When it comes to B.E.D it has to be attacked from two different aspects: Emotionally and Physically The best way was through a structure that is not too restrictive. Patience and understanding with team work was crucial to break this cycle.
Getting Andrew to identify the difference between his hunger levels and his emotional hunger was a process that we constantly worked on together. It took intense communication on days that Andrew would end up feeling the need to ‘binge’ and also the hours following the action to get back in the program. He focused then on his family who needed a healthy dad.
- Over-eating Under-Eating cycle.
What tends to happen as a form or punishment after a binge, it turns into a day or even multiple days of under-eating because of the shame. This typically then turns into another binge followed by another cycle of under-eating.
With full transparency Andrew learned to get right back on plan when he had a binge, and through this process we successfully cured his B.E.D!