Join Dr. Marianne Pinkston and guest Amber Abila, an adult binge eating coach and expert, for a deep dive into Binge Eating Disorder (BED). Dr. Pinkston shares her personal journey of gaining over 300 pounds, losing weight, and realizing she was struggling with an eating disorder later in life. Amber, who also overcame bulimia and binge eating, discusses how this disorder—only recognized in the DSM-5 in 2013—is often misunderstood as a "willpower problem." They explore the origins of the binge-restrict cycle, the power of mindset and habit change, and practical strategies to dismantle the shame, fear, and addictive patterns surrounding food. Learn the six pillars of Amber's coaching program, including how to sit with urges, develop an abundance mindset, and use celebration to rewire your brain for lasting change.
00:00 Introduction: The Better Life with Dr. Marianne Pinkston
00:32 Introducing Guest Amber Abila: Binge Eating Disorder (BED) and its History
01:00 Dr. Pinkston's Personal Story: Realizing an Eating Disorder at 47
01:27 Amber's Story: The Dieting Origin of Binge Eating and Bulimia
02:54 The Shift from Therapy to Habit Research: Understanding Binge as a Habit
04:10 The First Binge and Purge: The Shame and Desperation of the Cycle
05:43 The "Aha!" Moment: Changing the Reaction to Triggers and Urges
07:08 Defining BED and Taking the First Step: Unshaming the Behavior
09:51 Tools for Awareness: The Simple Food Diary and Changing Mindset
10:45 How Thoughts Create Desire: The "Last Glass of Water" Analogy
12:10 Dr. Pinkston's Secret Binge: Stress, Pleasure, Guilt, and the Need for Support
14:16 The Crucial Role of Objective Support and Coaching
15:10 Amber’s Six Pillars of Freedom: Mindset, Moderation, and Urges
15:37 Pillar 2: Moderation & The Scarcity Mindset ("Enough is a Decision")
16:33 Pillar 3: Processing Urges by Grounding in Body Sensations
17:57 Pillar 5 & 6: Confidence, Body Image, and Shifting Identity
18:24 The Power of the Urge: Intermittent Reinforcement and Rewiring the Brain
19:19 The New Reward: Using Celebration as Neural Superglue
20:37 Binge Eating and the Addictive Cycle (Dopamine Surge)
21:57 Showing Yourself the Whole Story: Chapter One vs. Chapters Two Through Ten
23:50 Slowing Down: Mindful Binging and Noticing Negative Food Consequences
25:15 Distinguishing Overeating, Emotional Eating, and Binge Eating
26:42 The Role of Trauma in Eating Issues and When to Seek a Specialis
t28:36 Resources and Next Steps: Amber's Free Guided Urge Audio
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