Eating disorders are serious conditions that need treatment as soon as possible. Above all, the handling of food and the relationship to one's own body are disturbed. The longer an eating disorder goes untreated, the more likely it is that it will become chronic. The earlier it is treated, the greater the healing success.

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Binge Eating or Binge Eating Disorder (BED, from the English binge = binge) is an eating disorder in which there is cravings (binge eating / "binge eating") with loss of conscious control over eating behavior comes. Because of the binge eating, those affected tend to become overweight.

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Diagnosis:*

• for at least 6 months and on average twice a week:
  repeated binge eating without compensatory behaviors

• Feeling of loss of control

• great feelings of disgust, shame and guilt after binge eating

Features / symptoms: *

• Binge eating without weight-reducing measures

• Loss of physical satiety and control

• irregular and improper diet

• Obesity

• Feelings of shame, feeling overwhelmed and lonely

• Emotions like anger and anger

• depressive mood

Long-term consequences: *

• fatigue

• inner unrest

• Disturbances in respiratory functions

• Circulatory disorders

• Musculoskeletal disorders

• Pregnancy complications

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* Source: https://www.anad.de/essstoerungen/essattacken-mit-kontrolllös-binge-eating-stoerung/ (3.12.20).

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Why is nutritional therapy essential?

Nutritional therapy helps you to resolve your eating disorder and to trust your own body again.

Relearning intuitive eating and listening to your own body are the basis of therapeutic advice.

An energy-adjusted wholesome diet under the supervision of a certified nutritionist can lead to your long-term success. The diet is adapted to your current weight and a jointly defined goal for weight gain / or loss. Your individual situation and needs will be catered for so that you can get rid of your eating disorder permanently. The aim is to supply all of the fatty acids, micronutrients (vitamins and minerals) that are important to you, energy and protein in the measure that your body is optimally supplied with. For this purpose, foods that promote inflammation are specifically avoided and plenty of anti-inflammatory foods are consumed.

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Explanation of the nutritional therapy: initial and follow-up discussions

Clarify triggers for the disease, personal goals for weight gain / loss, recommended energy and protein requirements, possibly recommendations for nutrient intake in a vegan / vegetarian diet, instructions for keeping a nutrition protocol, reviewing the medical diagnosis / laboratory values,

Inquire and determine the patient's bio-psycho-social anamnesis, goals / wishes and expectations.

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Content of the consultations:

• Eliminate fears of eating, understand and overcome emotional eating

• Counteract unwanted urges to eat

• Hypnosis enjoyment training: Use more enjoyment in everyday life

• Learn abdominal breathing for more inner relaxation

• Recognize your individual urge to eat triggers

• Learning to eat intuitively

• Determine healthy portion sizes of food for your needs

• Train the meal structure adapted to you with intuitive eating behavior

• Avoid food cravings

• be less critical of yourself - observe the extent of the binge eating, you can also give in to cravings

• the subconscious also eats - learn to use self-hypnosis - use the power of one's own thoughts

• If necessary: Monitoring and control of the weight (1 x weekly weighing at the same time & the same conditions, e.g. always in the morning or always in the evening)

• Support with all questions about healthy nutrition

• Dissolve thought carousel in relation to eating and not eating

• build up the counseling depending on the individual problem (e.g. avoiding binge eating etc.)

• Achieve normal weight and maintain it for the long term

• Learning of individually adapted full portion sizes

• Which nutrients are important and essential for me?

• Which substances does my body absolutely need and also every day so that it is well?

• Understand the body's metabolism

• Relearn healthy eating and listen to your body intuitively

• Delusion and feel hunger, satiety and fullness

• Tricks to implement a healthy diet for everyday life

• Healthy use of fats and sugars

• Lose fear of not handling food in moderation

• Enjoyment training - self-hypnosis to support therapy

• other topics

• Additional therapy options

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A multimodal therapeutic approach is essential for eating disorders:

One is important  multimodal approach. ie for example nutritional therapy advice in combination with psychotherapeutic treatment and eg hypnosis. A self-help group may be able to offer support. In the case of severe forms (below BMI 16), it is advisable to go to a clinic for eating disorders in parallel to nutritional therapy & psychotherapeutic therapy in the case of underweight, as the waiting times can sometimes be very long (up to 3 months and longer). Antidepressants can possibly support the therapy (e.g. binge eating, anorexia, bulemia). There are also residential groups that you can use for example. B. can be used immediately after a stay in a clinic to have even more stability in everyday life, before going straight to the familiar environment, where there is a risk of relapse.

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to the overview of all eating disorders

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Classification of weight according to WHO:

BMI = body mass index,

is the relationship between height and weight, corresponding percentile curves apply to children and adolescents, the BMI cannot simply be applied to this age group.

BMI and interpretation: BMI: body mass index

Formula: Body weight in kg : (body height in m) 2 (gives the unit kg / m2)

Underweight: <18.5, children: <25th percentile

Normal weight: 18.5 - 24.9

Overweight = pre-obesity: 25-29.9

Obesity grade I: 30 - 34.9

Obesity grade II: 35-39.9

Obesity grade III:> 40 = per magna

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Classification of underweight (source: Federal Association of Eating Disorders eV, 2019)

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BMI 17 - 18.5 slightly underweight

BMI 16 - 17 moderately underweight

BMI <16 severely underweight (grade 1 and 2)

BMI 15 - 16 severely underweight

BMI <15 extremely underweight

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Medical classification

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Colloquial term / ICD-10 code / diagnosis

Eating disorder / F50 / eating disorder

Binge eating / F50.3 / (No separate diagnosis at the moment, but F50.4 or F50.9 possible)

F50.4 / binge eating in other mental disorders

Other eating disorders /F50.8 / Other eating disorders

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Nutritional therapy

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• Energy-adjusted diet: If you are overweight, lose weight

• Anti-inflammatory diet as a basis adapted to the current weight & jointly defined goals

• Holistic therapy - do you have any comorbidities that need to be taken into account during the consultation?

• Avoid micronutrient deficiencies and mineral deficiencies & possibly counteract them with nutrient preparations

• Prevent protein deficiency

• Which nutrients do I need in which ratio?

• Consume fiber according to the respective level (low fiber or high fiber)

• Sufficient fluid: total fluid per day: 30 - 35 ml per kg body weight and day. Attention, this is not just a drinking liquid. The liquid from food (approx. 500 - 800 ml) must still be subtracted from this so that a quantity of> 2 l drinking liquid is created.

• add valuable anti-carcinogenic (anti-cancer) secondary plant substances

• A selection of foods tailored to your needs with cooking and technical information (for breakfast, snacks, lunch, dinner)

• Do you like to eat your warm meal in the evening? I am happy to cater to your individual situation and we will create a plan on how you can implement your wholesome diet into your everyday life.

• Overall fat selection, how should it be designed?

• which oils are good for me? What should I watch out for in relation to the anti-inflammatory diet?

• How much fat spread (butter / margarine / vegetable fat) can I use and which products are recommended?

• Get enough Omgea-3 fatty acids and essential fatty acids

• How can I boost and support my metabolism with natural foods?

• Coordinate sensible meal frequency for your individual case - meal allocation

• What do I have to look out for when choosing animal foods?

• How many animal foods (e.g. meat products, milk and dairy products, cheese, fish products, eggs) are recommended?

• Define the desired weight stabilization / normalization & the estimated period for this

• what should be considered with beverages and alcoholic beverages?

• How does exercise affect your body and thus also your diet?

• Avoid blood sugar fluctuations

• Sweetening foods - sweeteners, glucose, fructose, sugar and sugar substitutes, what can I use and in what quantities? How high is the respective sweetness of the different products?

• what should be considered when baking and cooking?

• what are cheap snacks / main meals

• Eating out - what should you watch out for?

• Vacation, boat trip or hospital stay, what should be considered?

• Flatulence, bloating, diarrhea, constipation, vomiting, heartburn, loss of appetite, pain related to eating, what can I do about it?

• Daily plans as an example for practical implementation in everyday life

• Enjoyment training

• Optimizing your eating situation

• long-term maintenance of a jointly defined weight

• Strengthen the stomach and intestines with natural foods

• Additional therapy options

• Dietetic products in support of nutritional therapy

• Food supplements - under certain circumstances, a supplement can be useful

• and other topics

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Any questions? I look forward to your call or email. To contact form

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Assistance:

1. ANAD eV Supply Center for Eating Disorders

2. Overview of clinics / residential groups that treat eating disorders. To the directory of the address list

3. Federal Association for Eating Disorders

4. Appointment within 4 weeks with a specialist / psychologist: Dial the telephone number: 116117 (also possible via app 116117), you need a transfer with an urgency note so that you can get a faster appointment within 30 km of your place of residence.