Eating Disorders
I too have a therapest. I have not had a lot of success but I still go. I feel the overeating is a "soul" sickness that really needs the Love of God to remove it completely. My fiancee is an alcoholic and has not had a drink in 22 years. he says it was easy as all he had to do was go to AA and put the plug in the jug.
Sadly for us overeaters, we must face our addiction three times a day! Auuugh!
I pray this surgery is a tool that God see's fit to employ.
TheSwan
I see a great therapest. I know overeating has many causes but foremost, I believe is a soul sickness componant.
I do understand that an unaddresed ED can be a problem with WLS but if I am waiting to be "cured" of my overeating/binge/purge ED then that happy day may never come. I mean really? how does one know when they have arrested the disease? Really? Then why the need for WLS?
Fact is I've worked hard, very, very hard to get well. Years worth of therapy Etc and yet here I sit at 220 pounds after a 70 pound gain in less then 4 months!
I will do what I need to to address the ED but I know this surgery will benefit me.
Thanks for the support
Tell us more share what is up and where you are at? Honesty is important here!
Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current) 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
Active eating disorers are factors that potentially could complicate WKS in terms of compliance, response, dropout, relapse, safety etc.
Cut from article:
Obesity Surgery, 15, 552-560
Literature Review
Psychosocial Predictors of Success following Bariatric Surgery
1; Saskia K. M. Verschure, MSc1; Guus L.van Heck, PhD
Eating Behavior
Morbidly obese patients often have disturbed eating
habits, such as binge eating disorder, night eating syndrome and frequent snacking or grazing, although there is some discussion concerning its prevalence.
There are studies concluding that a lot of patients presenting for bariatric surgery have binge-eating disorder, 58 and some authors suggest that half, or even more, ofthese patients have periods of binge-eating.17,59In addition, there are conflicting reports concerning the
importance of these eating habits for weightloss and weight loss maintenance in patients undergoingbariatric surgery. Some studies have shown that eating disturbances are linked to poorer outcome and weight loss.12,60,61 This may be because of the re-emergance of binge eating or grazing and weight regain, later during follow-up.29,39,60 These findings suggest that patients with a preoperative binge-eating problem, cannot cope with the altered
eating behavior caused by the operation in the long term; after initial rapid weight loss, maladaptation to a new eating pattern may result in poor weight maintenance. As a consequence, some authors suggest that patients with significant binge-eating should not be treated surgically until the eating behavior has been normalized with specific therapy.
39 Others conclude that binge-eating does not inevitably lead to a poor weight loss, but that successful weight loss in binge-eaters does not always imply a good outcome. Since binge eating may continue after surgery, it is associated with a higher vomiting frequency and is therefore a strong predictor of failure.39 On the other hand, other studies suggest
that bariatric surgery may be viewed as an intervention that reduces binge eating symptoms
and improves most psychological functioning, and, therefore, that binge eating is not a negative indicator for surgery.28,59,62 Although some studies report a difference in weight loss, binge-eaters who show a significantly smaller percentage of excess weight loss at follow-up than non-bingers, still lose significant amounts of weight, which leads to numerous positive
psychosocial and life changes.63 exclude patients with binge eating behavior from bariatric surgery or to give additional preoperative psychosocial care to these patients.64
Patients with other pre-surgical eating disturbances may regain weight following surgery, because these eating disturbances also tend to persist or re-emerge after operation and are linked to poorer outcomes.27,60 Patients who gain weight after bariatric surgery show
disturbed eating behavior, such as frequent snacking and frequent use of soft or liquid high-caloric food.29,65 Other studies, however, have observed postoperative cessation of disturbed eating behaviors,9 or do not find any relationship between preoperative eating
pathology and weight loss after surgery.59 Some of these studies, however, conclude that although bariatric surgery is successful in short-term weight loss, it is not in changing eating behavior or psychiatric status.66 Interestingly, a link has been shown between binge eating and other psychiatric disorders, including depression, anxiety, substance abuse or dependency, and personality disorders.67 In addition, there are studies reporting poor results after restrictive operations in ‘sweet eaters’.65 Although bingeing is difficult after these procedures, high-caloric fluids and snack foods can easily be eaten. As a consequence, it was suggested to select these patients for gastric bypass operation and nonsweet eaters for restrictive procedures.65 However, others suggest that preference for sweet foods does not correspond to postoperative weight loss.42,43,68
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Will Emotional Eating Sabotage Your Success? Three Things You Need to Know
By: Melissa McCreery, PhD
The term emotional eating is thrown around a lot, but not everyone understands what emotional eating really is.
Emotional eating is eating and overeating that occurs when we use food as a way to cope with a feeling, situation, or a need that is not physical hunger. Emotional eating is eating that happens when we want to eat but our bodies don’t really need the fuel. Common kinds of emotional eating are “nervous eating," eating when you are bored, using food as a “reward" (to feel good), or eating when you are lonely. Because this kind of eating isn’t tied to a physical need for food, it can easily cause weight gain.
Here are three things EVERY weight loss surgery patient needs to know about emotional eating:
1. Many people don’t know that they are emotional eaters. How’s that? Well, emotional eating isn’t always as straightforward as feeling a feeling (“I’m anxious") and then making a choice to eat. Here’s the tricky part. Over time, if you’ve learned to use food as a way to cope with certain feeling states or situations, your brain can stop identifying that you are eating for emotional reasons. Here’s an example. If when you’re stressed, you reach for a snack to comfort yourself, over time, your brain stops telling you, “You are stressed and you are going to try to cope with it by eating a cookie." Over time, your brain may start skipping the emotion and move directly to interpreting that stressed feeling as physical hunger. You might not even realize that you are feeling stress. Your thinking will go like this: Something stressful will happen and you will start wanting a snack. You might even feel physically hungry. Food, not stress, will be the central thought in your mind. If you are someone who feels hungry “all the time," emotional eating could very well be playing a hidden role.
2. Emotional eating and self-blame, shame and guilt go hand in hand. If you are feeling “out of control with your eating," odds are that emotional eating is happening. The problem is, if emotional eating goes unrecognized, or if we don’t take it seriously, it’s easy to fall into a trap of guilt and self-blame for not being able to “stay in control" of your eating.
Shame and guilt are never helpful when it comes to long term weight loss. They tend to breed isolation, negative self esteem, decreased hope, and ultimately more emotional eating and self-sabotage. If you are struggling with emotional eating and you don’t learn the tools you need to cope with the feelings, the odds are that you will continue to feel out of control with food.
3. If you don’t take control of emotional eating, it can take control of your weight loss plans. Research studies of individuals trying to lose weight find that people who eat for emotional reasons lose less weight and have a harder time keeping it off. The journal Obesity recently published an article concluding that successful weight loss programs should teach clients how to cope with emotional eating in order to improve the clients’ ability to lose weight and not regain it. The risk of weight gain is not the only reason that emotional eating is important to address. Failure to address emotional eating—using food to cope with feelings and needs and cir****tances other than physiological hunger—can also contribute to difficulties with cross-addictions after weight loss surgery.
If emotional eating is something that you struggle with, it’s important to know that no diet and no weight loss surgery will fix that for you. Taking control of emotional eating requires learning new effective ways to cope with your emotions. It’s not about the food.
It’s also important to know that learning new tools to cope with emotional eating can be one of the most rewarding and life-changing gifts that you can give yourself. Learning new ways to cope with life issues and feelings allows you to tackle life head-on. When you do this, food becomes simpler, and your life grows bigger, and ultimately, more rewarding.
Melissa McCreery, Ph.D. is a Psychologist and Life Coach who helps her clients create and live the life they crave. She is also the creator of the Emotional Eating Toolbox (TM)28-day Program for Taking Control and Moving Beyond Dieting. Sign up for a free 5 part Self-care Package Audio Course at: www.enduringchange.comor visit her blog Peace With Cake.
Gerbrand C. M. van Hout, MSc
Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current) 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
I viewed you photos and am so happy for you. Do you feel now that the "disease" or ED is gone? For alcoholics they often state that their disease is still upon them but arrested "one day at a time" Do you feel this with the ED?
My eating seems to have normalized to a point. I eat healthy most days yet still have minor binges. I may be only 220 or less and now worry my BMI is too low. (sigh)!
Again, thank you and I thank all here this is an excellent place to be.