I am impatient towards my therapist who just wont answer my question or refuses to push me further.
**Giving credit for this blog in part to the “Food and Feelings Workbook” by Karen R. Koenig, LCSW, M.Ed. Thank you for your amazing work**
The 7 most difficult feelings for disordered eaters:
Have you ever considered that maybe your eating habits affect your emotions and your emotions affect your eating habits?
I highly recommend, if you are noticing that this may be true for you, keeping a food log. Write when you eat, what you eat, the emotions you have when eating, and the emotion you have an hour after eating. **yes, I know, this is time consuming and not easy. but it will give you an idea if how your eating habits are truly affecting every aspect of your life**
You may realize that when you are upset you tend to eat a lot if high carbohydrate foods. A few hours later you are fatigued, depressed, or even purging. Another day you may see that eating a certain fruit made you feel happy or energetic an hour later.
Why Does This Help?
If you know that craving carbohydrate foods is likely because you are upset, you can CHOOSE to eat the fruit that tends to make you happy instead. Suddenly, your mood has changed, you are happy, and less likely to indulge in disordered eating behaviors.
I realized it has been awhile sense I added a (RE)learning emotions post. So here we go again: Fearful
I am currently working on a class presentation on Body Dysmorphic Disorder for my psychopathology class.
I will post the final powerpoint when it is done (which wont be until march or april) but here are some interesting stats and information I found in my initial search this afternoon.
Phillips, Katharine A (1997) Gender differences in body dysmorphic disorder. Journal of nervous and mental disease 185(9) 570-577
**Women more likely (than man) to be preoccupied with hips and weight, pick their skin and camouflage with makeup, and have comorbid BN.
** Men are more likely to be preoccupied with body build, genitals, and hair thinning, use hat for camouflage, be unmarried, and have alcohol abuse or dependence.
**Suggests that cultural norms and values may influence the content of BDD symptom
Phillips, Katharine A (july 2006). The presentation of body dysmorphic disorder in medical settings. Prim psychiatry, 13(7) 51-59. doi: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1712667/
Case Report: A Young Woman with Body Dysmorphic Disorder
Ms. A was an attractive 28-year-old Hispanic teacher who presented with a chief complaint of “I am obsessed with my appearance, and my plastic surgeon has been trying to get me to see a psychiatrist for 4 years.” Ms. A had undergone 15 cosmetic surgeries, which did not diminish her appearance concerns. These included rhinoplasties, liposuction, a chin implant, collagen implants, and other procedures, some of which were repeated because the patient was dissatisfied with the outcome of previous procedures. Because she thought that her appearance defects were real, she had been reluctant to see a psychiatrist. She believed that her appearance problems would be fixed by “just one more surgery.” However, Ms. A acknowledged that psychiatric treatment might be helpful for the anxiety and depression that her appearance concerns caused. Ms. A said she disliked everything about how she looked, including her supposedly scarred and discolored skin, flat hair, big and bumpy nose, receding chin, thin lips, high forehead, flabby thighs, fat stomach, and stumpy legs. She obsessed about these perceived flaws for 8 hours/day. Because she thought she looked so ugly, Ms. A did not date, avoided many social situations, and often missed work. She also drank excessively to diminish her distress and quell her anxiety in social situations. She was unable to see friends or participate in any social event without first becoming intoxicated, as she felt that this helped her focus less on her appearance flaws and feel more comfortable with the scrutiny that she perceived from other people.
Case Report: A Young Man With Body Dysmorphic Disorder
Mr. B, a 23-year-old single white male, was obsessed with his skin. Throughout the day he thought about how his perceived facial acne and scars looked hideous. Because he felt so anxious and depressed over how he looked and thought he was too ugly for other people to see him, he dropped out of college, moved back into his parents’ house, and stayed in his bedroom. He saw no friends and did not leave the house. He felt too anxious about his skin to even eat meals with his family. As a result of his appearance concerns, Mr. B felt severely depressed and considered suicide. Topical and oral agents prescribed by a dermatologist did not diminish his appearance concerns. However, after 12 weeks of treatment with escitalopram, reaching a total dose of 30 mg/day, all of Mr. B’s symptoms were in complete remission. For the first time in years, he ate meals with his family, left the house, ran errands, saw friends, and made plans to return to school.
**After writing my previous post- The universe decided I needed to learn what I was preaching, again**
My life got a bit crazy these past few weeks and it finally caught up with me. I had to set boundaries and enforce them with people who I normally wouldn’t speak up too (aka my bosses). But I learned a few things
1. I have a need for some form of stability in my life. If it can’t be found, I will make it happen.
2. Nothing I do to “make stable happen” is actually going to help. In other words, wanting to be thinner, not eating, over eating, drinking, smoking, over exercising (whatever your addiction or go to coping method is) will NOT CHANGE the fact that other things in life are in chaos mode. It ultimately just makes things more chaotic
3. Sometimes, in the midst of chaos, the only stable thing we can “make happen” is how we choose to respond to chaos. Choosing to respond to chaos by taking care of ourselves and sticking with recovery can be the stable thing in the midst of chaos and uncertainty if we allow it to take that place.
1 noun, plural bul·lies, verb,bul·lied, bul·ly·ing, adjective, interjection.
1. Others to you:
This is the direction of bully that most people talk about it. How others bully you, why they bully you, the effects bullying has on you. So what does it feel to be the one being bullied? When I feel bullied I feel disrespected, worthless, ugly, less-than, depressed, suicidal, hated, failure. Being bullied and feeling bullied is not an uncommon experience, but how you chose to respond with these emotions is crucial. Most people respond in 1 of 3 ways: Bully others back, Bully yourself back, or overcome it with the support of others.
2. You to others: Lots of people respond to bullying by bullying others. Its like the old saying “hurting people hurt people.”
3. You to you: Like I wrote earlier, typically being bullied results in feelings that lead to self-hate. Which usually leads to you bullying yourself. So how do you bully yourself? For some, it is just with our thoughts: I am so ugly, I am so worthless, I don’t deserve this ect. For others, it is physical such as starving, binging, cutting, burning, ect. Either way, it is self-destructive and does not lead to the change you want.