Binge eating is another condition that people are forced to handle in eating disorder recovery. A binge eater will eat enormous amounts of food; grotesque amounts even. So much more food than needed; that a person without this disorder would be appalled. This is why such a disorder goes undetected for so long. There is typically a feeling of being uncomfortably full. The eater often experiences depression, guilty and/or disgust following this gorging pattern. Most times the person is not even hungry. But, using food to cover feelings of inadequacy, loneliness, and hopelessness brings a certain satisfaction; albeit very temporary. During the eating binge, the person is mulling over the fact that this seems to be the only outlet for them to express their feelings. Of course, for many who binge eat, the next phase of behavior is to expel the food. This is a condition of it's own. It's called bulimia. The main differences between the two is that a binge eater doesn't necessarily throw it up and a bulimia sufferer doesn't necessarily overeat.
Bulimia is characterized by first eating, then purging. This is very dangerous for the esophagus. The esophagus is only meant to have food travel one way. An occasional eruption is normal; but consistently vomiting can cause permanent esophageal damage. Without an eating disorder recovery plan in place, the esophagus could eventually develop erosions and ulcers. When the patient stops the vicious cycle of destruction these sores will heal. But, upon mending, scarring can take place that results in esophageal stricture. Benign esophageal stricture is a reduction of the opening of the esophagus that produces swallowing difficulties. These strictures can have a long term impact on a person's ability to eat normally. Therefore, when bulimia is present, it is critical to get immediate help.
As individuals and families navigate their personal eating disorder recovery process, there are several aspects of the plan that should be keep in mind. Behavior change is the goal. Sufferers must establish new patterns and a whole new mindset. Each time a "loss of control" thought comes along, the person will need to make a determined decision of what action to take; instead of letting their feelings dictate the choices they make with food. No longer will this person allow the feeling of being out of control; control how food is used. There are many coping mechanisms that are much more beneficial and healthier than eating. This change will not happen overnight; but through consistent and persistent practice. Like most behavior changes; things must be taken one day at a time.
No recovery process can work if the individual, who is effected, is not 100% motivated to be healed. Either through education (the preferred method) or devastation (to be avoided at all costs) the person with an eating disorder will make the decision to seek help. Since the best eating disorder recovery plans include family counseling, confessing of a person's struggles, to a trusted family member, early in the recovery period, will help to build the support that is needed to successfully meet their healing goals. Some very effective programs include creative expression, assertiveness training, and recreational therapy as "whole person" treatment. Eating disorder recovery is more efficient and effective when caring health professionals and family are involved. A key feature of an effective program is also an aftercare program. A change in environment (both physical and from individuals) will help a person clear their head to begin the process of healing. Learning new nutritional behaviors coupled with body image retraining can cause a whole plethora of new and more accurate responses to everyday situations.
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