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February 11, 2025 • 13 mins
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Speaker 1 (00:07):
Welcome to Psycho Babbel dash Me. I'm your host Daniel Bartley,
along with Mayor mar Weeks.

Speaker 2 (00:12):
Hi everybody, So today episode five, we're going to talk
about eating disorders.

Speaker 3 (00:16):
But before we start, we want to put out a disclaimer.

Speaker 2 (00:18):
It's this episode maybe triggering for some people and is
in no way meant to replace mental health care or therapy.

Speaker 3 (00:27):
So, Danielle.

Speaker 2 (00:28):
According to the National Eating Disorder Association, nine percent, which
doesn't sound like a lot, but it's twenty eight point
eight million people in the US suffer from an eating disorder,
and the National Institute of Health says the most common
eating disorders are binge eating disorder, bulimia, and the less
common but I think the most serious really is the

(00:49):
Anarexi universe.

Speaker 1 (00:50):
Yeah, and it is a serious health condition because it
affects the person physically and mentally.

Speaker 2 (00:57):
Right, So you want to start with ingeating disorder, yeah, okay.
So binge eating disorder is characterized by eating in a
smaller period of time roughly two hours, the amount of
food that is definitely larger than most people would eat
in the same amount of time, and during this the
person feels a lack of control over the eating They

(01:19):
also eat more rapidly than normal, eating until they feel
uncomfortably full, so stuffing themselves, eating large amounts of food
when not hungry, eating alone, because they feel embarrassed about
how much they're eating and feeling disgusted with oneself, depressed,
or very guilty afterwards.

Speaker 3 (01:37):
Yeah, they have that guilt and that shame.

Speaker 1 (01:39):
Yes, and then if they even limit their food a
little bit, which leads to more BINGI if they do that.

Speaker 2 (01:47):
Now, beinge eaters are usually normal weight to a little
overweight because they don't they don't do compensatory methods like
diuretics or laxatives or anything. I mean, you've seen it
in the to be someone who goes I don't remember
what movie it was, but that they go and they
order like, you know, seven big macs and they eat
them in their car before they get home, so their

(02:08):
husband doesn't know.

Speaker 3 (02:09):
Yeah. So, and I think a lot of people suffer
from that. Yeah, I think they do. You know, I
mean I know.

Speaker 2 (02:17):
Quite a few people that will binge eat.

Speaker 3 (02:21):
Yeah.

Speaker 1 (02:22):
And I mean I have binge eat it. I mean
I don't have like the disorder, but you know, you
just and then you just feel so terrible, so just
think you have the mental psychological thing about your body weight,
and then you know you're binge eating and it's just
all you just feel terrible, and it's all about there's
a lot of.

Speaker 2 (02:41):
What we call food noise in these people's heads. So
thinking about what they're gonna eat, how much they're gonna.

Speaker 1 (02:46):
Eat, yeah, like consumes their life.

Speaker 4 (02:49):
Yeah, exactly right, And they have I mean, body dysmorphic
disorder is different by another diagnosis, but most of these
people have disorted body and.

Speaker 1 (02:59):
The yeah, aarexia, I want to do that?

Speaker 3 (03:04):
When are we okay? Yeah?

Speaker 1 (03:07):
So inarexias can be considered definitely life threatening and includes
unhealthy low body weight. So they they're they're skinny, skinny,
intense fear of gaining weight.

Speaker 3 (03:18):
View of weight and shape is.

Speaker 2 (03:19):
Not realistic, right, And these are the ones that restrict
their food intake relative to what their body needs.

Speaker 1 (03:27):
Because you remember back in the day, like they would
post like those magazines with those skinny and you you
would yeah, yeah, and you would know like somebody like
in your class that was like so hyper fixated on
those magazines and stuff.

Speaker 3 (03:43):
But now it's like, you know more of this.

Speaker 1 (03:45):
People aren't reading magazines they're reading more like looking at
social media TikTok things like that.

Speaker 2 (03:51):
People with inarexia not only restrict their food, but they
also do overcoming story.

Speaker 3 (03:59):
Exercises. They do lax it of diuretic and out of
all three. Because we're going to discuss blimia.

Speaker 2 (04:06):
Also, this is probably the most dangerous because it affects
all of the different blood cells, all the types of
blood cells.

Speaker 3 (04:15):
Can lead to.

Speaker 2 (04:15):
DEHRD, dehydration, brady cardia, which is a low heart rate,
decreases bone mass density, you get fluid and electrolyte disturbances.

Speaker 3 (04:26):
Most often these women stop having their periods.

Speaker 2 (04:30):
They have cold intolerance because they're so skinny, constipation, they
get what's called laguna, which is these fine little hairs
all over their body.

Speaker 3 (04:39):
To help them keep in body heat.

Speaker 2 (04:44):
Teeth their teeth because it is growing up after eating esophagus.

Speaker 3 (04:52):
Most of these people also have some sort of comorbid psychiatric.

Speaker 2 (04:56):
Issue, and usually there's someone else in the family that
has it and unfort and usually the mother and then
they kind of passed us on.

Speaker 3 (05:04):
To the daughter.

Speaker 1 (05:05):
Yeah, especially whenever you know you have a dynamic of
a family that the mother wants the daughter to be perfect.

Speaker 2 (05:12):
And you know, I remember at one of the places
we worked at and I did mostly child psychiatry, and
this mother came in who was slightly overweight and the
daughter was I mean she was, you know, a healthy weight,
maybe a little overweight.

Speaker 3 (05:26):
She was only like.

Speaker 2 (05:27):
Ten, and the daughter was complaining that her mom wouldn't
let her eat Big max and or Whoppers or some
fast food thing. And the psychiatrist is like, to the mom,
well do you eat them? And she's like, yeah, but
I'm not fat, and he's he just was like, well,
if you're not going to let her eat them, then
you can't eat them either, because frankly, you could use them.

Speaker 3 (05:50):
Yeah.

Speaker 1 (05:50):
It was well, that's so sad because because mothers will fat.

Speaker 3 (05:56):
Shame their kids. Yeah, they will.

Speaker 2 (05:59):
They yeah, especially, I mean it happens in men too,
but it's most often in girls, especially girls who play
certain sports like gymnastics or figure skating or ballet where
your size is really important to yeah, what you can
and can't do right, yes, and then anything else on

(06:21):
INTERACTIONI I think we covered it, okay, and then bolimia
is basically recurrent episodes of binge eating. What we talked
about earlier but then they have these recurrent compensatory behaviors. Yeah,
they're purging, self induced vomiting, use of laxatives, diuretics or
other medication, fasting, and then excessive behaviors. And they're If

(06:46):
you evaluate these people any one of these three types
of people.

Speaker 3 (06:52):
There, they're very consumed with body size.

Speaker 2 (06:56):
And weight, like what they look like, how much they
weigh and unrealistic. I mean people in the office who weighed,
you know, ninety pounds soaking wet. Yeah, they have an
inch of not even fat, extra skin, and they're like unfat.

Speaker 1 (07:10):
Yeah, and you can't just tell them, no, you're not fat,
because that's no. It's in their their brain that they
are overweighted, and they see their body as larger.

Speaker 3 (07:21):
Right, Yeah, they don't see what we see.

Speaker 2 (07:23):
I remember when I was little, they'd have all this
after school specialty remember those.

Speaker 3 (07:27):
Yeah, anorexia, and it's very hard to treat.

Speaker 1 (07:30):
Yes, you need someone who specializes in my experience anyway,
like a therapist who specializes in CBT for eating disorders. Yeah,
because you know, you can't just tell them to eat
or you remember, we.

Speaker 2 (07:45):
Had kids on the unit and we would weigh them,
but they weren't allowed to look at the scale.

Speaker 3 (07:49):
You would have to.

Speaker 2 (07:49):
Measure how much they ate, and it was like torture
for these kids to have to eat like yeah, seven
peas they would actually count.

Speaker 1 (07:56):
And we we always had pediatrics come over too, because
it is such a physical strain on the body. Yes,
so some red flags, you know, if you know anybody
that you're suspecting any of these disorders, skipping meals, excessively
limiting their diet, focusing on food or healthy eating, making

(08:21):
their own meals rather than what the family eats, and
it would be something you know, more healthy, and probably
limited withdrawal from usual social activities, so they're you know,
not going out to eat with their family or their friends,
or for getting.

Speaker 3 (08:39):
Up from the table after a meal and.

Speaker 1 (08:40):
Going right there, right to the bathroom because.

Speaker 3 (08:43):
They're inducing vomiting, hoarding food.

Speaker 2 (08:47):
I know lots of times kids who have Blien meal
will hoard food in their room or eating disorders. And
then the treatment, like we said, right are the number
one treatment is cognitive behavioral.

Speaker 3 (09:01):
Therapy and then medication, right.

Speaker 1 (09:04):
Yeah, especially because you know some they're depressed at times,
they can be depressed a lot of anxiety that anxiety
about the food and how.

Speaker 3 (09:14):
Much they weigh and how they look.

Speaker 2 (09:16):
So we usually start with an ssri like prozac or something.
If those aren't working, sometimes they go to the tricyclics,
which are the older medications.

Speaker 3 (09:25):
And then I read in an article that they use
is well bututrint. I've never used while.

Speaker 2 (09:29):
Buttrin in a patient with this because usually it suppresses
your appetite.

Speaker 3 (09:33):
But it was listed as one of the drugs to use.

Speaker 2 (09:35):
And sometimes we have to give them appetite stimulants to
get them to especially the inorexics. And we used to
get this girl all the time on the unit. And
remember she had to have ivs.

Speaker 3 (09:47):
Yeah, they had to threaten her with tube feedings because
she was literally skeletal.

Speaker 1 (09:52):
Yeah, at that point, and then you know that's what
leads to the heart, the cardio, right right, I mean
some of.

Speaker 2 (09:58):
The other health diets really starts themselves into So there's
a bunch of help online. The National Eating Disorder Association
has a helpline, but it's only open nine to nine,
which I found strange, and that's eight eight eight three, seven.

Speaker 3 (10:13):
Five seven seven sixty seven.

Speaker 2 (10:15):
There's the National Allegiance for Eating Disorder Helpline again only
Monday through Friday nine to seven. That's eight six six
six six two one two three five.

Speaker 3 (10:26):
And then there's it's called Feast and.

Speaker 2 (10:29):
S Capital Feast and it's education support for parents and
caregivers of children who suffer.

Speaker 3 (10:35):
From eating disorders.

Speaker 2 (10:36):
And when I was searching the speed go online and
put it in, all these resources come up. There was
even one page of the National Eating Disorder Association has
a self test you can take to see if you
suffer from an eating disorder, which I didn't want to
take frankly, but you can take it if we need
and I think also we need to, like with all

(10:58):
the new weight loss medications are out there, and people
are some people are ashamed to tell people that they're
on them, and then people think that, you know, if
you're fat at your own fault, yeah, you shouldn't be
on these medications. It's a whole bunch of bullshit because
some people who suffer from these things don't know how
to lose weight, don't know how to regulate their weights.

Speaker 3 (11:23):
And these drugs not only help the people lose weight,
but in the long run it helps their health. It
helps their health.

Speaker 2 (11:29):
Overall, and these insurance companies, which let's not get started
on that again, are saving money down the road because
these people don't get high cholesterol, they don't get hypertension.

Speaker 3 (11:39):
They don't get diabea, all these other drugs, and just.

Speaker 2 (11:44):
From personal experience having you know, knowing providers that refuse
to give it to patients because frankly, they just don't understand.

Speaker 3 (11:53):
They don't research, and.

Speaker 2 (11:54):
They don't understand the severity of the illness and how
many people really suffer from it.

Speaker 1 (11:58):
Yeah, so.

Speaker 2 (12:02):
Anything else you want to talk about, we try to
find a guess that frankly, no one that we knew
that suffered from eating disorders wanted to come on the
show and discuss it.

Speaker 3 (12:11):
Because there's a lot of shame involved.

Speaker 1 (12:12):
Yeah, there is.

Speaker 3 (12:13):
So so you got us YEA to educate you.

Speaker 1 (12:17):
So just look out for the red flags if you
know anybody, seek professional help. Definitely you can get some
of these support groups because we didn't talk. But it's
hard on the family that I mean huge, Like they're
always worried about their child and they're always wondering did

(12:38):
they eat what what meal did they eat?

Speaker 3 (12:40):
Like it's because I know some you know.

Speaker 1 (12:43):
Parents of children that have these disorders, and it's it's hard.

Speaker 3 (12:48):
It's a yeah.

Speaker 2 (12:50):
And then the kids grow up and pass it on
to their yeah, and it's just kind of a vicious circles, right,
And then, like you said, it's all the social media,
never yeah compared to yourself, to other people, and even
boys suffer from this.

Speaker 3 (13:02):
As we said, yeah, alright, okay, have a good day
and take care.

Speaker 1 (13:08):
But
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