Our expert says:
Eating Disorders Expert
I am sorry that I have taken a few days to get back to you. I have been very busy in my practice and struggled to find time to log into the forum. I am relieved to hear that you are in therapy (I assume psychotherapy) and that you are seeing a dietician. Good plan. As much as I am here to offer advice and guidance, I do not want to interfere with your therapeutic process, so please take my view as just that – one view. When you say that your bingeing is getting worse as a result of going out of your comfort zone in therapy, do you mean to say that your psychotherapy is evoking many emotions and making it difficult for you to contain your eating to within your dietician’s guidelines? If this is the case, you must mention this to your therapists and consider that your therapy push less on the deep issues, and pay more attention on just helping you to become more focussed on the dietician’s meal plan. If your therapy and dietician are trying to help you with limits in your eating and this is pushing you to revolt (being oppositional), discuss this in therapy, as it would be helpful to identify where this behavioural mechanism comes from. Your therapy should be assisting you right now to be compliant to your meal plan. Okay, now here is MY take on the sugar issue. Personally, I am dead against the notion of avoiding so-called “trigger foods” or the notion of “allergic” foods when this term is used too loosely. I do not believe that you should be trying to avoid sugar or bread, unless an allergy specialist has determined through proper medical scientific tests that you have an allergic reaction to such foods. I will stick my head out and say that it is very unlikely that you are allergic in the true sense. Rather, you likely respond to foods that have a high glycaemic index (GI), which will raise your blood sugar and drop it again in a flash. As such, you will be starving and full and starving again in quick succession. Talk to your dietician about the types of foods and an eating style that will help you maintain a stable blood sugar. I always talk about moderation rather than exclusion. A little sugar and some bread, rather than trying to banish them like some forbidden fruit. After all, you seem to time and time again go back to bingeing on them. I see this all the time. Consider just keeping a balance, and your weight will likely come down slowly by just adopting a healthy and moderated way of eating and living. Discuss this with your professionals. As for hypnosis, it has its place, but there is very little research evidence of the long-term benefits in hypnosis helping individuals with eating disorders. I do not practice hypnosis myself and I am not an expert in it, and so cannot say too much as an authority. However, in 20 years I cannot recall hearing a success story of sustained long-term weight loss through hypnosis. Someone, let me know if you have heard otherwise? I hope this helps.
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