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Are you seeing a binge eating specialist?

Prozac supposedly has some success with binge eating disorder/bulemia, but you are already on zoloft, so I'm not sure how much difference it would make.

If your therapists are brushing you off, then the important thing would be to find a specialist in this area if you can.

Given hx with anorexia and normal weight, it's not necessarily that surprising that your therapists would ignore this issue, but given that it is causing you significant distress, it's worth treating, and binge eating is definitely a subtype of disordered eating.

do you binge on specific foods? do you keep a food/.mood diary? Are there specific triggers you are aware of/ Sometimes limiting those triggers can help


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I second Anna's suggestion to find a therapist that specializes in binge eating/eating disorders, and/or cognitive behavioral therapy, but also as she pointed out, with a currently normal weight and a history of anorexia, I'm not surprised your therapist hasn't jumped on it.

But as a fellow binge eater, I know how distressing it is. I've been bingeing as long as I can remember, and I'm 51. But I am a lot better than I used to be, and the thing that has helped me most is cognitive behavioral therapy. I've also seen it unofficially referred to as 'mindful eating'. It's basically stopping when you want to (or already are) bingeing to think what's really going on in your head - are you mad? hurt? lonely? It may not stop you bingeing that time, but it will start to train your mind that what you need isn't additional chocolate, but something else.

If I can remember the title later, I'll post it, but there's also a book that I've found useful in which the basic premise is to buy whatever foods you know you'll crave, and then eat them when you get the urge, but really savor each bite, and before you take the next one, think to yourself, "Was that enough chocolate, or do I want to taste some more?" It sounds simple, but it has been effective for me. The idea is not to give food a value (not to think 'chocolate is bad!!!'), but to allow your body to decide what it wants. As you have found, and I know very well, your body feels like crap if you don't feed it right. The other goal of the book is to move past the crushing guilt and shame from binge eating. Sadly, it's a big struggle, or at least it has been for me.

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  • 1 month later...

I don't know if you have any interest whatsoever in adding/adjusting meds, but this is just a thought:

I recently started taking Wellbutrin for other reasons, but I've historically had a mild/moderate bingeing problem. (Intense cravings, eating in response to emotions, eating when I'm not hungry, eating WAY MORE that I need to, secret munching, getting a real kick out of stuffing my face etc).

Since I've started it I don't crave junk food at all, weirdly. I am someone who, if the topic of burritos or candy or whatever is brought up, can't get it out of her mind until she gets some. So that's unusual and refreshing! Apparently the way the drug acts with your dopamine system interrupts the addictive/craving/rush stuff in your brain. I've also noticed that if I do eat something that would give me a fix in the past, I don't get quite as much pleasure out of it.

And ya know, I have no idea how Wellbutrin would fit in with your other medications, but just something to consider, maybe?

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