When it comes to B.E.D it has to be attacked from two different aspects: Emotionally and Physically through a structure that is not too restrictive. Patience and understanding with team work were crucial to break this cycle.
Getting Rachael to identify the difference between her hunger levels and her emotional hunger was a process that we worked together. It took intense communication on days that she would end up feeling the need to “binge” and also the hours following a “binge”.
- Overeating / 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, Rachael learned to get right back on plan when she had a binge, and through this process, we successfully cured her B.E.D!