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(605) 323-2345
Most Insurance Accepted
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(605) 323-2345
Most Insurance Accepted
Medicare / Medicaid
Problems Addressed
Eating Disorders
Eating Disorders generally develop during adolescence. Binge-eating, common in bulimia and compulsive overeating, often involves an excessive intake of food, usually high calorie foods, in a short period of time. It can be understood as an attempt to dull or escape anxious thoughts and feelings by creating a “trance-like” or “mindless” state. These periods of overeating are usually preceded by a period of fasting, producing excessive cravings for food, and often followed by purging through excessive exercise, self-induced vomiting or laxative misuse. Many bulimics hold perfectionistic standards for themselves which produce excessive self-criticism (e.g., “ I’m disgusting”, “No one will ever want me”). Treatment involves:
Eating Disorders generally develop during adolescence. Binge-eating, common in bulimia and compulsive overeating, often involves an excessive intake of food, usually high calorie foods, in a short period of time. It can be understood as an attempt to dull or escape anxious thoughts and feelings by creating a “trance-like” or “mindless” state. These periods of overeating are usually preceded by a period of fasting, producing excessive cravings for food, and often followed by purging through excessive exercise, self-induced vomiting or laxative misuse. Many bulimics hold perfectionistic standards for themselves which produce excessive self-criticism (e.g., “ I’m disgusting”, “No one will ever want me”). Treatment involves:
» Establishing an appropriate eating plan (three meals and snacks)
toreduce the risk of excessive cravings that often lead to bingeing. A
consultation with a licensed nutritionist is strongly recommended.
» Detailed self-monitoring of the frequency, amount, situations,
thoughts and emotions associated with bingeing.
» Using response delays (allowing some predetermined amount of
time to pass or engaging in an alternate activity - choosing to wait 20
minutes
before bingeing, calling a friend, washing laundry, etc.) or response
prevention (trying to tolerate the urge to binge without bingeing).
» Cognitive thought monitoring to identify and challenge the unpleasant
thoughts and feelings you become aware of as binge-eating
decreases (e.g., “I can’t stand feeling so bloated”, “I have to get rid of
this feeling
immediately”).
» Relaxation and positive body imagery training.
» Assertiveness, communication and problem-solving strategies as
needed.
toreduce the risk of excessive cravings that often lead to bingeing. A
consultation with a licensed nutritionist is strongly recommended.
» Detailed self-monitoring of the frequency, amount, situations,
thoughts and emotions associated with bingeing.
» Using response delays (allowing some predetermined amount of
time to pass or engaging in an alternate activity - choosing to wait 20
minutes
before bingeing, calling a friend, washing laundry, etc.) or response
prevention (trying to tolerate the urge to binge without bingeing).
» Cognitive thought monitoring to identify and challenge the unpleasant
thoughts and feelings you become aware of as binge-eating
decreases (e.g., “I can’t stand feeling so bloated”, “I have to get rid of
this feeling
immediately”).
» Relaxation and positive body imagery training.
» Assertiveness, communication and problem-solving strategies as
needed.
