Children Binge Eating: Different Stories but Similar Storylines
Children struggling with eating disorders suffer tremendous pain. It is difficult to conceive of such suffering for children binge eating at such young ages. When undiagnosed, suffering may be repressed until they reach for help in their adult years after much damage has already occurred.
Years of yoyo dieting attempts may dangerously tax both mind and body. Whatever the story line, one theme is common. Every once upon a time for someone with a Binge Eating Disorder often includes young memories of secret and uncontrollable binge eating. Many of those we work with recall compulsive eating prior to adolescents.
I remember the sweet smell of the apple pie my grandmother made. Respite at her farm during the summer months were the best memories of my life.
It was relaxed and fun and I was always welcome with a smile and a warm fleshful hug from my grandmother. I loved the way her arms enveloped me and how comforted I felt in them.
Yet, at the same time I was afraid of her size. I know where that came from now, but struggled all my life not realizing the significance. And, every time I failed at yet another diet, the shame increased. As I revisit my childhood, there wasn’t one memory I have of not feeling that I was going to lose control.
Home was different then my summers with my grandparents. There was a lot of control and perfectionism expected at home. I felt my parents wanting me to be a normal sized kid. They were worried about me. It was weird really.
A desire to protect me maybe? But, I see that it may have been their own disappointments about their lives, now looking back. But it still hurts, more so then the kids picking on me. That is part of the bulimia too, if I couldn’t get control one way, it was another.
If I binged on something, the next day my parent would put out the empty jar on the kitchen counter. I was so ashamed we never talked about it, ever. Until now, I never realized it was their way of trying to control it. We were all out of control really.
It wasn’t like I ever made any connections about why I ate. If I was happy I ate, if I was sad I ate. I would go to the refrigerator and stare at the contents, seeming suspended in time. The cool air of the open door invited me in, and I felt safe somehow.
I would count the food I desired. One, two, three, things I want. I will pick one I would say. I always picked them all. At night I would be quietly seeking food. My secret and my own decision. I was pretty much quiet, alone and just blended in with people.
Food saved my life really. Yes, it was always not in my control, a compulsion, and I know I have missed a lot of life by hiding with it, but honestly it was my friend. I had to learn to love myself, took 30 years, wish I could have gotten to that sooner, but I had to go on this journey, put the blame where it should be and release myself from that cage I was in all those years. I am grateful I have arrived at this place.
I was only 11 years old when I remember getting into lifting weights and being introduced to steroids. It was a buddy of my brother. He was just three years older than me. It felt powerful and I was hooked. It is very similar to the feeling I get when I drink, that liquid courage they call it.
It was an illusion of control. But the binge eating, that is different. Never felt in control of it. I always hid that. I guess that did feel powerful, the hiding of it. I had my food, my power bars, and alcohol. By the time I was a teenager I was already out of control.
The binging didn’t feel so good, never made me feel better, just worse. In the end, all those habits took from my life. I had to admit I do everything in compulsive ways. Actually as I look back, my whole family did everything compulsively. I think this is strength in some ways really.
I just couldn’t get a handle on it. I kind of understand it all now. All the things that led to and ways I kept up the compulsion. My life, relationships, work, everything was on the fast track. My mind always worked on high speed.
A lot of what I have to do is make that decision to slow down, think, before responding. It’s all very different then how I use to live. It feels unnatural at times, but definitely better. I am not slowly killing myself anymore.
The children binge eating in these three stories all additionally suffered with co-occurring disorders that added to the complications of assessment, treatment and recovery.
It is not uncommon to see accompanying anxiety or depressive disorders, family factors such as a crisis or addictions, or trauma related experiences connected to binge eating disorders.
However this is not always the case. There are subsets of individuals who suffer BED, but do not struggle with accompanying disorders. Whatever the case may be, the most common childhood story line for most sufferers is secretive and out of control binging behaviors that became unmanageable and habitual ways of coping by using food to quell emotions or manage stress.
Binge eating disorders are often misunderstood as a problem related to willpower. There is a great deal of denial and misunderstanding about the multiple influences perpetuating binge eating disturbances among children.
The misconception that binge eating disorder is nothing more than lack of self-control around food can prevent many children and adolescents from seeking out the help and support needed for treatment and recovery. Early identification and awareness of binge eating disorder can allow for treatment that can support improved prognosis and outcomes for children and adolescents, particularly as they transition into their teenage years and early adulthood.
They may be undetected as serious eating disorders with severe medical, nutritional, and psychological consequences. There are many layers to understanding risk factors associated with BED that include the interplay of genetics and environment.
Regardless of gender, binge eating in children may be undetected due to the secretiveness of eating behaviors along with natural changes in appetite and eating behaviors that accompany the physical development of a child.
The consequences related to binge eating disorder may not be as obvious or apparent to well-meaning family members and loved ones, which can contribute to this eating disorder being undetected. Many children with binge eating disorder may be of normal weight, which can also make this eating disorder more difficult to identify based on physical symptoms alone.
What BED is not
There is a cultural tendency to label children and teens that may be on the higher end of the weight spectrum to have binge eating disorders. This is a misperception. Not all individuals who are within obese weight category struggle with BED. BED affects individuals who are within a normal weight range for height and developmental phase as well.
The opposite is also true in that normal weight does not indicate that there is not any eating disturbances on hand. Binge eating disorder can be present in a child who falls within the normal weight category.
The stigmas surrounding weight and body size with binge eating disorder can make it more difficult to understand if a child may be struggling with BED. It is important to understand that weight, while helpful for measuring some aspects, cannot be used alone to determine the presence of BED.
In fact, body mass index is a useful marker for growth expectations and healthful norms. But not for sweeping generalities assuming a disorder exist. Every child is different and individual factors such as genetics, physical frame; physiological, medical, activity levels and nutrition weigh into the picture.
How do we help children binge eating and families struggling with binge eating disorders?
We are just beginning to understand BED in children. It is important to recognize the signs and symptoms associated with eating disorders, and binge eating disorders specifically. Your child or loved one may first manifest unrelenting anxiety, early depressive signals as diminishing joy, or retraction from normal activities of interest before, or simultaneously with eating behaviors of concern.
A child may find it more difficult to engage with others or be more isolated at meal times. Retracting from others, significant personality changes, mood disturbances and more all all factors that should be considered closely and not overlooked. These could be indicative of a more serious issue at hand.
Some key symptoms may include: regularly hiding food, repeatedly eating in secret with feelings of shame and guilt, and an inability to eat without binging to point of uncomfortable fullness. A pattern of reaching for food to quell emotions or avoid anxiety provoking thoughts or experiences can develop very early in a child’s life and be unrelenting even with family attempts to redirect. At this point it is extremely important to receive guidance to help your child.
Work with pediatric and health care providers who understand the full spectrum of influences to children binge eating and the importance of working from a multidisciplinary team approach. Medical, genetic, nutritional, familial and sociocultural factors must all be considered to inform a best fit for treatment.
Treatment for binge eating disorder should be comprehensive and individualized. It is important to understand that a child has unique needs that should be addressed as part of the treatment process for binge eating disorder.
Family education and skill development to tackle the eating disorder is imperative. Parents report being much more prepared to help their child when they understand the bio-psycho-social factors associated with the eating disorder.
Treatment must be delivered in kind and compassionate ways that work with the lifestyle and limitations of the family. While, simultaneously challenging existing habits, communications styles and choices that inhibit their child’s treatment success.
Treatment providers guide the families to develop new skills that the whole family can practice. For example, a helpful strategy may include recognizing the signs of stress overload for each family member on their overall and individual Emotions thermometer.
Family members should never be blamed or feel at fault for the development of an eating disorder in their child but understand their vital role in the recovery and healing process moving forward.
Discussing options for how to tackle stress before reaching the boiling point and conducting practice rounds will strengthen overall family resilience. It is key as well that the child struggling with binge eating disorder see her parents modeling and taking part in practicing healthier coping skills.
Equally important is to fully understand the child’s specific developmental, learning and psychological needs to tangibly translate concepts of interventions. The concept of the Emotional Thermometer, for instance; will be delivered differently to a child of seven years old versus an adolescent.
Often time’s emotions are so overwhelming, confusing and difficult to articulate. Helping the child and their family create a Tool Box of communication props, such as a hand held stop sign, or a teddy bear needing a hug can help a child deliver a need for help during a time when last she or he would secretly stow away and binge eat.
Treatment programs specifically designed for the whole family show promise. Parents additionally find it helpful to link up with other parents and support groups that speak to their specific real life struggles.
Just as we encourage our young patients and their families to help us understand the factors that may increase their specific risks to BED (i.e.) genetic implications, lifestyle and eating patterns, and specific family dynamics. So, also should we explore our overall social structure and norms related to food and body weight to assess the way a culture wide change can assist in decreasing disordered eating incidences.
Article Contributed by Staff Member of Remuda Ranch Program for Eating Disorders
Please Note: The information contained in this article is intended to provide readers with helpful information and inspiration. The stories have been de-identified to honor and protect confidential details of all individuals. This article is not to be used to diagnose or treat. Consult licensed medical, and or mental health professionals for assistance.
Page Last Updated & Reviewed By: Jacquelyn Ekern, MS, LPC on August 29, 2017
Published on EatingDisorderHope.com, Eating Disorders Information & Resources
Article Contributed by our Sponsor ~ Remuda Ranch