Binge Eater? Don’t take Vyvanse!

Mr Ornskov, Chief Executive of Shire pharmaceuticals is seeking to expand Vyvanse into new areas, well he would, wouldn’t he. This is a HUGE market.

Vyvanse is an amphetamine – like drug which can lead to an addiction in a population already struggling with control issues. It may have an effect on impulse control, but impulse control is not the main issue present for binge eaters.

Lisdexamfetamine has a high risk for abuse. It may be habit-forming if used for a long period of time.  Abuse of Lisdexamfetamine may cause serious heart problems, blood vessel problems, or sudden death. We have been here before.

Will it cure binge eating?  I think not. Is there anything we can do to prevent Shire from getting approval to market this drug to a gullible public. I fear not.

 

Having And Eating Your Cake

The desire for two mutually exclusive events bedevils eating disorder treatment. You see it in someone with anorexia who wants to get rid of the effects of starving but remain very thin. You see it in someone who wants to get rid of bulimia but eat very little to become their perfect weight.

Eating disorder symptoms are cravings, binge eating, purging, tiredness, panic, depression, fainting, getting the shakes, anxiety, obsessions and crazy destructive moods. Many of these symptoms are the result of dietary chaos and its effects on the brain and the nervous system.

There is no way out of an eating disorder unless someone is willing to eat a balanced highly nutritional diet for a while even if they are still purging. This will include carbs and it will include some fat.  This must be done with guidance and support because it is NOT just healthy eating. Then, surprisingly, many of these symptoms will calm down, allowing the real emotional strengthening to take place where it is needed.

But eating is often the thing most feared. They say to me, I want you to stop me bingeing, perhaps with hypnosis or discussing my unhappy childhood. I don’t want to eat, because I want to lose some weight (or stay at the weight I am now).

In my very long experience, people with compulsive eating problems and bulimia often lose weight after treatment. But there is no way around it for the anorexia sufferer. Remaining thin will feel safe, but  will keep you demented. If someone doesn’t get what they really want, it is because they are bargaining with the price.

For some people with eating disorders, the price of recovery is too high. Eating is worse than murder. We have to be so patient, and so able to help someone to see that we cannot have our cake, and eat it too.

 

 

 

 

What Helps Eating Disorder Recovery

From the persepctive of someone who suffers.

Recovering from an eating disorder isn’t just about the skills of the therapist. There is so much research out there about treatment, causes, associations and outcome studies. But we need to hear it from the horse’s mouth to be really present and available for the people we want to help.

Maybe our job is to help people to want to get better; to make recovery seem more attractive than staying ill. We must beware about being too enthusiastic about this. It would be like trying to convince someone gay that they would find life better if they were straight. We must realise how scary change can be.

Then our job is to guide them along more helpful pathways, not look back and find something or someone to blame. The client is the expert, not us, as Emma Woolf showed us in her memoire of recovery, “An Apple A Day”. But, the client still needs us by their side as what… A therapist?  A mentor?  A guru? They need our wisdom alongside their own.

This is what they tell us aids their recovery; in no order of importance

Reconnection:  – but not, I think the pro anorexia, community. People with eating problems often fear being ordinary and unimportant but this isn’t the most helpful way to show how unique you really are. They say that things like YOGA, JOURNALING and SPIRITUALITY helps them to reconnect to themselves. Therapists please take note!

Close relationships: Relationships aren’t always helpful so we need to learn more about this.

Statements of support:  Parents and carers need to say “I’m there for you” – what other statements are useful and what are not. If someone says “You are looking better these days” it can send your client into a spiral of worry.

Empathetic Friends: Friends keep away from someone with an eating disorder because they feel they have to tread on glass. Or they just avoid the subject altogether. I need to know, what exactly is an “empathetic friend?”

Compassion: we have to feel sorry for someone, not just be angry with them. They also need to learn to feel some compassion for themselves. Eating disorders are such hard work.

Therapy: it’s good to know that therapy helps as well, but looking forward is more important than looking back.

Learning HOW to eat healthfully: There are too many bad rules out there about food so people are scared of useful foods like carbs.  I would add that learning the real facts about food as well as practicing mindful eating skills is great. Use eating experiences as experiments to banish fear about weight gain. Getting back in touch with appetite with proper training is much more helpful than simply persuading people to “eat properly.”

Education about the effects of the disorder: This has to be done with compassion not as a threat.

Acknowledgement  The Journal of Treatment And Prevention Bruner Mazel May-June 2012

We try to provide this help to people with eating problems. If there is anything that we can do or write to help people on their recovery journey, let us know. A quick email to admin@ncfed.com will always guarantee a personal reply from the Founder, Deanne