How to Get Help For Binge Eating Disorder
04/26/19 • 42 min
Dr. Marianne Miller specializes in eating disorder treatment for adults and teens. Marianne has been a practicing therapist for more than 20 years, earning her master’s in marriage and family therapy from Abilene Christian University and her doctorate from Texas Tech. In addition to being a Licensed Marriage and Family Therapist in California, she is a member of The International Association of Eating Disorder Professionals Foundation and the California Association of Marriage and Family Therapists. Marianne is committed to helping clients with all types of food and body anxiety through her private practice in San Diego.
On this episode of The Embodied & Well Mom Show, Marianne joins us to share the definition of binge eating disorder and discuss its prevalence in the US. She walks us through her approach to working with a client with binge eating disorder, describing several of the coping strategies she teaches to manage emotions and anxiety. Marianne also explains the spiritual aspect of her work with the clients as well as her support of clients in the LGBTQ+ community. Listen in for Marianne’s insight around the impact of weight discrimination and learn why she is an advocate for Health at Every Size!
Key Takeaways
The definition of binge eating disorder
- Eat excessive amount of food regularly
- Feel shame, regret + distress
The prevalence of binge eating disorder
- Became official diagnosis on DSM-5 in 2013
- Impacts 6% of population (more men than women)
- Common in pregnancy, postpartum
Marianne’s approach to supporting someone with binge eating disorder
- Cognitive behavioral therapy
- Dialectical behavior therapy (emotion, anxiety management)
- Family of origin work
- Refer to dietician who specializes in eating disorders
The spiritual aspect of Marianne’s work with clients
- Tap into client’s faith, spiritual beliefs as resource
- Address harmful beliefs (i.e.: body = shameful)
Marianne’s approach to working with LGBTQ clients
- Validate experiences of discrimination
- Understand coming out journey, build chosen family
Why there’s a higher prevalence of eating disorders in the LGBTQ community
- Gender dysphoria in trans individuals (effort to change body)
- Stress from discrimination triggers eating disorder
Marianne’s insight on the impact of weight discrimination
- Some clients shamed by physician
- Work toward self-acceptance (Health at Every Size)
- Think critically about messages you receive
Connect with Marianne
Connect with Lindsay
Embodied & Well Mom Show on Facebook
Resources
Diagnostic and Statistical Manual of Mental Disorders
Association for Size Diversity and Health
Health at Every Size: The Surprising Truth About Your Weight by Linda Bacon
Dr. Marianne Miller specializes in eating disorder treatment for adults and teens. Marianne has been a practicing therapist for more than 20 years, earning her master’s in marriage and family therapy from Abilene Christian University and her doctorate from Texas Tech. In addition to being a Licensed Marriage and Family Therapist in California, she is a member of The International Association of Eating Disorder Professionals Foundation and the California Association of Marriage and Family Therapists. Marianne is committed to helping clients with all types of food and body anxiety through her private practice in San Diego.
On this episode of The Embodied & Well Mom Show, Marianne joins us to share the definition of binge eating disorder and discuss its prevalence in the US. She walks us through her approach to working with a client with binge eating disorder, describing several of the coping strategies she teaches to manage emotions and anxiety. Marianne also explains the spiritual aspect of her work with the clients as well as her support of clients in the LGBTQ+ community. Listen in for Marianne’s insight around the impact of weight discrimination and learn why she is an advocate for Health at Every Size!
Key Takeaways
The definition of binge eating disorder
- Eat excessive amount of food regularly
- Feel shame, regret + distress
The prevalence of binge eating disorder
- Became official diagnosis on DSM-5 in 2013
- Impacts 6% of population (more men than women)
- Common in pregnancy, postpartum
Marianne’s approach to supporting someone with binge eating disorder
- Cognitive behavioral therapy
- Dialectical behavior therapy (emotion, anxiety management)
- Family of origin work
- Refer to dietician who specializes in eating disorders
The spiritual aspect of Marianne’s work with clients
- Tap into client’s faith, spiritual beliefs as resource
- Address harmful beliefs (i.e.: body = shameful)
Marianne’s approach to working with LGBTQ clients
- Validate experiences of discrimination
- Understand coming out journey, build chosen family
Why there’s a higher prevalence of eating disorders in the LGBTQ community
- Gender dysphoria in trans individuals (effort to change body)
- Stress from discrimination triggers eating disorder
Marianne’s insight on the impact of weight discrimination
- Some clients shamed by physician
- Work toward self-acceptance (Health at Every Size)
- Think critically about messages you receive
Connect with Marianne
Connect with Lindsay
Embodied & Well Mom Show on Facebook
Resources
Diagnostic and Statistical Manual of Mental Disorders
Association for Size Diversity and Health
Health at Every Size: The Surprising Truth About Your Weight by Linda Bacon
Previous Episode
Responsive Feeding & "Picky eating"
Parents receive conflicting messages about feeding. We’re told that getting the right nutrients is incredibly important to our child’s health and wellbeing. Then, we’re told that we should simply offer our kids food and let them decide whether and how much to eat. So, how do we follow both sets of advice? The fact is, nutrition is the result of a trusting feeding relationship, and if you can learn to appreciate your kiddo’s presentation and respond to their cues, you can achieve a stress-free mealtime.
Grace Wong is a certified eating disorder registered dietitian with 15 years of clinical experience in mental health and pediatric nutrition. Grace works with a diverse presentation of feeding and eating disorders and supports children with co-existing conditions like ADHD, autism, sensory processing challenges, anxiety, depression, addiction and trauma. She is committed to helping clients uncover their family feeding history and establish a comfortable environment at mealtime. Grace’s practice is based in Calgary, and she does online coaching through her Facebook business page.
Today, Grace joins us to explain how she supports parents whose kids have complex feeding presentations. She discusses the concept of food acceptance, sharing her aim to get children to a place where variety is not disruptive and her approach to establishing a peaceful mealtime. Listen in for Grace’s insight on the challenges of parenting neuro-diverse kiddos and learn how to appreciate your child’s feeding presentation and build a trusting feeding relationship!
Key Takeaways
How Grace supports parents whose kids eat differently
- Don’t treat child as ‘problem’
- Learn story, family feeding history
- Identify cause of current challenges
- Move child closer to natural trajectory
The tenets of division of responsibility in feeding
- Parents responsible for when, what and where
- Children responsible for whether, how much
The concept of responsive eating
- Relationship rather than set of rules
- Read child’s cues, respond appropriately
Grace’s insight on the idea of food acceptance
- Limited diet grows with experience
- Get to a place where variety not disruptive
The conflicting message parents receive re: feeding
- Nutrition important, necessary for wellbeing
- Offer children food and let them decide
How Grace works to establish a peaceful mealtime
- Collect story and identify stressors
- Give child autonomy to choose or remove
- Address concerns (e.g.: anxiety, appetite)
- Make meals safe + comfortable
The challenges of parenting neuro-diverse children
- Shaming or judgment from friends, family
- Kids employ masking to appear normal
- Increases anxiety, creates more aversion
Grace’s advice on appreciating your child’s presentation
- Develop trusting feeding relationship
- Outcome = nutrition, peace with food
Connect with Grace
Connect with Lindsay
Embodied & Well Mom Show on Facebook
Resources
Next Episode
Raising Body Positive Children
We all want our kiddos to feel comfortable in their bodies, but we can’t always protect them from the cultural messaging and outside voices implying that there is a right and wrong way to eat. And for those of us who struggle with eating and body image disorders ourselves, there is the added worry that we might pass these issues on to our children. So, what can we do to raise body positive children with the confidence and autonomy to practice intuitive eating?
Karen Diaz is a registered dietitian certified in intuitive eating. She earned her BS in Dietetics from James Madison University in 2001 and completed her internship at the Cornell Campus of New York—Presbyterian Hospital in 2003. Karen spent several years working as a clinical dietician in the nutrition department at The Renfrew Center, one of the leading centers for eating disorder treatment on the East Coast, before creating The Free Life, a platform designed to support women in overcoming eating and body image disorders. She is also the author of Within: Making Peace with Food and Body Image to Create a Healthy Family and Home.
On this episode of The Embodied & Well Mom Show, Karen joins us to discuss the challenges moms (and parents) face in judging ourselves when it comes to body image and food. She shares the two overarching themes from her book on confronting eating and body image disorders, building yourself up first—and then opening a dialogue with your children. Karen also describes the value in developing a Family Manifesto around food and learning to practice ‘appreciative looking.’ Listen in for Karen’s insight on talking to your kids about cultural messaging and learn her top strategies for raising body positive children!
Key Takeaways
What inspired Karen to specialize in eating disorders
- Addiction issues in family, friend with eating disorder
- 8 years in nutrition department at eating disorder clinic
How we judge ourselves around body image + food
- Rules make it hard to be active participant in relationship
- Remove mom-guilt that we caused child’s issues
The two overarching themes in Karen’s book Within
- Build self up so strong that diet culture crumbles at feet
- Open dialogue in home to address struggles
Karen’s Family Manifesto around food
- Set of beliefs, e.g.: food shouldn’t be reward
- Don’t judge other families for different values
The value in facilitating an open dialogue on body image
- Ask questions to let kids be heard
- Avoid bringing own worries into conversation
The concept of appreciative looking
- Look at photographs 3X, find something like
- Learn to see self in different way
Karen’s advice on shifting negative cultural messages
- YOU determine your environment
- Choose foods that taste good, feel good for you
How to educate your kids on cultural messaging
- Point out lack of size diversity
- Discuss shows with personality based on body size
Karen’s insight on talking to preteens about body image
- Proactive strategies (i.e.: write letters to parts of body)
- Don’t panic about phases, doctor’s comments
Connect with Karen
Within: Making Peace with Food and Body Image to Create a Healthy Family and Home by Karen Diaz RD
Connect with Lindsay
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