Posts Tagged ‘Binge Eating Disorder’

Eating Disorders and Substance Use Disorders Comorbidity

Medication

Many individuals with eating disorders also struggle with alcohol and drugs. In fact, about half of all individuals diagnosed with an eating disorder also have a substance use disorder. Let’s take a look at the nature of both eating disorders and substance use disorders so we can examine their relationship and how to best treat these disorders when they co-occur.

Eating Disorders

Eating disorders are real, complex illnesses that are affected by biological, psychological, social, and environmental factors in an individual’s life. Eating disorders are characterized by a disturbance in eating or food behaviors and are often accompanied by negative body image. Eating disorders often co-occur with other mental health disorders such as substance use, anxiety, or depression. Eating disorders are categorized in the DSM-5 as follows:

Anorexia Nervosa. Anorexia revolves around the restriction of food intake and an obsession with body weight, size, or shape. It is the most fatal of all mental illnesses. Warning signs in preteens and teens may include a refusal to maintain an age-appropriate weight, body dysmorphia, over-exercising, and restrictive behavior around food.

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Episode 8: The Neurobiology of Eating Disorders

Brain Neurons

Episode description:

The Emily Program’s Chief Strategy Officer Dr. Jillian Lampert joins Peace Meal this week to discuss eating disorders and the brain. Dr. Lampert educates listeners on the two experiences of eating and how they play into each type of eating disorder. We wrap up the episode by comparing the brains of those with eating disorders to the brains of individuals who are unaffected by the illnesses.  

Episode show notes:

Dr. Jillian Lampert is The Emily Program’s Chief Strategy Officer and the co-founder of the Residential Eating Disorders Consortium. Dr. Lampert has a Master’s degree in nutrition and a Doctorate degree in nutrition and epidemiology. In addition to this, she is also the author of numerous book chapters and articles discussing eating disorders and she regularly speaks nationally about eating disorder related topics.

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A Tale of Two Cheeseburgers

Cheeseburger

For the past few months, I have been fortunate to sit in as the dietitian for a meal support group at The Emily Program. In this group, clients of all eating disorder diagnoses and levels of recovery bring in their own meal to eat. During this shared meal, clients use the support of trained staff and other group members to work through and process their own food issues.

At a recent group, it just so happened two group members brought in cheeseburgers for their meal.

At check-in prior to the meal, one participant made the observation that she felt hungrier at this meal because the aroma of the cheeseburger she was bringing filled the car on her way over. Her goal was to eat mindfully and stop when she noticed she was feeling physical fullness. She found that this goal was challenged by her heightened “hunger” and desire to eat due to the exposure to the food aroma.

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Eating Disorders 101

Forks and knives

Eating disorders are real, complex illnesses that can cause serious harm. Eating disorders are characterized by a disturbance in an individual’s eating and food behaviors or self-perception. Common warning signs of eating disorders are extreme weight changes, altered eating behaviors, or an intense fixation on food and body talk. Eating disorders are biologically-based brain illnesses that are affected by environmental, social, and psychological factors. This means that illness is not caused by one specific factor, but rather by a series of factors in an individual’s unique life experience.

Types of Eating Disorders

Due to the complexity of eating disorders, the DSM-5 divides eating disorders into the following five categories:

Anorexia Nervosa. Anorexia is noted by extreme food restriction that causes dramatic and prolonged weight loss. It often presents with body dysmorphia and a genuine fear of food.

Avoidant/Restrictive Food Intake Disorder (ARFID). ARFID includes feeding or eating disorders that involve a lack of interest in or an avoidance of certain foods that result in a failure to meet nutritional needs. ARFID, unlike anorexia, does not include a drive for thinness.

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