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 teamwork were crucial to break this cycle.
Getting Roy to identify the difference between his hunger levels and his emotional hunger was a process that we worked on. It took intense communication on days that he would end up feeling the need to ‘binge’ and also the hours following a ‘binge’.
- Over-eating Under-Eating cycle
What tends to happen as a form or punishment after a binge—because of shame—it turns into a day or even multiple days of under-eating. This typically then turns into another binge followed by another cycle of under-eating.
With full transparency, Roy learned to get right back on plan when he had a binge, and through this process, we successfully cured her B.E.D!