Our expert says:
Eating Disorders Expert
I can understand your frustration, as you have already received quite extensive treatment for your eating disorder, but it does not appear that you have any control over your impulses. First, I think that you should revisit your psychiatrist and have your medication reviewed. Although it is not my place to discuss medication with you on this forum, it has been well established that Fluoxetine needs to be taken at 60mg to effectively challenge impulses to binge. I hope that you are also persisting with your therapy as it is often a long road towards recovery. I noticed that you did not mention that you consult with a dietician. I think that this would be a very valuable addition to your treatment team, but make sure you consult with someone who specialised in the treatment of eating disorders. Email me if you want some specific names in your area.
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