This week Kati talks about binge eating disorder (BED). She discusses the link between BED and childhood trauma, why there’s a connection between a mother’s love and our relationship with food, and the difference between BED and appetite changes associated with other mental illnesses. She also explains why forgetting to eat is not the same as an eating disorder, how we can reduce cravings, and how to get over any guilt associated with a binge. She also shares why parentification can make it hard for us to want to be an adult, why binge eating, food addiction, and overeating are the same thing, and whether or not medications for BED are actually helpful. This and much more in this week’s podcast! Kati Morton is a licensed marriage and family therapist, each week she answers mental health questions from her audience.   

Ask Kati Anything ep. 130 | Your mental health podcast, with Licensed Therapist,  Kati Morton  

Audience questions: 

1. I would like to know more about the connection between (B)ED and childhood trauma, because it seems that that topic isn't talked about enough. Why do we choose to cope with food rather than anything else and is there really a connection between mother's love and our relationship with food throughout our lives?  

2. Can you explain the difference(s) between a binge eating disorder and the appetite changes associated with anxiety and depression? Sometimes I skip meals due to my anxiety, either because I get stuck in my head and forget that I need food or I feel too nauseous to eat, but then it usually results in a binge eating session afterwards because I’ve essentially starved myself. I know...  

3. I have a question about eating disorders, but not related to body image or calories or anything. It’s more just… disordered eating? I forget to eat a meal, and then my OCD says it’s too late for whatever meal, so then I have to wait for the next meal time. Except this happens every single day. I’m not sure if this counts as an eating disorder? It’s very confusing for me. I want to eat the right amounts per day, I just can’t for some reason...  

4. How does one reduce cravings? Also, can one embark on their own treatment for binge eating, as opposed to seeking professional help? If so, where does one start?  

5. What is the difference between binge eating and just over eating? I’m pretty sure I struggle with binge eating but my psychiatrist has asked me if I’m binging or just over eating and honestly I don't really know how to tell the difference. Thanks for everything you do.  

6. This might not be related to this week's theme but I hope you consider answering it! I feel like I just woke up now and realized that I’ve wasted my childhood/ teenage years by not being a child or a teenager. Now, I’ve reached to the point where I don’t want to grow up and ‘time’ scares me...  

7. Hi Kati, I struggle with binge eating. My psychiatrist has recommended a drug that is used for opioid addiction that should take away the pleasure I get from eating. What other options do I have?  

8. What is the difference between a binge eating disorder and a food addiction? I feel like sugar is my kryptonite. Also I am picky, lactose intolerant and acidic foods aggravate an overactive bladder condition. So I feel like I can't easily avoid sugar. I suspect I have a binge eating disorder and that it...  

9. How can I deal with the guilt that I experience after a binge? I used to purge, (I don’t anymore) and that was usually my unhealthy way of getting rid of the guilt I felt from eating too much. but now when I binge, I’m left feeling terrible and it makes me want to self-harm.

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