Eating disorders and issues over food
Healing the Relationship with Food: Understanding and Overcoming Eating Disorders
Eating disorders are not simply about food and weight; they represent complex mental health conditions stemming from a tangled web of emotional struggles, distorted self-image, and often underlying anxieties. They are multifaceted conditions and a variety of psychological treatments offer a path towards recovery.
Types of Eating Disorders
Eating disorders encompass a variety of diagnoses, including:
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Anorexia Nervosa: Characterized by severe food restriction, intense fear of weight gain, and a disturbed body image.
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Bulimia Nervosa: Involves recurrent episodes of binge eating (consuming large amounts of food in a short period) followed by purging behaviours such as self-induced vomiting, excessive exercise, or laxative use.
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Binge Eating Disorder (BED): Recurrent binge eating episodes without purging, often accompanied by feelings of guilt and loss of control.
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Other Specified Feeding or Eating Disorder (OSFED): encompasses clinically significant eating disorder presentations that don't fully meet the criteria for the specified diagnoses.
The Role of Psychological Therapy
Alongside necessary medical support, psychological therapy is a cornerstone of eating disorder treatment. Here are the most established approaches:
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Cognitive Behavioural Therapy – Enhanced (CBT-E): CBT-E is an evidence-backed therapy specifically tailored for eating disorders. It helps identify and address distorted thoughts and behaviours related to eating, body image, and self-worth. Therapists guide individuals in establishing regular eating patterns, monitoring their feelings surrounding food, and developing healthier coping mechanisms.
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Interpersonal Therapy (IPT): IPT focuses on improving interpersonal relationships and addressing social difficulties that often contribute to or maintain eating disorders.
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Dialectical Behaviour Therapy (DBT): DBT teaches skills in mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness – all valuable tools for individuals with eating disorders who may struggle with overwhelming emotions.
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Mindfulness-Based Approaches: Cultivate non-judgmental awareness of thoughts and feelings related to food and body image, helping to break away from harmful patterns.
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Addressing Co-occurring Conditions: Anxiety, depression, and trauma often co-exist with eating disorders and require tailored treatment alongside the eating disorder itself.
Which approach is suitable may depend on the severity of your disorder. Any disorder has the potential to become serious and should not be underestimated. CBT or other therapists at the practice might be able to help with broader issues playing into the disorder, such as anxiety or relationship problems. However, it might be sensible to also consider specialist treatment. Discussions with any of the therapists at the practice might be useful to gauge where things are at, and joint decisions can then be made from there.
The Road to Recovery
Recovering from an eating disorder takes time, patience, and a dedicated support system. Organizations like Beat (https://www.beateatingdisorders.org.uk/) also offer specialized resources and support within the UK. With the right treatment and support, full recovery should be possible.
Choice of approaches
Acceptance and Commitment Therapy
Cognitive Behavioural Therapy
Eye Movement Desensitization and Reprocessing
Psychodynamic Therapy
How we can help
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Agoraphobia
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Alcohol issues
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Bereavement, grief and loss
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Bullying and harassment
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Childhood and historic abuse and trauma
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Cocaine and other drug addiction
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Couples counselling and marriage problems
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Difficulties being a new parent
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Difficulties with emotions and feelings
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Family conflict
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Family relationships with children and adolescents
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Feelings of hopelessness
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Generalized Anxiety Disorder (GAD)
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Loneliness and social isolation
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Low mood and loss of motivation and purpose
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Male identity and men’s issues
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Marriage issues
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Menopause and life changes issues
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Mood swings
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Obsessive Compulsive Disorder (OCD)
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Panic Disorder
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Professional and career difficulties
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Postnatal depression and baby blues
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Relationship breakdown, separation and divorce
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Seasonal Affective Disorder (SAD)
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Separation Anxiety Disorder
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Situational Depression
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Sleeplessness
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Suicidal thoughts and Self-harm
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