Dysfunctional Eating & Body Image
Today in The Sun Lucy Davis– known in the UK for her role in hit comedy The Office- spoke up about her eating disorder and how she has been in its grip for years.
I could really relate to the obsessive thoughts about food and body image she spoke about.
Since a teenager I’ve been absolutely fixated on how much I weigh and how I look. This has stayed with me through periods of mild restrictive eating, to where I am now, in over-eating-ville. Medications like Depakote and Olanzapine haven’t helped as I was totally ravenous on them.
Binge-Eating and Impulsiveness
Binge-eating is a common problem in people with Bipolar and Borderline Personality Disorder (BPD), and is an addictive pattern I myself have developed over the years.
With Bipolar I always think it’s the impulsiveness that is the problem. Binge-Eating Disorder (click here for a detailed profile of the disorder) is characterised by eating large quantities of food in a short period of time, often impulsively. There is an out-of-control quality to the eating which can feel desperate.
It differs from Bulimia in that no purging or reversal behaviours are present. The impulsiveness of Bipolar and BPD make us particularly susceptible to addictions of all kinds. Some of us just choose food!
Interestingly I found a clinical study on Medscape that discovered the behavioural disturbances involving impulsivity in Bipolar patients were present both in manic/hypomanic and depressed periods.So we’re pretty much screwed all the time then!
I really do think it’s about time our government and the NHS would look into treating Binge-Eating and Compulsive Eating seriously. I’ve never been given adequate help, even when I’ve spilled my guts out about how I’ve felt to my GP. The usual line is “eat more fish and vegetables”. Thanks, like I didn’t already know that! Those of us with this kind of problem usually have full awareness of what is healthy and what isn’t. Control is the issue, as well as managing our emotions effectively. Please government- help us with these things!! We have a massive obesity problem in this country and it wont go away until someone important takes eating disorders and their treatment seriously.
Things That Have Helped Me In The Past….
I can’t really impart any words of wisdom on how to overcome such behaviours, as I still grapple with them myself. But these are some things that have been useful to me in reducing binge eating and improving body-confidence in the past:
– massage. Someone else accepting your body for the way it is really helps you accept it.
– Hatha Yoga. The physical relaxation gained can be very therapeutic and helps you feel comfortable in your body. Also the principle of working at your own level, and acceptance of what your body can/can’t do is very helpful. You can get to know your body with Hatha yoga and become friends with it, rather than enemies.
– exercise. I hate to say it, but exercise did help me with feeling good about myself.
– journalling and writing down things we’re feeling can help us become more self-aware and manage our emotions effectively. Seeing as bingeing most often occurs when our emotions are all-over-the-place, this helps to reduce the need to binge.
OK, just need the motivation to get exercising and yoga-ing again!
In the UK help for eating disorders can be acquired from B-EAT, who help all ages and also have specialised help for young people.
Lucy Davis on Bulimia- The Sun (UK)– really worth a read if you have eating issues too.
Pharmacotherapy of Personality Disorders With Impulsivity– Bipolar is included in this.