that nearly all binge eaters see it as their enemy), learn to cook, enjoy your food, to savour each bite of it.

I believe they teach eventually how to go for healtheir options, make portions smaller and stop snacking but even after 18 months of therapy I didn't get to that point.

HOWEVER it would not be fair to say that it was all in vain. I have learned a huge deal about eating in general and more importantly I have learned a lot about myself. I have found out what triggeres MY binges, what is MY response to emotional issues and what helps ME to avoid overeating. My dietitian gave me a few useful tips and techniques and gave me confidence (many of those I have recently found in Jenny Radcliff's book about bariatric surgery Cut to Size). I have learned to accept my disorder as part of me, as something, that is unfortunately is never going to go away but I can certainly learn to live with it.

As for WLS, eating disorder is one of the obesticles and at the same time one of the reasons why people get the surgery. It can both help to battle it but it can also worsen it. That's at least what I was told. I was also told that they wouldn't consider surgery until I am out active phase of binge eating for at least 6 months. They recommended bypass as it helps to change attitude towards food (through dumping, etc) but I got a sleeve at the end.
 
Tis a very interesting subject, as an emotional eater myself, i have struggled trying to cope with my problems post op with the help of a counselor, and touch wood have been pretty successful so far. It was my main concern before getting my weight loss surgery ..... my counseling was arranged to begin along side as soon as i was post op, mainly because of my fears.... i was scared that something may crop up post op which would have me running to my old comfort and end up making myself ill or dead!! I'm not even sure i recongnised
what a big problem it was...... to be honest it was so burred along side other emotional concerns lol but as my layers have shead my problems have come to the surface..... and of course have had no choice but to deal with them. As a result i have found myself getting strong thru the process, it has empowered me..... and slowly i am beginning to get my life back on track. Of course we never know what is around the corner but one hopes each day we get stronger better equipped to deal with our life tides :)
I have to say its a bit of a pet subject for me..... i feel there are so many failures because its not really taken into account (certainly not in my case) as always its about treating the symptoms rather than the cause which makes me sad.
On my very first visit to see the consultant i was asked about my past and emotional issues, to be told that most who come thru his doors were exactly the same, so if this is the case where are the resources to help rather than just treating the symptoms by cutting out the 'middle man' so to speak....... Oh i could go on for hours but i can't LOL
Thanks for posting and the heads up on the book .... i wish you all the very best sweetheart.......... if you ever need a chat:) im here x x x x
 
...... Oh i could go on for hours but i can't LOL
Please do! I would love to discuss it with someone who know exactly what I am going through.
I thought that nearly everyone going for this surgery might have this problem but I was proved wrong both by the consultants and by the patients I met through support group. Actually I turned out to be in minority. Though I do still beleive that nearly all of us have some sort of emotional attachment to food. Otherwise we wouldn't have needed a surgery. IMHO
 
There a a few on here, i'm sure they will come out of the woodwork :) but would love the chat about it sometime. I'll get my soap box out LOL but in the meantime know there's someone to chat to anytime :) x x x x i'm sure it will get easier as you go along, it certainly has for me.......... i still have my days but they are just that :) x x x your right about being the minority .... like you thought there would be more. Maybe not all openly recognise it????? I never considered myself a binge eater.......still wouldn't but i know now 7 months post op maybe this was the case?? i never ate to the extreme but certainly had tenancies. We will chat (at length im sure) x x x
 
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