Tag Archives: therapy

Understanding Binge Eating and It’s Treatment


Photo: Yay Images

For several months, Chindeep has looked at the various Anxiety and Mood disorders, as part of the mental health series, the focus now shifts to eating disorders., the most prevalent eating disorder in the USA.

The I don’t know about you, but I gained about 15-20 pounds in the past two years. Pre pandemic, I was out and about in the community, walking between 10-20k steps per day, fit as ever. Sitting at home, dying from boredom, it became impossible to control my cravings. Did I binge eat? Hell Yeah. More than once? You betcha. Disgusted, I looked inward. Binge-eating involves more than simply overeating, it is a mental health related related disorder, associated with inappropriate eating habits and challenging emotions. 

Binge-Eating Defined
Binge-eating is a medical and psychological condition during which a person eats large amounts of food over short periods of time. Regardless of the signals their bodies send that they’re full, those who binge, to continue eat amounts of food that surpass normal portions. Binge-eating involves more than just eating a double portion of a favorite food. Those who binge might eat 2 cheeseburgers, followed by a half gallon of ice cream, and a box of cookies. 

Typical Thinking Patterns
One who binge-eats engages in unhealthy thinking patterns, which drive them to over-eat. They might feel powerless to arrest aggressive eating behaviors. Even though you might believe a person would feel too ashamed to binge-eat, the fact is that shame can actually emotionally fuel a binge-eating episode. 

Experiencing uncomfortable feelings such as self-loathing and shame is a hallmark symptom of someone who’s dealing with binge-eating. Many people who struggle with binging also have distorted body images. They might believe they’re obese when actually they’re within normal weight standards or only mildly overweight. 

On the other hand, a person who binge-eats could also weigh considerably more than the weight charts recommend for her height and age.  Although the condition does occur in males, it occurs more often in females. Recognize that people who binge can discover optimism and confidence to live successful lives in recovery.

Effective Treatments for Binge-Eating at a glance

  1. Self-help groups. As an example, Overeaters Anonymous can provide wonderful, understanding emotional support for people who struggle.
  2. Individual cognitive therapy. For those who require more professional help, attending individual therapy sessions can make a huge difference. Cognitive therapy is conducted by a trained therapist who works to confront the individual’s distorted body image, unhealthy thinking patterns, and feelings of shame.  Encouraging the person who binge-eats to surround herself with understanding, supportive family and friends is another way a therapist motivates someone in recovery.
  1. Family therapy. If the person who’s dealing with binging is a teen, family therapy in addition to individual therapy can be a life-saver. Difficult family relationships can be confronted and addressed. Everyone learns to relate in healthier ways, which can serve to reduce binging behavior.
  1. Intensive day treatment. In the event you require more intensive treatment than individual, family therapy, and self-help group attendance, intensive day treatment may be an option. These programs provide 2 to 6 hours of professional treatment for binge-eating 3 or more days a week, at an eating disorder treatment center. 
  1. Inpatient treatment stay. This milieu therapy provides a 100% supportive physical and emotional environment around the clock to ensure binge-eating behaviors subside and healthy eating habits increase. Outpatient follow-up treatment to provide much-needed support will be necessary as you transition back into your home environment.

Binge-eating is a medical/psychological condition that involves eating large amounts of food and experiencing emotional turmoil. People can and do overcome the challenging behaviors and feelings associated with binge-eating to embrace healthy, fulfilling lives. 

The key to recovery is recognizing when there is a problem, receiving effective treatment, while gaining caring support of friends and family members, to live a well-deserved, rewarding life. 

To Your Success,
Juan

Get Clear on Why You Care So Much


One way to learn to stop caring so much about irrelevant issues and thoughts of others is to dig in deep and study yourself in a new way to get to the bottom of the reasons you care so much. Three ways help you get clear on why you care so much that you can use.

Journaling 
You can use your computer, buy a specialized journal, or you can simply use a notebook you have created to journal. It’s up to you what type of system you use and whether it’s modern or analog. The important part is that you try to use your journal to express your thoughts, emotions, and stream of consciousness about a problem you’re trying to solve or a feeling you’re trying to explore without judgment or censoring.  Write in your journal every day when you’re trying to understand why you care so much. You may end up discovering your life purpose or a new reason for getting up each day, one you had not realized before. 

Meditation
Before you use your journal, it can help to clear your mind using meditation. Meditation practice is all about not thinking and not judging your thoughts or feelings even as they still happen during the meditation.  Each time you meditate, you can have a purpose of self-discovery, or goal to clear your mind and relax.  To practice this type of meditation, you’ll want to find a quiet, comfortable place to sit or lay down. Concentrate on your goals for the meditation, close your eyes, and start focusing on your breathing.  Think about the situation you’re trying to understand for a moment, then clear your mind. If any intrusive thoughts come in, brush them aside by refocusing on your breathing. You mustn’t allow any outside information or sensation to distract you during this time.  Many You Tube videos offer instructions and help.

Therapy
Today, we are fortunate to be able to access psychological therapy from the comfort of our homes using your computer or smartphone. Numerous companies offer this service and varying price points. In addition, many insurance companies include several sessions as part of your benefits.  If you seek therapy, make sure you find someone experienced working with you on overcoming people-pleasing and putting yourself last in life. Remember, your wants and needs matter too. Most therapists can guide you through the self-discovery process, to finally know what you want, regardless of what others think

Any or all three of these methods, help you become crystal clear regarding your motivations to seek approval from others and even help you stop doing it. Remember, what you want from life is important too, and following someone else’s dreams will never get you what you want and, more importantly, content in your life. 

Wishing You Well,
Juan

Things You Should Know About Seeking Treatment For PTSD


There isn’t a one-size-fits-all solution to PTSD, and it most likely will not be resolved in a short amount of time. Furthermore, if there are comorbidities involved, it will take longer for the therapist to determine what diagnosis and treatment are appropriate. The type of treatment you or your loved one receives is up to your therapist, but below are some common forms of treatment.

Cognitive Processing Therapy
Cognitive Processing Therapy (CPT) is a specific type of therapy used to help people change the way they view trauma. It has been effective in helping reduce symptoms of PTSD, and many mental health specialists recommend this course of action. It’s thought to be one of the most effective treatments available. Trauma changes the way a person feels about themselves and the world, often causing them to develop an overly negative and hopeless view of things. This type of therapy can help them begin to reprocess the way they think about things. 

Prolonged Exposure Therapy
Since avoidance is a symptom of PTSD, therapists will sometimes use a treatment called Prolonged Exposure therapy (PE). This treatment helps people confront the things they’re avoiding in increments. This type of therapy will induce more anxiety and stress than CPT typically does, so therapists will try to equip their patients with anxiety-reducing coping skills.

Eye Movement Desensitization and Reprocessing
EDMR is a different kind of treatment than talking through traumatic events. Instead, the patient is asked to think about the traumatic event while the therapist directs their eye movement. It’s thought that the eye movement while remembering a traumatic event can help drain the emotion and negative feelings attached to it. This type of therapy is still relatively new and is considered a non-traditional form of therapy. 

Medication For PTSD
For some, medication may be helpful in addition to therapy. According to the National Center for PTSD, antidepressants are sometimes effective for treating symptoms of PTSD. These types of medications include SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin-norepinephrine reuptake inhibitors). Your doctor or therapist can help you determine if medication might be right for you.

Treatment for PTSD may not be a cure, as with most mental health disorders total recovery can be difficult or unobtainable. However, many people who receive therapy see a significant and life changing improvement of symptoms. For some, therapy may even lead to a near absolution of symptoms. 

If you’re suffering from PTSD or you know someone who is, know that there are people who can help:

  • The Substance Abuse and Mental Health Services Administration is available 24/7 by calling 1-800-662-HELP (4357).
  • For veterans, the National Center for PTSD is also available by calling 1-800-273-8255 or you can reach online here: https://www.veteranscrisisline.net

Hotlines are a good short-term solution, that should be followed up with therapy work from a trained professional. Build up a support network of people ready and willing to help when symptoms of PTSD become overwhelming.  Be patient with yourself (or your loved one) because PTSD is a real disorder that requires time and care to improve.

Remember, setbacks don’t erase all progress. For best results, learn all you can about PTSD, seek professional help, and keep your focus on healing. 

To Your Success,
Juan

 

Prenatal Depression: Protect You & Your Baby


prenatal depression

Pregnancy is a time of hope, love, and joy. However, for many women, it can also be a time of prenatal depression, it is common and occurs more often than you might think. It can even happen to you! Please do not to ignore the signs and symptoms. Your life and the life of your baby is worth it.There is LOT of talk about post natal depression, due to many high profile stories in the news, however,  there is not enough attention being given to the period before While one post offering a summary of prenatal depression, the hope is that it will serve as a reference, and open up more discussion

Here is what  you need to know:

  1. Understanding prenatal depression. It’s estimated that one out of every four women will experience depression. Prenatal depression occurs during pregnancy and can be triggered by many factors.
    • In many cases, both patients and doctors ignore possible symptoms because hormone changes is often the focus. However, this type of depression can be dangerous for both the mother and child.
  2. Common signs: thoughts of death and suicide.
    • The pregnant woman may have ongoing and recurring thoughts about killing herself or others. She may also have thoughts about harming the baby, the father, and even try to do something violent. Other signs of prenatal depression include never-ending feelings of sadness, hopelessness, anxiety and guilt
  3. Depression triggers. Some medical experts believe that hormone and body changes during pregnancy can trigger depression, but there are other causes as well.
    • Relationship issues are also a common trigger, because the mother may feel she isn’t getting enough support. She worries how the child will change the relationship after birth
    • Complications during pregnancy can also trigger depression. If the mother is on bed rest or worried about losing the baby, it leaves the door open for feelings of depression to creep in. The joy of carrying the child is replaced with anxiety, worry, and fear.
  4. Potential issues for the baby. Although some mothers are able to continue to take care of their bodies during depression, others struggle to eat healthy food or avoid alcohol and other harmful substances.
    • Suicidal behavior is another major risk for the baby. A woman who suffers from prenatal depression is more likely to try to kill herself or the child.
    • Drinking and smoking are also concerns because some women will turn to them for comfort.
    • It’s important to recognize that a woman who has prenatal depression may not be making the best decisions for her baby.
  5. Treatment options. These will vary, it’s important to discuss them with your doctor.
    • Women with prenatal depression can find help through therapy.
    • Both individual and group therapy sessions may be necessary. Discuss these options with your doctor and work out a schedule that fits your needs. Find sessions that welcome pregnant women.
    • You may also benefit from some medications, but there are restrictions because drugs can affect the baby.
    • Support groups have helped some women with prenatal depression.
    • In addition, reducing stress and eliminating issues causing anxiety can help.
    • Adjustments to diets, exercise, and lifestyles is also helpful.
    • The most important step is to seek help and not ignore the symptoms. Doctors and therapists can determine the best treatment plan on an individual level. 

Prenatal depression is a real issue and shouldn’t be ignored. If you or someone you love show these signs, seek treatment right away. Medication and talk therapy can help, after weighing the medication risks with your medical provider. If your insurance does not cover treatment, there is usually free resources available. Though not always easy to find, the effort is worth it. 

Untreated pre natal depression leads to a host of issues, including but not limited to, missing important check ups, problems during labor and delivery, poor nutrition etc.  No one should have to suffer alone and fight without help. Call 911 right away if immediate harm to the mother or unborn baby is obvious.

Learning about prenatal depression could save a life – or two.

To Your Success,
Juan