Dr. Kerri Fullerton ND

Intuitive Eating. Health At Every Size Doctor

Food Addiction

Recovering From Binge Eating

by

When my patients come to me struggling with binge eating they feel desperate, ashamed and skeptical.

The desperation is about wanting this behaviour to stop. It’s something that they’ve been struggling with for years (sometimes decades) and they’re so sick and tired of the cycle.

These patients show a great deal of shame around their relationship with food. They feel like they ‘should’ be able to get this ‘under control’ and that they ‘shouldn’t’ need help. It’s been their own private struggle for so long that they feel alone and scared.

Skepticism is seen when we start talking about actually recovering from binge eating. As much as they want to be done with it, they’re not convinced that they’ll ever be free. After-all, they’ve tried EVERYTHING!

The progression of binge eating recovery

An important part of the process, it to understand that it’s a process.

Recovering from Binge Eating isn’t a one-step process!

Recently a woman was telling me about her recent ‘binge day’. She woke up and just knew that today was going to go sideways.

She’s been struggling since childhood with emotional, stress and binge eating. Over the last few years she’s had great success with reducing her binge eating as she really started to embrace the concept of ‘pleasure food’ and found new ways to cope with uncomfortable feelings.

Covid has changed her life so much, as it has for most of us. And she’s starting to struggle a bit more.

Key learning here! When old patterns start to re-emerge, it’s not a sign that you’re failing. It’s that your stress now outweighs your ability to cope.

If we look back to a few years ago this woman would’ve eaten her way through the day, feeling guilty the whole time, beating herself up the whole time, and then she would’ve carried on with the guilt and self-deprecation into the next day or two (possibly longer).

This time, she pulled out a journal and decided to write about her feelings all day. She still ate all day, but she was ALSO writing.

Key learning here! When the way that you engage with unwanted behaviours start to change, you’re making progress.

I created the graphic above to help her (and you) understand the progression of recovering from binge eating, stress eating and/or emotional eating.

It’s quite specifically a horizontal line and not a linear graph. Sliding between the stages is normal and expected. It’s not failing. Let me say that again. It’s not failing to slide into a stage that you’ve already passed through. It’s simply an indicator that your stress has surpassed your coping strategies so you had to pick up an old one to get through.

Time for some maintenance

The opportunity now is to practice self-compassion, examine what’s happening in your life and if you can, make adjustments.

When you’re using coping strategies that don’t serve you, ask yourself what you can delegate and what you can delay. It’s time to take something off of your plate.

Women are culturally trained to put everyone else’s needs first. You can only do what you can do. It’s okay to say ‘no’ or ‘not right now. What you can handle ordinarily will be very different than what you can handle when other stressors are added on.

When these old behaviours or thought patterns return, it’s like seeing the check engine light on your dashboard go on. This is bigger than regular maintenance. You may be able to put gas in the car, change a tire, check the pressure or even change the oil. But check the engine? Nope. That’s time to see the mechanic.

It’s the same for you. If these old behaviours are showing up, you can try some of your usual maintenance. Maybe that’s all you need. But if it’s not, it’s time to bring in a professional.

And just like the car, the earlier you bring yourself in, the less extensive and expensive the damage will be.

Dedicated to helping you find peace and power with your body,

P.S. I’m always happy to connect. You can book a free Food Freedom Discovery call here.

How Intuitive Eating Rekindled My Love Of Baking

by

Today I needed a break. I’d been at my computer for hours and was starting to feel tired and uninspired.

Meditation didn’t feel right – I was concerned that I’d fall asleep.

I had a walk planned for later.

So I decided to do some baking.

Now, this is a pretty big deal. I remember taking baking breaks while I was studying for my regulatory exams. They were more an emotional distraction than they were a true act of self-care, but that story is for another time…

Today, I turned on the tunes and grabbed my ingredients.

While I bopped around the kitchen, I can’t tell you what I was I thinking about.

I can tell you what I was NOT thinking about.

I was not wondering if I’d:

  • binge on the cookies or the dough
  • done enough exercising to warrant eating cookies
  • been good enough this week to eat cookies
  • get fat from eating cookies
  • get over the guilt for not resisting wanting to bake cookies

If you’ve read my about me page on my site you’ll know that licking a spoon was what killed my last weight-loss attempt. What a stark difference to today where I not only licked the beaters and spatula*, but I also forgot about the cookie dough balls in the freezer!! It was 3 hours later before I even ate a cookie.

*yes I know that eating raw cookie dough comes at a risk – I’m willing to take it

This is one expression of the food freedom that I’ve found. My journey has been anything but a straight line, and the work has been worth it. Intuitive eating has given me the tools that I need to enjoy cookies and not worry about eating all of the cookies. In fact, I freeze the cookie dough balls so that I can bake a few cookies when I want them and they’re fresh and gooey every single time. That alone would have caused serious anxiety during my dieting and binge days. They would’ve called to me every single day. I wouldn’t have waited for them to thaw or to cook before they’d be in my mouth.

Freezing cookie dough balls means freshly baked cookies in under 15 minutes!

So what’s different? Why do I feel safe now?

I learned to practice self-compassion.

Weight loss programs and cultural norms told me that cookies were a sometimes food and that they had to be eaten in moderation and not at all if I believed that I was addicted to sugar (which I did, for a long time). I was trained to be ‘on the wagon’ or off.

Self-compassion gave me the skills to live in the middle.

Unconditional permission to eat.

The third principle of Intuitive Eating is Make Peace with Food. It’s poorly understood and often referred to as Permission to Binge.

Here’s how I understand it:

  • I’m a grown woman with the affluence to access food whenever I want it.
  • I have full autonomy over my food choices.
  • Simply put, I can eat whatever I want.

I also understand that I’m not free of the consequences of eating whatever I want. So I know that if I eat a lot of cookies, I won’t feel well (I’ve done it enough times to know this is true).
Since I respect my body and I want to feel good, I only eat enough cookies to feel satisfied. That number varies every time and knowing that there’s no maximum I can refer to my body to tell me when I’m done.

I honour my hunger and my biological need for food.

Letting myself get over-hungry leaves me more vulnerable to pleasure foods (my term for calorie dense, junk food, fast food, sometimes foods, play foods etc). By eating enough food regularly, I’m not trying to eat a meal of cookies (again, something that I’ve done enough times to know that it doesn’t feel good) and since I’m not starving, I can count on my body to tell me if cookies are what I’d like right now (shocking truth – sometimes I don’t want a cookie even when they’re there)

If you’re new to Intuitive Eating and this still seems impossible, please be patient with yourself. Check out Kristin Neff’s work on Self-compassion. And if you can, find a IE certified counsellor to work with. The nuances of IE are where the magic lies and the freedom exists. That stuff is harder to get by simply reading the book.

Dedicated to helping you find peace and power with your body,

Gluten-free baking tip:

Keep a bowl of water nearby so that you can keep your hands damp while forming the cookie balls. It helps keep the batter from clumping up on your hands.

https://www.bobsredmill.com/recipes/how-to-make/chocolate-chip-cookies-gluten-free-2/

Can you be addicted to food?

by

Ten years ago if you’d asked me “can you be addicted to food” I would have said “absolutely, yes”.

In 2009 I attended my first Overeaters Anonymous (OA) meeting. I started out with phone meetings because I just couldn’t bring myself to walk into an in-person meeting. Shame whispered “what if you see a patient or someone else that you know?”.

Back then I was part of the 90% of people who believe that food can be addictive. I believed with all of my heart that I was an addict – a compulsive overeater. The pattern after all – craving, loss of control, excessive consumption, tolerance, withdrawal and distress.

So I got a sponsor, made my list of ‘trigger’ foods that I would abstain from, and attended my meetings.

As with any diet before, I threw myself into it fully. I read all of the books, did all of the work, and recorded my food intake and weight with the diligence of any ‘good girl’. 

But I started to notice something the longer that I stayed in OA: nobody was actually getting food freedom. The lists of trigger foods were getting longer. I thought that was really weird. How could a food that they were eating without issue last month now be a trigger food? Instead of  bingeing on junk foods they were bingeing on vegetables and meat. The foods may have changed but the behaviours hadn’t.

That was when I started to question the whole food addiction theory. I started to do a deep dive into the research and I was surprised by what I found.

Food Addiction Research

It’s not very clear cut at all. Consensus isn’t even close to being achieved.

When self-proclaimed addicts were assessed using the Yale Food Addiction Scale, only 12% actually met the criteria. Using the scale assumes that food addiction is real, which is still up for much debate, but even based on that assumption, almost 90% weren’t addicts.

Researchers have not been able to identify the addictive substance. And that’s a problem. Those who are in the food-addiction-is-real camp believe that sugar is the addictive food. But it’s blurry. All sugar? Just some sugar? Foods that converts to sugar?

The other sticky bit is that Food Addiction is eerily similar to Binge Eating Disorder (BED).

Another interesting thing about food addiction studies is that they’re not corrected for restriction (read dieting; read hunger). In animal studies the way that they get the animals to exhibit the food addiction behaviours that I was going through they had to starve them first – or at least restrict them.

In a hungry state our brains create chemicals that lead us to obsess about food. And those chemicals make us vulnerable to hyperpalatable foods (junk food, fast food) because we’re not going to let ourselves starve.

Why does this matter?  Because as a society right now, we’re focused on restricting. We’re watching what we eat and trying to eat smaller portions. We’re forever putting ourselves into this vulnerable state.

So, are you addicted to food?

Maybe, but you’re probably not.

More likely, you’re overeating because of one of two things.

  1. You’re vulnerable due to restriction.
  2. Food is being used as a distraction.

I’ll dive into using food as a distraction in another blog/video.

For now, let me share a few tips on how you can start to overcome binge eating:

  1. Stop skimping or skipping. Hunger wins every single time. Shift your attention away from maximum calories and start focusing on minimums. Eat regularly so that your body doesn’t ever think that it’s going to starve. *this step speaks from my privilege; food scarcity is very real for a lot of people, do the best that you can with what you have
  2. Find a community. Shame kept me from addressing my binge eating disorder. I didn’t dare tell anyone about my binges and nobody asked. Everyone seemed quite content to help me lose weight and restrict but nobody talked about the binges or the emotional side of things. I created a Facebook Group called Applaud Your Bod for this purpose. A safe place to share and feel normal and to feel inspired. Consider this your cordial invitation. https://www.facebook.com/groups/1437974869844063
  3. Take the Binge Eating Quiz. https://psychology-tools.com/test/binge-eating-scale We don’t know if Food Addiction is real but we do know that Binge Eating Disorder is. Treatment for Binge Eating Disorder is available and effective. If you’d like to talk, you can book a free Food Freedom Discovery Session with me. You don’t have to go it alone.

Dedicated to helping you find peace and power with your body,

Kerri

Neuropsychopharmacology 2018 Dec; 43(13): 2506–2513