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Compulsive Overeating — The Other Eating Disorder
by Brooke Finnigan
Thin is in. And teenagers, the most ardent and susceptible followers of popular
culture, are paying attention. The underlying message is clear: life in the
thin-lane means automatic acceptance, success and approval. All too often,
however, the pursuit of thinness becomes a lifelong struggle with weight.
An extreme diet and exercise regime can end up altering the dieter for life.
Research now indicates a full-blown eating disorder can develop within a matter
of weeks. But, the most likely eating disorder to result isn't anorexia or
bulimia. It's compulsive overeating. And up to 30% of the adult population
in North America suffers from it.
What is Compulsive Overeating?
For most, an eating disorder begins in early adolescence, when the emphasis
on appearance is unavoidable. One of the most obvious causes for eating disorders
can be found in dieting. In an attempt to fit in, teenaged girls (and increasingly
young men) diet to lose weight. For the vast majority diets lead to disordered
eating patterns.
We now know that 98% of diets end in failure, and that's true whether you're
13 or 35. This is because diets provoke a sense of depravation and the biological
response to deprivation is to overeat, or binge as soon as we get the chance.
After a binge, most fallen dieters will castigate themselves for a perceived
lack of self-control. For example, a teenager with anorexic tendencies will
restrict his/her food. A bulimic will feel guilty and purge that food. And
a compulsive overeater, the category most of us fall into, will feel guilty.
But, unlike the bulimic, the compulsive overeater won't purge. Instead, the
compulsive overeater both punishes and comforts themselves with food. It's
a vicious cycle of restrict, binge, guilt, and binge again.
As well, a traumatic experience, such as rape, can trigger an eating disorder.
Food is used as a sedative, a coping mechanism for those who have been through
physical, sexual, and emotional abuse.
But it needn't be a major event in order for a teenager to begin eating compulsively.
Neglect and unfulfillment of a need can have just as strong an effect on an
individual as an incident of abuse.
Ironically, parents who work so hard to provide all of the material things
a teenager might ever want are likely to do more damage than they think; especially
when basic needs like attachment, love, security and belonging are sacrificed
for material comforts. What a teen wants, and what a teen needs, are very
often two different matters.
It's Not What Teens are Eating, It's What's Eating Them
Even though the actual eating disorder begins in adolescence, the seeds
are normally sown much earlier than that. According to eating disorder specialist
Michelle Morand, founder of The Cedric Centre in Victoria, B.C., it doesn't
matter how many kids are in the family, whether the parents are together or
apart. What seems to be the biggest determining factor as far as the familial
aspect goes is the amount of open, loving communication that existed. She
explains, "Kids look outside of themselves for messages about whether or not
they are doing things right and whether their behaviors and needs are normal
and okay." Many parents will unintentionally send their child the message
that they are unacceptable as a whole; that there is something wrong with
them. These parents simply don't know how to successfully communicate their
feelings about their child's behavior. Morand contends, "These misunderstandings
are a big factor in the development of low self-esteem, and low self-esteem
will often lead to disordered eating."
Poor self-esteem also creates and maintains negative core beliefs. "Core
beliefs are beliefs about ourselves, that, for the most part, were established
in our childhood," Morand explains. Some can come on later, due to traumatic
situations. Typically, they're beliefs about our worth and our value as an
individual. She continues, "We get these from other people in our lives, how
they relate to us, how they respond to us, how they treat us, and what worth
and value they place on us." An integral part of treatment for teens with
an eating disorder is to help them establish new core beliefs about themselves.
Signs of Compulsive Overeating
Compulsive overeating is characterized by the following behaviors: thinking
about food much of the day, spending a lot of each day eating, avoidance of
eating in public, eating when not hungry, never saying no to an offer of food,
feeling controlled by food, strong cravings for specific foods, sneaking food,
lying about food, tremendous anxiety while eating, eating when upset, eating
to feel better, feeling guilty and depressed after eating, and feeling helpless
to change eating patterns.
Whenever we engage in a behavior, it's usually because at some point we benefited
from it. Compulsive overeating is no different. Food is a drug, and compulsive
overeaters use it to block out uncomfortable feelings such as loneliness and
anxiety. Eating past the point of satiety suppresses anger and other overwhelming
emotions, as well as creating a source of power, independence and identity.
Giving Support
Experts recommend looking honestly at your own history with food and weight.
Do you criticize or make negative comments about other people's bodies, about
your own? Do you frequently diet? Are some foods labeled as "good" and others
"bad"? Do you use food as a reward? Do you use food in power struggles in
your household? If you've answered yes to any of these questions, than your
attitudes toward food and weight might be putting your teenager at risk for
an eating disorder, or contributing to an already existent disorder. As much
as society plays a role, the family exerts the most influence in whether or
not a young adult will develop an eating disorder.
One of the best ways you can support a teenager who eats compulsively is
to take the emphasis off food and weight. It's easy to assume that fast food
and junk foods are the culprits, but the real issue at hand is how your teenager
uses these substances to numb pain.
The most harmful thing you can do to a teenager who eats compulsively is
to single them out as different or comment on their eating habits. They're
already painfully aware of the extra weight they carry, both emotionally and
physically. Go deeper when you notice your teenager binging ¾ get to the root
of the problem by talking.
The next step is determining whether or not you should seek professional
help. The best way to know is to go straight to the source: ask your teenager.
Even if they're not ready to seek help now, just knowing that you're aware
and open to the option means that when they're ready, they'll know they can
talk to you. One of the surprising facts experts don't recommend is speaking
with a physician. Unfortunately, medicine has not caught up with this particular
eating disorder yet and most doctors still recommend diets and diet pills,
which only exacerbate the problem. Compulsive overeating is not a medical
condition 3/4 it's psychological. Your best bet is finding an eating
disorder specialist in your area who is familiar with treating teens.
Recovery Brings Peace
There are two major benefits to recovery. Morand puts it this way, "First,
peace." It's impossible to have a peaceful mind when you're constantly thinking
of yourself as unacceptable due to your weight. "So you get peace of mind.
And life. You have energy and the ability to focus on things other than food,
and weight, and body issues. It's like the whole word suddenly opens up."
And what more could a parent want for their teenager than peace of mind and
the energy to live life to its fullest?
Appeared in Parenting Today's Teens: http://www.parentingteens.com/health6.shtml
Articles are published at The CEDRIC Centre website for information and
tracking purposes, they feature qoutes from our counsllors and information
about our work. We are not responsible for the content of any article and
can only assume responsibility for direct qoutes.
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